Use this task to modify insurance information.

Step-By-Step Guide

Step

Instructions

Additional Information

1

From the Create Account / Insurance tab, Create Person / Insurance tab, or Case: [ID] / Patient, Guarantor & Insurance tab, select the insurance to be modified.


2

Click Update.

The Update Insurance window opens.

Update the relevant information via the applicable steps below...



3In the Insurance Information section, open the Payer drop down list and select the company providing insurance coverage.
Click to search for a payer.
4Open the Insurance Plan drop down list and select the plan providing insurance coverage.
The list of plans in the Insurance Plan drop down list are those associated with the payer selected in the step above.
5Open the Subscriber Type field and select the subscriber type.
6Open the Subscriber Name drop down list and select the subscriber.

Updating this field varies depending on the option selected in the Subscriber Type field in the step above.

  • If Patient is selected for the Subscriber Type, the Subscriber Name field defaults to <new person> and cannot be updated.
  • If Some Other Person is selected for the Subscriber Type, the Search Person window opens to search and select the person.
  • If Organization is selected for the Subscriber Type, the drop down list of organizations opens for selection. Alternately, click to open the Search Organization window and search for the organization.
7Enter the number issued by the payer for the person covered by the plan in the Subscriber ID field.
8Enter the number issued by the payer for the person covered by the plan in the Member ID field.
9Enter the number issued by the payer that identifies the company participating in the plan in the Group ID field.
10Open the Patient Relationship to Subscriber drop down list and select the relationship of the subscriber to the patient.
This field is disabled if the Subscriber Type is set to Patient.
11Select the Coverage Confirmed checkbox if the insurance has been verified.
12Enter the insurance Effective Date.
13Enter the insurance Expiration Date.
14

If applicable, add referral numbers:

  1. At the Referral Numbers tab, click Add. A new line item is added to the table.
  2. Enter the referral number in the Referral Number field for a specific treatment or series of treatments.
  3. Open the Effective drop down and select the effective date for the referral from the calendar.
  4. Open the Expiration drop down and select the expiration date for the referral from the calendar.
  5. Enter the number of Allowed Visits authorized for the referral treatment.
  6. Enter the number of Used Visits (completed) for the referral treatment.

15Click Save to save and close the window.







  • No labels