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Version 9.1 comes with the below new features and other updates.
User interface changes
The ‘Patient search’ screen in version 9.1 has been standardized across the board to the following format. The columns on the screen have now been rearranged and it also clubs patient name into one single column making searching patients by either first or last name much easier as depicted below.
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Cosmetic changes have been made to screens related to searching as shown below.
→ In the ‘Find prior requests’ screen patients can now search by authorization number, patient name, Emirates ID, MRN, Member ID or RX number.
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→ In the ‘Find claims’ screen patients can now search by claim ID, patient name, Emirates ID, MRN, Member ID or RX number.
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1. Patient columns are standardized across all forms: Find Prior Requests, Find Claims, Find Patients, Patient Search forms Patient Search. Now, all patient parameters by which the search can be performed (Patient Name, Emirates ID, MRN, Member ID
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Payer and TPA labels have been standardized to Payer ID and TPA ID respectively across the board as shown below.
Prior request → Patient details screen | Electronic claims → Patient details screen | Patients → Patient details screen |
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Find claims screen | Upload price-list screen |
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Payer ID field has been hidden from the electronic claims screen and the below label changes have been introduced for more standardisation.
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Original label
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Renamed to
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) present on the said forms so that the user doesn’t have to open the claim/request to check whether this is the exact person they are looking for.
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2. Patient Visit tab on Electronic Claim form and Request Details tab on Electronic Prior Request have been renamed to Encounter Details and the following parameters have been rearranged and renamed:
Original name | New name | |
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Start Date | Encounter start | 2|
End Date | Encounter end | 3|
Visit Type | Encounter type | 4|
Visit Start Type | Encounter start type | 5|
Visit End Type | Encounter end type | 6|
Type | Diagnosis type | 7|
Your Claim ID | Claim ID | |
| 8 | Your Request ID | Request ID |
| 9 | Tab Patient Visit (claim), Request Details (request) | Encounter Details |
→ New prior requests screen
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→ New claims screen
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The following screen titles have been updated
Find Prior Authorization Requests → Find Prior Requests | Find and Submit E-Claims → Find Claims | Price List Upload → Upload Price List |
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Prior Request Resubmit Confirmation → Resubmit Prior Request | Prior Request Cancellation → Cancel Prior Request | Prior Request Clone → Clone Prior Request |
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All fields that are now mandatory to be populated will now appear Bold across the board in Greenrain Facility. (An example is depicted below from New prior request screen)
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Minor cosmetic changes have been made to the Prior request clone screen as depicted below.
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Patient waiting indicator in the “Find prior requests” screen which includes “Show only requests with patient waiting time” checkbox and subsequent column which depicts waiting time have been removed from certain sites (hospitals and clinics) for which they are not used or do not apply.
Insurance Plan column has been added to the trade drugs screen as shown below.
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New Features
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New Features
1. There are inbuilt proactive prompts if coding file downloads have failed. Coding files consist of updates to trade drug code, prices, physician codes, etc. among other codes that are essential for the system. If Greenrain
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Facility is unable to download and update them consistently
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for some reason, the system
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alerts the user that the codes that may be existing in the application may not be current.
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The upload claims screen used to upload claims from facility software now allows two custom actions on claims files.
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→ It allows renaming of claims files to a name of the users choice.
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→ It also allows view content action allowing you to see the content of the XML claim you are about to upload.
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For more details, the user just needs to click the prompt and try to resolve the issue with the information given or contact the internal IT department / Greenrain Support for assistance,
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2. New custom actions for the generated files are available on Upload Transactions form.
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→ Clicking the first button in column Actions makes the transaction name editable, so the user can rename the file to follow the format required by the payer.
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→ Clicking the second button in column Actions opens Transaction Content form where the user can preview the generated Claim.Submission transaction before sending it to Shafafiya. Also, it is possible to copy the content and search for a specific value within the file.
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3. New column and filter - Status - on Find Claims form. The following statuses are possible:
Ready for Submission - a draft claim without sending attempt;
Submitted to Payer - a claim which is already uploaded to Safafiya and waiting for the payer reply;
Submission Failed - a claim which uploading failed.
A claim in status Ready for Submission or Submission Failed can be edited as many times as needed. A claim in status Submitted to Payer is not editable and can be opened for viewing only (all controls on Electronic Claim form are disabled); also it cannot be selected for transactions generating. Subsequently, when no claims are selected for upload
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, button Generate is disabled.
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Find claims screen now allows you to set dates as empty there by running open searches for selected criteria. For example in the below example by setting date range as empty, user can search for entire claims history of a patient searching by patient’s name, MRN, Emirates ID, Member ID or the prescription number.
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What's in store for the future?
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