overview – version 2.50 new program - orthoprologic insurance insurance queue insurance form...

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Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate program Billing Program Insurance Queue and Form removed Please use new program for insurance claims Insurance Payer ID is displayed and can be edited. Scheduler No significant changes

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Page 1: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

Overview – Version 2.50New Program - OrthoProLogic• Insurance

• Insurance Queue

• Insurance Form

• Electronic claim submission

• Reporting

• Moved from separate program

Billing Program• Insurance Queue and Form removed

• Please use new program for insurance claims

• Insurance

• Payer ID is displayed and can be edited.

Scheduler• No significant changes

Page 2: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

Overview – Version 2.50 (continued)

Reporting• This separate program has been eliminated. Please find a reporting screen in the new program

Page 3: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

The New OrthoProLogic Program

Page 4: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

Use the same toolbar icon to navigate to the insurance queue.Two new filter options are available: - Ready to E-send for electronic claims - Cancelled to show cancelled claims

Insurance Queue

Page 5: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

Similar dialog to add or edit an insurance queue item

Add/Edit the Insurance Queue

Page 6: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

Insurance Form

The screen for entering insurance form data now resembles the actual printed form

Page 7: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

Patient, responsible party, contract, and insurance information cannot be changed in the new program. Everything is still editable in the billing program. After changes are made, the “Refresh” button can be used.

Ins Form Details

Page 8: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

Notes can be entered“Pay Insured” is an option from the billing doctor dropdown.

Ins Form Details

Page 9: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

After a claim is filled out correctly, click the Print icon, then select Ready To E-Send

Electronic Claim SubmissionStep 1 – Each Claim

Page 10: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

The Ready to E-Send filter will show all claims ready to be submitted electronically.Clicking the Generate Claim File will create the file to be uploaded to their website. In a later version, the file will be automatically transmitted via the internet.

Electronic Claim SubmissionStep 2 – Submission

Page 11: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

Insurance report looks exactly like the 2006 ADA form. It supports an imported signature.

Insurance Form Report

Page 12: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

Similar dialog for adding reminders. Reminders can be Financial or Insurance Queue.

Reminders appear in their own tab. Each reminder will show all the details including whether or not it alerts when the patient is selected.

Reminders

Page 13: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

The chart tab will show financial chart entries including scans. Also shown are comments and alerts (chart alert, schedule alert, and chart reminders). Scans can be opened by double-clicking them.

Chart

Page 14: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

The same reporting screen from the Reporting program is available in the new program. Please note the reporting icon in the toolbar.

Reporting

Page 15: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

Graphing

Many reports include a graph option to see reports in bar and line graphs.

Page 16: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

Billing Program

Please note that the insurance icon is no longer available in the Billing program

Page 17: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

Responsible Party ScreenInsurance Grid

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Payer ID is added to the insurance grid

Page 18: Overview – Version 2.50 New Program - OrthoProLogic Insurance Insurance Queue Insurance Form Electronic claim submission Reporting Moved from separate

Patient and BillingInsurance Information

Payer ID can be maintained by editing an insurance company (right click Open Insurance from Responsible Party)

Payer ID has a 10 characters maximum. Although you should never duplicate payer IDs, duplicates are allowed.