OnSTAFF 2000
Billing Grid
|
Patient’s Insurance |
Primary/Sec/All(P/S/A) |
All/Unbill/Rebill(A/U/R/H) |
Who |
Code |
Internal Bill Date |
|
|
A |
U |
^=Y |
* |
Blank |
|
P |
P |
U |
^=Y |
* |
Blank |
|
Q |
Q |
U |
^=Y |
* |
Blank |
|
S |
S |
U |
^=Y |
* |
Blank |
|
T |
T |
U |
^=Y |
* |
Blank |
|
X |
X |
U |
^=Y |
* |
Blank |
|
|
A |
R |
|
B*/E*/G* |
|
|
P |
P |
R |
P |
B*/E*/G* |
|
|
Q |
Q |
R |
Q |
B*/E*/G* |
|
|
S |
S |
R |
S |
B*/E*/G* |
|
|
T |
T |
R |
T |
B*/E*/G* |
|
|
X |
X |
R |
^=Y |
B*/E*/G* |
|
|
|
A |
A |
^=Y |
|
|
|
P |
P |
A |
^=Y |
|
|
|
Q |
Q |
A |
^=Y |
|
|
|
S |
S |
A |
^=Y |
|
|
|
T |
T |
A |
^=Y |
|
|
|
|
X** |
A |
|
|
|
|
|
A |
H |
Y |
|
|
|
P |
P |
H |
Y |
|
|
|
Q |
Q |
H |
Y |
|
|
|
S |
S |
H |
Y |
|
|
|
T |
T |
H |
Y |
|
|
|
X |
X |
H |
Y |
|
|
|
|
A |
W |
^=Y |
|
|
|
P |
P |
W |
P |
|
|
|
Q |
Q |
W |
Q |
|
|
|
S |
S |
W |
S |
|
|
|
T |
T |
W |
T |
|
|
|
X |
X |
W |
^=G or Y |
|
|
^= does not equal
Patient’s Insurance: Lists the possible entries for the /New Patient assigned insurance(s) <Primary/Secondary(P/S/X)> field entry.
Primary/Sec/All(P/S/A): The insurance to be billed. This field is found on the /Billing/Insurance and /Billing/Tele Com/Submit Claim, Group of Patients and Batch of Patients screen.
All/Unbill/Rebill(A/U/R/H): The charges to be billed. This field is found on the /Billing/Insurance and /Billing/Tele Com/Submit Claim, Group of Patients and Batch of Patients screen.
Who: The necessary criteria that must exist in the Who column in order to perform the requested billing. A blank (i.e., empty) field on the above grid denotes the Who column has no effect. The Who column is accessed through the following screens: /Ledger/Account, /Ledger/Open Item, /Payment/Open_Item, /Charges/Charge and /Charges/Modify.
Code: The necessary criteria that must exist in the Code column in order to perform the requested billing. A blank (i.e., empty) field on the above grid denotes the Code column has no effect.
Internal Bill Date: An Internal Bill Date is recorded in an area unseen to the user when a charge has been billed, thus, once billed, removing the bill date from the Code column will not qualify the charge as unbilled.
* The Code criteria for Unbilled charges is as follows:
1) The Code has never had a value thus is blank (not user removed to be blank), i.e., no Internal Bill Date.
2) The Code may have any value or be blank ONLY when the Unbill option is requested on the same date the charge was entered (i.e., the billing screen <From Date> and <To Date> is equal to the current Clinic Date, or, in other words, the SYSTEM STATUS OPTION screen accessed by pressing [Ctrl] [X], Clinic date is equal to the Accounting Ledger E_Date).
** See the criteria for Patient’s Insurance X, Primary/Sec/All(P/S/A) X, All/Unbill/Rebill(A/U/R/H) W to produce a HCFA.