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COMPLETING THE CID   Client's are invited to use the internet to submit the information needed to generate claims for their patients. As an existing client, you know what we need. Send your existing patient's name, the date of delivery, and the product delivered and the quantity. NOTE: patients must already be on file to use the half sheet, or web existing patient application. DO NOT send the signed PATIENT ASSIGNMENT OF BENEFIT FORM . Please do not send copies of cards unless we ask. We do not normally need copies of the script either, or a fax cover page. we believe you. Whatever you tell us, we believe it. Save a poor trees life! PATIENT DATA : This area needs to be filled out completely. We cannot submit a claim without all the information ask for in this section.   PRIMARY INSURANCE : If the patients primary insurance is Medicare we will only need their Medicare number with the letter that is shown on their card. If the insurance is anything else we need all the information completed.   SECONDARY INSURANCE : If the patient has a secondary carrier we need all the information completed. If they do not have a secondary please write in this area " no secondary insurance " or check that box so we are sure you ask and that it was just not omitted.   PHYSICIAN DATA : All information asked for in this area is required when submitting a claim. Please be sure to include the NPI number and the state license number as insurances vary in which one they require.   PRODUCT INFORMATION :For every product for which you wish to bill we need the date of service, the product and the quantity. Occasionally, a copy of the bill of sale, warranty, delivery signature or other information is required, contact us for assistance.   ONCE YOU HAVE SUBMITTED THE PATIENT FOR BILLINGS THE FIRST TIME, PLEASE DO NOT SEND ANOTHER VERSION (via fax or mail). A SECOND CLAIM COULD BE GENERATED. Please do not process an existing patient like they where a new patient.   REMEMBER : ONCE submitted, integrated will process and submit the claim for you. you will receive payment and the remittance advice (RA), which you must send to our office. The RA is used to bill the secondary (or inform you what to bill your patient), resubmit if not paid properly (it happens even if we do everything right), and purge our files. If you do not send you remittances for processing, we cannot support your account correctly and will assume everything got paid. .   If you want to just "practice" make sure you tell us somewhere on the form that "THIS IS A TEST". It's not hard - it does require a rethinking perhaps of how you collect, prepare and forward your information, but it'll be worth it ! Besides, the future is digital, and you will be at the forefront of technology ! By using the web site, we can move forward with new applications that can make things better (like putting your patients into Diary Billing, and then you can manage deliveries with a mouse click), and hold down costs (by making it easier to do more with less people on our end). I hope this helps - let me know . Ron Louis w/Integrated email to : RonL@IHSnet.com * 724-537-5717