The patient’s record should have the secondary insurance plan attached to the patient record.
To generate a paper claim to the secondary insurance carrier:
- Click the word “Reports” and choose the “Blank Insurance Forms” option from the drop-down box
- Checkmark the box for "Print Patient Information"
- Input the patient's last name in the "Patient" field
- Click the Search button
- Select the patient from the search returns
- Using the calendar icon, indicate the DOS “From” date
- Using the calendar icon, indicate the DOS “Through” date
- Change the field "Primary" to "Secondary"
- Change the field "Secondary" to "Primary"
- Click the Print/Preview button
An after-the-fact paper claim will not generate a claim entry in the Ledger. Instead, the user will be prompted “Do you want to add a patient note.” By selecting the “OK” button, a record of the paper claim will be recorded in the patient Notes screen.
When the insurance payment is received, the insurance payment should be entered within the Transactions/Insurance Payment screen.
This is important to note;
The payment will be entered using the "Insurance Check to Prev. Balance" payment option. The office should enter notes to remind what the payment is about.
These insurance payments behave like patient payments (see Glossary for "patient payment")