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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.

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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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