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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
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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
Overview – Version 2.50 (continued) • Reporting • This separate program has been eliminated. Please find a reporting screen in the new program
Insurance Queue 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
Add/Edit the Insurance Queue Similar dialog to add or edit an insurance queue item
Insurance Form The screen for entering insurance form data now resembles the actual printed form
Ins Form Details 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 Notes can be entered“Pay Insured” is an option from the billing doctor dropdown.
Electronic Claim Submission Step 1 – Each Claim After a claim is filled out correctly, click the Print icon, then select Ready To E-Send
Electronic Claim Submission Step 2 – Submission 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.
Insurance Form Report Insurance report looks exactly like the 2006 ADA form. It supports an imported signature.
Reminders 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.
Chart 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.
Reporting The same reporting screen from the Reporting program is available in the new program. Please note the reporting icon in the toolbar.
Graphing Many reports include a graph option to see reports in bar and line graphs.
Billing Program Please note that the insurance icon is no longer available in the Billing program
Responsible Party ScreenInsurance Grid • asdfasdfabels Payer ID is added to the insurance grid
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.