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Control Name

Type

Default Value / StateMandatory

Description

Claim ID

text field

empty / enabledYes

Claim number.

Default value: empty if it is set in Settings that user enters Claim ID manually, otherwise is a value in format [

 Claim ID for a new claim is generated automatically if Greenrain Facility generates Claim ID automatically is selected in Settings > General; the field is disabled. Claim ID can be set manually if Allow user to enter Claim ID manually is selected in Settings > General; the field is enabled in this case.

The automatic generation of Claim ID is performed as follows.

  1. If setting ID Prefix is empty, then Claim ID / Request ID is generated as [value from setting Provider ID]-[auto-generated value].
  2. If setting ID Prefix has value, then ID is generated as [value from setting Provider ID]-[value from setting ID Prefix]-[auto-generated value].

2

Payer Claim ID

text field

Claim number from the payer.Default value: empty.The field is not editable.

 

Visit Info

 

 

3

Start Date

date picker

Visit start date.Default value: today.The latest saved Start Date will be
  1. Claim ID must be unique.

Encounter start

date picker

checked (today) / enabledYes

Visit start date. The latest saved Encounter start is preselected by default in new requests and

e-End Date

claims.

4

Encounter end

date picker

unchecked (today) / enabled

Yes, if Encounter type = 3 or 4

No, otherwise

Visit end date.

Default value: unchecked.End Date

 Encounter end must be greater than or equal to

Start Date

Encounter start. If

User sets Start Date > End Date, then End Date adjusts to Start Date automatically.5

the user sets Encounter start > Encounter end, then Encounter end adjusts to Encounter start automatically.

The field becomes mandatory if the user selects Encounter type = 3 or 4).

Set today as

patient visit

encounter start date

link label

link 


-

On clicking the

link label Start Date

link Encounter start switches to today's date.

6

Encounter type

Visit Type

drop-down list

Patient visit type.Default value:
preselected (1 - No bed + No emergency room) / enabledYes

Patient visit type.

Possible values:

  • 1 - No bed + No emergency room;
  • 2 - No bed + Emergency room;
  • 3 - Inpatient bed + No emergency room;
  • 4 - Inpatient bed + Emergency room;
  • 5 - Daycase bed + No emergency room;
  • 6 - Daycase bed + Emergency room;
  • 7 - National screening;
  • 8 - New visa screening;
  • 9 - Renewal visa screening;
  • 12 - Home;
  • 13 - Assisted living facility;
  • 14 - Mobile unit;
  • 41 - Ambulance - land;
  • 42 - Ambulance - air or water.

The latest saved

Visit Type

Encounter type will be preselected by default in new requests and

e-Visit Start Type

claims.

7

Encounter start type

drop-down list

empty / enabled

Yes, if Encounter type = 3 or 4

No, otherwise

Patient visit start type.

Default value: empty. Visit End Type

Possible values:

  • 1 - Elective;
  • 2 - Emergency;
  • 3 - Transfer admission from acute care;
  • 4 - Live birth;
  • 5 - Still birth;
  • 6 - Dead on arrival;
  • 7 - Continuing encounter;
  • 8 - Transfer admission from non-acute care.

8

The field becomes mandatory if the user selects Encounter type = 3 or 4.

Encounter end type

drop-down list

empty / enabled

Yes, if Encounter type = 3 or 4

No, otherwise

Patient visit end type

.Default value: empty.

(how the patient was discharged).

Possible values:

  • 1 - Discharged with approval;
  • 2 - Discharged against advice;
  • 3 - Discharged absent without leave;
  • 4 - Discharged transfer to acute care;
  • 5 - Deceased;
  • 6 - Not discharged;
  • 7 - Discharged transfer to non-acute care.

The field becomes mandatory if the user selects Encounter type = 3 or 4.

Transfer sourcetext field + 

Diagnoses

 

 

9

Type
[...] selection buttonempty / disabled

Yes, if Encounter start type = 3 or 8

No, otherwise

Healthcare facility from where a hospital transfer originated. 

Format: code: description (Facilities list).

The field enables, mandatory if the user 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 destinationtext field + [...] selection buttonempty / enabled

Yes, if Encounter end type = 4 or 7

No, otherwise

Healthcare facility to which a hospital transfer is made at the end of an encounter.

Format: code: description (Facilities list).

The field enables, mandatory if the user selects 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 type

drop-down list

empty / enabledYes

Diagnosis type.

Default value: empty.

Possible values:

  • Principal
,
  • ;
  • Secondary
, Admitting.
  • ;
  • Admitting;
  • Reason For Visit.

A claim may have:

-

  • the principal diagnosis only;
-
  • the principal diagnosis and from one to several secondary
/ admitting text field
  • diagnoses.

10

ICD9 Diagnosis

ICD10 diagnosis

text field + [...] selection button

empty / enabledYes

Diagnosis from

ICD9

ICD10 code set.

Default value: empty.

 

Format: code: description.

User

The user can type it manually (e.g. a code) and press Enter key or they can select it from the list which opens by pressing […] button.

11

Selected Diagnoses

grid

If Diagnosis Effective Date <= 31 December 2016, the label becomes ICD9 diagnosis: and ICD9 code set is used.

Selected diagnoses

grid

empty-

All diagnoses added to a claim. The grid contains the following columns:

  • Type -
Type,
  • shows the value selected from
Type
  • Diagnosis type drop-down list;
  • Code -
Code,
  • shows the value set in
ICD9 Diagnosis
  • ICD10 diagnosis field.

12

Add this diagnosis to your favourites

link label

link 

hidden-

The link

label

appears when

ICD9 Diagnosis

ICD10 diagnosis is set and this diagnosis is not in Favourites list yet. On clicking the link the diagnosis adds to Favourites list and the link disappears.

13

Search for your favourite diagnosis

link label

link 

enabled-

On clicking the link

label

Your Favourite Diagnoses form opens where all diagnoses once added to

favourites

favorites are listed. If the user selects any of them and

clicks on

clicks Select button, the form closes and the diagnosis appears in

ICD9 Diagnosis

ICD10 diagnosis field.

14

Add new diagnosis (Ctrl + N)

link label

link 

enabled-

On clicking the link

label

(or pressing Ctrl + N) an empty row adds to the Selected

Diagnoses

diagnoses grid.

15

Remove this diagnosis (Ctrl + D)

link label

link 

enabled-

On clicking the link

label

(or pressing Ctrl + D) the highlighted row removes from the Selected

Diagnoses

diagnoses grid.