Content Comparison

There are several ways to create a standalone claim.
 

...

Step 2. Fill in available patient data or load patient data using Find Patient field.

       The tab is similar to Patient Details form with some exceptions:

• by default, mandatory fields are Payer ID, Member ID, MRN, Emirates ID;
• there is Self-Pay checkbox to set up a non-insurance claim.

Step 3. Go to Patient Visit Encounter Details tab.

Step 4. Enter the visit details.

• • Start DateEncounter type is today by default. End DateEncounter type must be greater than or equal to Start Date Encounter type.
    If the user clicks Set today as patient visit date link label, then Start Date switches to today's date.
  • Visit TypeEncounter type is 1 - No bed + No emergency room by default, Visit Start Type and Visit End TypeEncounter start type and Encounter end type are empty. If Visit Type Encounter type = 3 - Inpatient bed + No emergency room or 4 - Inpatient bed + Emergency room, then Visit End Type and Visit End Date then Encounter end type and Encounter end become mandatory.
  • Transfer Sourcesource is disabled by default. It enables and becomes mandatory if the user selects Visit Start Type selects Encounter start type = 3 or 8. If the facility is not in the list of licensed providers, the user can enter '@' followed by the name of the facility.
  • Transfer Destinationdestination is disabled by default. It enables and becomes mandatory if the user selects Visit End Type Encounter end type = 4 or 7. If the facility is not in the list of licensed providers, the user can enter '@' followed by the name of the facility.
  • Diagnosis Typetype can be Principal, Secondary, Admitting, Reason For Visit. The principal diagnosis is mandatory and can be set only once in a claim. At the same time, a claim may have several Secondary diagnoses.
  • ICD10 Diagnosisdiagnosis can be selected from the corresponding search list which opens by clicking […] button. Another option is to enter the value or a part of it manually in the field (e.g. code 098.49) and press Enter key. The data will load automatically.

Learn more

Step 5. Go to Procedure Details tab.

...

1. • Type maybe one of the following: CPT, HCPCS, Trade Drug, Dental, Service, APR-DRG.
   • Procedure, or activity, is selected from the list for the corresponding procedure type, 
   • Ordering Clinicianclinician, Performing Clinicianclinician – from the list of clinician licenses by clicking on […] button (or entering the value manually in the field and press Enter key).
   • Unit Gross Pricegross price, Patient Shareshare, Unit Net Pricenet price are set manually. Unit Gross Price must be equal to Unit Patient Share + Unit Net Price. The procedure may have zero prices. However, at least one procedure must have Unit net price > 0. Trade drug must always have a price.
   • Quantity can be decimal in the range of 0.0001- 999.9999.
   • VAT Percentpercent may be numeric in the range of 0-100%. Then VAT Amount, always disabled, calculates as Unit Net Price x VAT Percent / 100.
   • Selected Proceduresprocedures grid shows a summary of all procedures added to the claim.
   • Totals line shows Total Gross amount, Total Patient Share, Total Net amount values for all procedures.

Learn more

Step 7. Click Save button.
       An information dialog appears informing that the claim is saved in the database.

Step 8. Click OK button.
       Electronic Claim form closes. The claim is saved.

...

1. Select Patients > Find Patients from the menu. 
   Patient Search form opens.
2. Set search value and click Search button. 
   The search results grid appears.
3. Set focus on any record and click Add Claim button. 
   Electronic Claim form opens. Patient Details tab is active and the patient data is already filled in.
4. Go to Patient Visit Encounter Details tab and fill the data.
5. Go to Procedure Details tab and fill the data.
6. Click Save button. 
   An information dialog appears informing that the claim is saved in the database.
7. Click OK button.
   Electronic Claim form closes. The claim is saved.

...

1. Select Claims > Find Claims from the menu. 
   Find & Submit E- Claims form opens.
2. Click Add button. 
   Electronic Claim form opens. Patient Details tab is active.
3. On Patient Details tab fill patient data.
4. Go to Patient Visit to Encounter Details tab and fill the data.
5. Go to Procedure Details tab and fill the data.
6. Click Save button. 
   An information dialog appears informing that the claim is saved in the database.
7. Click OK button.
   Electronic Claim form closes. The claim is saved.