| PATIENT
PROCESSING OVERVIEW |
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| This
simplified system overview is only intended to illustrate the
normal processing steps involved between the Client and Integrated.
We can customize our systems to your exact needs. The procedure
for Home Care, Personal Care, Nursing Home and Patient Resident
monthly processing is basically the same. We have intentionally
reduced this instruction set for the purpose of brevity. |
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| 1) |
The patient give you their prescription for
product. Record the product and physician information on the
Integrated Full Sheet C.I.D. document. |
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| 2) |
The Patient gives the Provider their "ASSIGNMENT
of BENEFITS". Retain this at your location. |
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| 3) |
The Patient supplies their insurance information,
including the fronts and backs of all cards. If there is no secondary
please tell us this also. Record this information on the C.I.D. |
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| 4) |
The Provider delivers required products to
the Patient. * |
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| 5) |
Copies of the insurance cards and the prescription
will be forwarded along with the C.I.D. to Integrated. |
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| 6) |
We generate the Provider's Primary billing
and forward the claim to Patient's Insurance Carrier. |
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| 7) |
When Primary payment is received, we generate
the Copayment billing and forward the claim to the appropriate
party. It is most important that you forward us all EOMBs immediately,
whether they are paid or denied. We receive no information from
any insurance carrier directly. |
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| 8) |
You are invoiced monthly by Integrated which
provides you with a breakdown of modalities billed and a report
of copayments due you by patients with no secondary coverage. |
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| * |
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a) |
|
Repetitive Patient's
monthly product needs can be developed by reviewing an existing
Patient 's prior product history on the monthly report, and the
quantity certified as needed monthly on the CMN. |
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b) |
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For monthly rental
equipment and identified diary billings, we automatically generate
the claim till the end of the rental period on the appropriate
day of subsequent months or instructed to stop. |
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c) |
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Our staff develops
Rent / Purchase letters and recertification as needed. |
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d) |
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We produce your "Maintenance
& Service" claims as appropriate every six months. |
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