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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 existing patient application.
DO
NOT send the signed PATIENT ASSIGNMENT OF BENEFIT FORM
!
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 questions completed.
SECONDARY
INSURANCE : If the patient has a secondary carrier we need all
the questions completed. If they do not have a secondary please
write in this area " no secondary insurance " 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 UPIN number
and the state license number as insurances vary in which one
they require. Copy of the prescription may be required. Check
with our office. Any other documents required from the physician,
OUR OFFICE will obtain those. We know what's going to work .
. . . honest.
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, call 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. JUST SEND REQUIRED DOCUMENTS.
REMEMBER
:
ONCE submitted,
integrated will process and submit the claim for you. you will
receive payment and the remittance advice (E.O.M.B.), which you
must send to our office. The E.O.M.B. 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.
.
Subject:
Re: Form posted - Hi Modnur's
To:
Modnur Pharmacy
WOW
- you must have the knack for it ! I counted 49 in the batch
on TUE. I'll check for doubles and such. Are you playing catch-up
or is this a normal number over the web ? I'll have to train
more people !
Ron,
I
can't figure out how to use IHSnet.com to send data to you to
bill for my Medicare patients. I want to make things easy for
both of us, but right now it just seems easier to fax over my
billing requests as usual. If you can show me how to do this
via the web site, I will do it.
Dave
Medicine
Shoppe
Dave,
Thanks
for trying ! Here's some help, and you can find this page again
by clicking on PROVIDER HELP on the homepage . Clicking on a
link here will open a new page, but leave this page open "under"
the new page. You could bookmark our home page or this page after
that.
1.
Go to Integrated's web site:
http://www.IHSnet.com/
2.
Click on the Healthcare Client Area:
http://www.IHSnet.com/Healthmenu.html
3.
To enter a patient for billing, you can use either the eCID
or the
e
half sheet CID
click those links to start entering data.
4.
Complete and send one patient per form. Always use the CLEAR
button between patients. Send Integrated the vital information
on each patients delivery. Please be consistent, some applications
ask for the name of the operator. nothing being sent is encrypted
- but then - nothing you send is "trouble" either (no
credit cards, SSAN, etc.) so it's not a problem.
5.
You can also just send an email with the vital info, more on
that at the bottom of this page.
ALTHOUGH
THE MANNER YOU ENTER THE DATA IS UP TO YOU, WE REQUIRE THE PATIENTS
NAME, PRODUCT, QUANTITY AND DATE OF SERVICE (and of course -
who you are, either your name or client number). For each form
you send by email, here is what we get on our end (or something
like this):
INTEGRATED
GENERATE A CLAIM (half sheet)=*
client
number=429
patient
name=John Smith
vital
billing data=11-01-2000 patient received 20 ostomy bags Hollister#
1712
or
maybe like this if you hit the RETURN key between data (2nd choice
on our end):
INTEGRATED
GENERATE A CLAIM (half sheet)=*
client
number=429
patient
name=Betty Boop
vital
billing data=11-10-2000
10
ostomy bags
Hollister
#1787
11-10-2000
5
ostomy wafers
Holl
#2772
5.
Also, we have 2 applications to UPDATE
A PATIENT'S INFO
and TERMINATE
THERAPY
(or
billing). Look on the Provider Area Menu.
For
each form you send by email, here is what we get on our end (or
something like this):
INTEGRATED
UPDATE A PATIENT RECORD=*
client
number=429
patient
name=Mr. John Wayne
patient
update data=Mr Wayne now has secondary insurance with BC/BS 65-Special.
His Agreement number is 123-12-1234A and his group number is
99000-10. This is effective at the beginning of November 2000.
client
operator=Ron Louis
->
stop a patient's billing
For
each form you send by email, here is what we get on our end (or
something like this):
INTEGRATED
TERMINATE THIS PATIENT=*
client
number=429
patient
name=Mr Harry Green
patient
update data=Please stop billing for Mr Greens wheelchair as of
Nov 1, 2000 as it was returned.
client
operator=Ron Louis
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 clears up the "how to" and doesn't confuse
you more. This is new to everyone, but, we are the only Provider
Third Party Administrator (TPA) even trying to work the web this
way. The internet can do much more than sell widgets or send
email, this type of information processing over the web is called
Application Service Providing (ASP), and will be "the next
big thing" ! I hope this helps - let me know if I can do
anything else.
Ron
Louis w/Integrated
email to : RonL@IHSnet.com * 724-537-5717
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