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OnSTAFF 2000

 

 

Multiple Primary Insurances

 

Software Requirements for Multiple Primary Insurances

 

Multiple primary insurances would be used when a patient has Medicare and DMERC, a commercial insurance and a vision plan, or a HMO or IPA whose capitated procedures are mailed to an address other than that of the carve out/fee for service charges.

 

 

Each <Primary/Secondary(P/S/X)> field of the patient’s insurance screen should be set accordingly.  Available options for primary insurance are P for the primary insurance and Q for the alternate primary insurance.

 

 

To flag a charge to be billed to a specific primary insurance during charge posting the cursor must stop in the Who column so, to assure that this will occur, each procedure’s <Hold (Y/N)> field must be set to Y.

 

 

·        When posting charges and the cursor stops in the Who column, enter the appropriate value (P or Q). 

 

·        If the function key for Patient Insurance Lookup is included in your assigned macro group, using it will display insurances available to choose from for the current patient. 

 

 

• If the entered Who value has not been pre-defined in the patient’s insurance screen the following warning will appear.  After pressing any key to continue OnStaff will place the default value P in the Who column and the cursor will return to the <Panel> field.  Obtain the correct primary insurance value then either delete the charge and re-enter it with the appropriate Who value OR modify the Who to the correct value and correct the <Insurance Code> and <Pay Plan Code> fields of the th (treatment history) record to the appropriate values by placing the cursor next to the charge and pressing X from the C (command) column of the charge screen.  th is an important table in the database as each record contains the details of each charge.  Thus, th is critical to accurate reporting as all Analysis and Detail reports pull information from it.
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To paper bill EACH primary unbilled claim:

E = bill EACH primary insurance

 

Ledger Code will update as follows:

 

 

NOTE:  BE1019 indicates that for this charge, at the time of billing, paper billing was requested (B) for EACH primary insurance (E) on October 19^th (1019).

 

To paper bill ONLY the PRIMARY (P) or ALTERNATE PRIMARY (Q) unbilled claims:

 

OR

 

Ledger Code will update as follows:

                                                                                                                                                                                                                                                   

 

NOTE:  BP1019 indicates that for this charge, at the time of billing, paper billing was requested (B) for the PRIMARY insurance (P) on October 19^th (1019).

 

BQ1019 indicates that for this charge, at the time of billing, paper billing was requested (B) for the ALTERNATE PRIMARY insurance (Q) on October 19^th (1019).

 

 

 

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