Billing/Menu
This menu allows you to bill the financially responsible party by sending either an insurance form (paper or electronic) or a detailed statement.
How Medicare EDI Claims are Processed
Menu Options:
Insurance Allows billing of Insurance claim forms to the applicable insurance company.
Statement This option allows the printing of detailed statements, which are sent to patients.
Tele Com This option is used for electronic claims submission.
Follow-Up Used to generate follow-up letters to patients or insurance carriers.
Worker Used to bill charges and submit other Workers Compensation related information.
Pre-Billing Allows you to, prior to billing, for ALL charges entered, edit the information contained in the report.
Exit Returns you to the Main Menu.
Billing/Insurance/Tele Com Submit
How to use the <Primary/Sec/All(P/S/A)> and <All/Unbill/Rebill(A/U/R/H)> fields of the /Billing/Insurance screens:
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Standard Software Requirements For All Options:
1) A charge/date of service exists within the requested date range
2) The requested insurance(s) exist as one of the patient’s insurance screen(s)
3) The date(s) of service fall within the insurance screen’s <Coverage From> and <To> date range
From Date
To Date
The latest date of the date range for charges to be billed/rebilled based on the <Date Selection> field criteria.
Patient Number or Selection Criteria
For Batch type the patient account number.
The system will display a batch entry screen enabling the user to enter more accounts up to a total of 99.
For Group entry
1. Allows user to define the accounts to bill based on alphabetical criteria.
Press [Enter] to select all patients that meet any other criteria entered below or define the parameter using an alphabetical range hyphenated and bracketed such as [A-M] to return patient accounts where the last name begins with any letters in the range of A-M.
2. Account Number From :
This is the beginning number for billing by a specific range of patient account numbers. You may bypass this field by pressing [Enter] thus requesting ALL accounts or you may use this field as the beginning account number to be billed.
3. Account Number To:This is the ending number for billing by a specific range of patient account numbers. You may bypass this field by pressing [Enter] thus requesting ALL accounts greater than any value entered in < Account Number From > (open ended) or you may use a this field as the ending account number to be billed.
Note: when pressing [Enter] without entering an account number in one of the fields the following message will be displayed urging you to enter values:
Carrier Type
Type the desired Carrier Type Code.
Press the [F2] search key to display the following valid choices:
ALL All/Unbilled/Rebill: A
Use"A" for all unbilled/billed patient's meeting other selected criteria. Recommended to be used through Batch of Patients (i.e., one individual patient for printing all charges within the requested date range addressed to the specified insurance(s)).
Press the [F2] search key to display the following valid choices:
Insurance Code
In all cases, entering a specific insurance code will limit the selected records to that insurance.*
Provider Code
Not available at this time
Claim Type
Type in the Claim Type number indicator.
1 = UB04 (CMS 1450), 2 = CMS 1500.
Primary/Sec/All (P/S/A): |
P, S, Q, T, X |
All/Unbilled/Rebill: |
A |
Bill/print the selected charge(s) to the insurance selected (e.g., Primary/Sec/All(P/S/A) = S, bill/print the selected charge(s) to the insurance marked as S in the patient’s insurance screen)
Press the [F2] search key to display the following valid choices:
Billing Code
For use with <All/Unbill/Rebill/(A/U/R/H)> = “R” Rebill.
The default is submit billing for all billing codes (leave blank).
To filter the billing based on specific billing codes, type the Ledger <Billing Code>.
Date Selection
Type the desired date selection method
.Press the [F2] search key to display the following valid choices:
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