WWW.PRIMECLINICAL.COM

 

Intellect™

 

 

TASK 2

 

 

 

 

 

<task task_name="PROXYMED ELECTRONIC BILLING " printer_name="HP" email_addresses="pa_email" fax_numbers="" secondry_printer="" number_of_copies="1">

 

For tasks that have printing, you should set the value for the "Printer Name".

 

<task task_name="PROXYMED ELECTRONIC BILLING " printer_name="EMAlL" email_addresses="pa_email" fax_numbers="" secondry_printer="HP" number_of_copies="1">

 

If this is for Email, type "EMAIL" and a value for the "Secondary Printer". If this is for Fax, type "FAX".

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Task and Parameters

Required Y/N

Corresponding Screen /Field Name

Notes

NOTE: You should ALWAYS automate the electronic claims to  run prior to the paper claims. 

 

TASK_IMS_EB

Billing  --► Tele Com

 

TASK_MEDICAID_EB

TASK_MEDICARE_EB

TASK_UGS_EB

<parameter name="FROM_DATE" value="TODAY - 365"/>  

Y

From Date

To bill claims enter the number of days for the system to look back. For example: to bill anything which is Unbilled  for the last. Example: (TODAY - 31= today's calendar date minus 31 days)

<parameter name="IC_CODE" value="IMS"/>

Y

Insurance Code

The Utility --► Insurance --► Tele Com <Insurance Code>.

<parameter name="DATE_SELECT" value="E"/>

Y

Date

Date Selection Values = E, S, B, P, F

<parameter name="USER_NO" value=""/>

N

User#

To filter the billing based on a specific user, type the Utility --►Set Up --►Security --►Login Users <User Number>.

<parameter name="INS_TYPE" value="P1"/>

Y

Primary/Sec/All(P/S/A)

Which Insurer P1, P2, S1, S2 

<parameter name="CARRIER_CODE" value="I"/>

Y

Carrier Type

Values =  I, M, S

<parameter name="TO_DATE" value="TODAY"/>

Y

To Date

 

<parameter name="BILL_STATUS" value="U"/>

Y

All/Unbill/Rebill(A/U/R/H)

Values = R, A, U, G

<parameter name="CT_CODE" value=""/>

N

Category

Limits the billing results by specific patient Utility --►Category <Category Code>.

<parameter name="DR_CODE" value=""/>

N

Provider

To filter the billing based on a specific provider type the Utility --►Provider <Provider Code>.

<parameter name="DEPARTMENT" value=""/>

N

Department

To filter the billing based on a specific Department, type the Utility --►Provider <Department>.

<parameter name="BILL_CODE" value=""/>

N

Billing Code

To filter the billing based on specific billing codes, type the Ledger <Message> billing code.

<parameter name="FACILITY" value=""/>

N

POS

To filter the billing based on a specific POS, type the Utility --►Facility <Facility Code>

<parameter name="CLAIM_TYPE" value="2"/>

Y

Claim Type

Claim Type 1= UB04 (CMS 1450), 2 = CMS 1500

<parameter name="ACCOUNT_FROM" value=""/>

N

Account Number

This is the beginning number for billing by a specific range of patient account numbers.

<parameter name="ACCOUNT_TO" value=""/>

N

Account Number To

This is the ending number for billing by a specific range of patient account numbers.

<parameter name="SELECT_CRITERIA" value=""/>

N

Selection Criteria

Define the parameter using an alphabetical range hyphenated such as A-L to return patient accounts where the last name begins with any letters in the range of A-L.

 

 

 

 

Task and Parameters

Required Y/N

Coresponding Screen /Field Name

Notes

TASK_HCFA

Billing --►Insurance

 

TASK_HCFA_RED

TASK_UB04

TASK_UB04_RED

TASK_EOMB

<parameter name="FROM_DATE" type="string" value="CL_DATE - 365"/>

Y

From Date

To bill claims enter the number of days for the system to look back. For example: to bill anything which is Unbilled  for the last 3 days, enter 3

<parameter name="TO_DATE" type="string" value="CL_DATE"/>

 

To Date

The latest date of the date range for charges to be billed/rebilled based on the <Date Selection> field criteria.

<parameter name="DATE_SELECT" type="string" value="E"/>

Y

Date Selection(E/S/P/B)

Date Selection Values = E, S, B, P, F

<parameter name="INS_TYPE" type="string" value="P1"/>

Y

Primary/Sec/All(P/S/A)

Which Insurer P1, P2, S1, S2  

<parameter name="FORM_TYPE" type="string" value="C"/>

Y

Form Type

Should default to the correct form for the task

<parameter name="BILL_STATUS" type="string" value="U"/>

Y

All/Unbill/Rebill(A/U/R/H)

Values = R, A, U, G

<parameter name="ACCOUNT_FROM" type="string" value=""/>

N

Account Number From

 

<parameter name="ACCOUNT_TO" type="string" value=""/>

N

Account Number To

 

<parameter name="CT_CODE" type="String" value=""/>

N

Category

Limits the billing results by specific patient Utility --►Category <Category Code>. Will accept multiple values separated by commas with no space.

<parameter name="IC_CODE" type="String" value=""/>

N

Insurance Code

Limits the billing results by specific patient insurance companies. Will accept multiple values separated by commas with no space.

<parameter name="BILL_CODE" type="String" value=""/>

N

Billing Code

For use with <All/Unbill/Rebill/(A/U/R/H)> = 'R' Rebill.

<parameter name="DR_CODE" type="String" value=""/>

N

Provider

To filter the billing based on a specific provider type the Utility --►Provider <Provider Code>. Will accept multiple values separated by commas with no space.

<parameter name="USER_NO" type="String" value=""/>

N

User#

 

<parameter name="FACILITY" type="String" value=""/>

N

POS

To filter the billing based on a specific POS, type the Utility --►Facility <Facility Code>.

<parameter name="DEPARTMENT" type="String" value=""/>

N

Department

 

<parameter name="SELECT_CRITERIA" type="string" value="*"/>

N

Selection Criteria

Define the parameter using an alphabetical range hyphenated such as A-L to return patient accounts where the last name begins with any letters in the range of A-L.

 

 

 

 

Task and Parameters

Required Y/N

Corresponding Screen /Field Name

Notes

Task_Follow_Up

Billing --►Follow Up

 

 

 

 

 

<parameter name="FROM_DATE" value="TODAY - 45"/>

Y

From Date

The number of days for the system to look back.

    <parameter name="TO_DATE" value="TODAY - 45"/>

Y

To Date

 

    <parameter name="BILL_CODE" value="B-G"/>

N

Billing

Code

To filter the letters based on specific billing codes, type the Ledger <Message> billing code.

    <parameter name="MSG_CODE" value="TRACE"/>

Y

Letter Code

The Utility --►Messages --►Remark <Remark Code> for the letter to be printed.

    <parameter name="CATEGORY" value=""/>

N

Category

Limits the billing results by specific patient category.

    <parameter name="INS_VARIETY" value="P1"/>

Y

Insurance Type

Which Insurer P1, P2, S1, S2  ………

    <parameter name="PATIENT_INS_SELECT" value="I"/>

Y

Patient/Insurance

Letter should be sent to the P – Patient or I - Insurance Company.

    <parameter name="INSURANCE" value=""/>

N

Insurance  

Limits the selection by specific patient insurance companies.

    <parameter name="TH_WHO" value=""/>

 

 

 

    <parameter name="DATE_SELECTION" value="P"/>

Y

Date Selection

Date Selection Values = E, S, B, P, F

    <parameter name="INCLUDE_DI" value="Y"/>

Y

Include Diagnosis

Include Diagnosis in letter. Values = 'Y' yes or 'N' no

    <parameter name="PA_ACCOUNT1" value=""/>

N

Account From

This is the beginning number for follow up by a specific range of patient account numbers

    <parameter name="PA_ACCOUNT2" value=""/>

N

Account To

This is the ending number for follow up by a specific range of patient account numbers.

    <parameter name="CRITERIA" value=""/>

N

Selection Criteria

Define the parameter using an alphabetical range hyphenated such as A-L to return patient accounts where the last name begins with any letters in the range of A-L.

    <parameter name="CHECK_ITEMIZED" value="Y"/>

Y

Itemized/Non Itemized 

Itemize charges. Values = 'Y' yes or 'N' no

 

 

 

 

Task and Parameters

Required Y/N

Coresponding Screen /Field Name

Notes

TASK_APP_CHECK_LIST 

Schedule --►Appointment --►Print

 

TASK_APP_DAILY_LIST_X   

TASK_APP_DAILY_LIST_Y  

TASK_APP_DAILY_LIST_CLINIC   

TASK_APP_DAILY_LIST_DOCTOR

TASK_APP_DAILY_LIST_WEEKLY

TASK_APP_CHECK_LIST 

TASK_APP_PRINT_SUERBILL

     <parameter name="APP_PRINT_SELECTION" value="A"/>

Y

Selection

This value defaults, dependant on the Task selected. Do not Change

    <parameter name="APP_FROM_DATE" value="TO_DAY"/>

Y

From Date

 

    <parameter name="APP_TO_DATE" value="TO_DAY"/>

Y

To Date

 

    <parameter name="APP_PRINT_CODE" value=""/>

 

 

 

<parameter name="APP_DOCTOR" value=""/>

N

Provider Code

Optional for all Selection types EXCEPT with 'A' where it has no effect and 'P' where it is recommended to enter a Utility --►Provider  <Provider Code> else it returns the same as selection  'A.'

<parameter name="APPOINTMENT_STATUS" value=""/>

N

Status

When left blank, the print request includes all Status types. Entering Added, Modified, ReSch, Cancel, Delete, or NoShow prints a listing for ONLY those patients with that Status. .

<parameter name="APP_TYPE" value=""/>

N

Appointment Type

The requested print selection for a specific Utility --►Set Up --►Appointment --►Appointment Type <Appointment Type>. Accept the default selecting all appointment types.

 <parameter name="APP_TIME1" value=""/>

N

From Time

An appointment time used to order the requested print selection for ONLY patients scheduled From the requested time

<parameter name="APP_TIME2" value=""/>

N

To Time

An appointment time used to order the requested print selection for ONLY patients scheduled up until the requested time

<parameter name="APP_GROUP" value=""/>

N

Appointment Group

Enter an Appointment Group number to order the requested print selection for ONLY patients scheduled in the requested Group

<parameter name="APP_POS" value=""/>

N

Place of Service

Enter a Facility <Facility Code> to order the requested print selection for ONLY patients scheduled at the requested facility

 

 

 

 

Task and Parameters

Required Y/N

Corresponding Screen Field Name

Notes

TASK_GOP_COMPANY

Billing --►Company

 

 

 

 

 

<parameter name="CRITERIA" value="" />

Y

Selection Criteria 

Define the parameter using an alphabetical range hyphenated such as A-L to return patient accounts where the last name begins with any letters in the range of A-L.

<parameter name="FROM_DATE" value="TODAY" />

Y

From Date 

 

<parameter name="TO_DATE" value="TODAY" />

Y

To Date

 

<parameter name="CATEGORY" value="" />

N

Category 

Limits the billing results by specific patient category. Must be a company type catgory

<parameter name="COMP_BALANCE" value="B" />

Y

Balance

Values = 'B' Charges with a balance, 'A' all charges, 'Z' only zero balances

<parameter name="DATE_SELECTION" value="E" />

Y

Date Selection

Date Selection Values = E, S, B, P, F

<parameter name="COMPANY_SORT_ORDER" value="N" />

Y

Sort By

Values= 'N' name, or 'D' date

 

 

 

 

Task and Parameters

Required Y/N

Corresponding Screen/ Field Name

Notes

TASK_STATEMENT2

Billing --►Statement

 

TASK_STATEMENT5

TASK_STATEMENT12

TASK_STATEMENT20

TASK_STATEMENT21

TASK_STATEMENT22

TASK_STATEMENT24

TASK_STATEMENT28

TASK_STATEMENT29

TASK_STATEMENT30

TASK_STATEMENT91

TASK_STATEMENT92

TASK_XML_STATEMENT

 

 

 

<parameter name="TH_ENTER_DATE" type= "String" value="CL_DATE - 60"/>

N

From Date 

 

<parameter name="SELECTION" type="String" value="*"/>

N

Selection Criteria

Define the parameter using an alphabetical range hyphenated such as A-L to return patient accounts where the last name begins with any letters in the range of A-L.

<parameter name="MSG_CODE" type="String" value=""/>

N

Message Code 

If you wish to add a statement message, type the Utility --►Messages --►Message <Message Code>.

<parameter name="SELECT_STATE" type="String" value= "1"/>

Y

Statement Selection

This value defaults dependant on the Task selected. Do not Change.

<parameter name="AC_CATEGORY" type="String" value=""/>

N

Category

Limits the billing results by specific patient category.

<parameter name="STATEMENT_CYCLE" type="String" value="TODAY"/>

N

Statement Cycle

Used to request statements for those accounts that fall into a particular billing cycle date

 

 

 

 

Task and Parameters

Required Y/N

Corresponding Screen/ Field Name

Notes

TASK_GOP_RECALL

Schedule --►Recall --►Print

 

 

 

 

 

<parameter name="CRITERIA" value="" />

N

Selection Criteria

Define the parameter using an alphabetical range hyphenated such as A-L to return patient accounts where the last name begins with any letters in the range of A-L.

    <parameter name="FROM_ACCOUNT" value=""/>

N

Account From

Allows user to define the recall list (forms or labels) to print based on account number Leave blank to select all patients that meet any other criteria entered below or use this parameter to set the lowest account number to print.

    <parameter name="ACCOUNT_TO" value="" />

N

Account To

Allows user to define the recall list (forms or labels) to print based on account number. Leave blank to select all patients that meet any other criteria entered below or use this parameter to set the highest account number to print.

    <parameter name="FROM_DATE" value="TODAY" />

Y

From Date

 

    <parameter name="TO_DATE" value="TODAY + 15" />

Y

To Date

 

    <parameter name="PRINT_TYPE" value="Form" />

Y

Print Type

Values = Form, List, or Label

    <parameter name="RM_CODE" value="" />

N

Remark Code

Use with the  <Print Type> Form Option

 

 

 

 

Task and Parameters

Required Y/N

Corresponding Screen/ Field Name

Notes

TASK_MEDICAID_997

 

Billing --►Telecom --►Acknowledge

 

TASK_MEDICAID_ACK

 

 

 

TASK_IMS_997

 

 

 

TASK_IMS_ACK

 

 

 

TASK_UGS_997

 

 

 

TASK_UGS_ACK

 

 

 

<parameter name="INSURANCE" value="MCAL"/>

Y

Insurance Code

Value Defaults by the Task:

<parameter name="CARRIER" value="S"/>

Y

 

Value Defaults by the Task:

<parameter name="STATUS" value="A"/>

Y

Status

Value Defaults by the Task: 'A' = Acknowledge, 9 = 937

 

 

 

 

Task and Parameters

Required Y/N

Corresponding Screen/ Field Name

Notes

TASK_UGS_VERIFY

Billing --►Telecom --►Verify

 

TASK_MEDCAID_ VERIFY

TASK_MEDICARE_ VERIFY

TASK_IMS_VERIFY

<parameter name="FROM_DATE" value="TODAY"/>

Y

 

 

<parameter name="TO_DATE" value="TODAY + 7"/>

Y

 

 

<parameter name="IC_CODE" value="UGS"/>

Y

Insurance Code

Value Defaults by the Task:

<parameter name="CARRIER_CODE" value="H"/>

Y

Carrier Type

Value Defaults by the Task:

<parameter name="DR_CODE" value=""/>

N

Provider

To filter the billing based on a specific provider type the Utility --►Provider --►Provider <Provider Code>. Will accept multiple values separated by commas with no space

 

 

 

 

Task and Parameters

Required Y/N

Corresponding Screen/ Field Name

Notes

TASK_AUTOPAYMENT

Payment --►Auto Payment

 

Recommended For Pickup Only

 

 

 

 

 

 

 

 <parameter name="FILE_PATH" value=""/>

N

File Name  

No Value for pickup

<parameter name="PAYMENT_SOURCE" value=""/>

N

src pay

No Value for pickup

<parameter name="ADJUSTMENT_SOURCE" value=""/>

N

src adjustment

No Value for pickup

<parameter name="CARRIER" value="M"/>

Y

Carrier Type

The appropriate carrier type code

<parameter name="CHECK" value=""/>

Y

Check

No Value for pickup

<parameter name="INSURANCE" value="MCAR"/>

Y

Insurance Code

The Utility --►Insurance --►Insurance <Insurance Co. Code>

<parameter name="PRINTONLY" value="true"/>

Y

Post Payment/Report

Accept the default

<parameter name="ADJUST_CROSSOVER" value="false"/>

 

Adjust Cross Over

No Value for pickup

<parameter name="BATCH_NO" value="999"/>

N

Batch No

Accept the default

<parameter name="FROM_DATE" value=""/>

N

From

No Value for pickup

<parameter name="TO_DATE" value=""/>

N

To

No Value for pickup

 <parameter name="PAYMENT" value=""/>

N

Payment

No Value for pickup

 <parameter name="PRINT_BILL" value=""/>

N

Print Bill

No Value for pickup

<parameter name="PROVIDER_CODE" value=""/>

N

Provider Code

No Value for pickup

 <parameter name="CATEGORY_CODE" value=""/> </task>

N

Category Code

No Value for pickup

 

Top of Page