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Print Delinquent Insurance Forms

With the Print Delinquent Insurance Forms function you can print the delinquent insurance forms that were placed into the print file by the Create Delinquent Insurance Print File function.

Data Field Information

Prompt	Response	Len
Claim Type	Select which type of claims to print, PDF or Legacy. They cannot be printed together.	1
Claim Format	Select the claim format you want.	1
Print/Reprint for All or Select Forms	Select the printing option you want.	1
Form Type	Select the form type you want from the Form Type list.	1

You can then further specify which forms you want to print within the form type(s) you selected.
NOTE: If your practice has a custom program installed for printing claims, this specification screen may look slightly different than the standard screen.

Data Field Information

Prompt	Response	Len
Begin with Insurance Carrier	Type the code you want to begin with, click the magnifying glass to search the table or leave the field blank to start with the first code in the table.	5
End with Insurance Carrier	Type the code you want to end with, click the magnifying glass to search the table or leave the field blank to end with the last code in the table.	5
Begin with Patient Number	Type the account number you want to begin with or leave the field blank to start with the first account in the file.	10
End with Patient Number	Type the account number you want to end with or leave the field blank to end with the last account in the file.	10
Begin with Doctor Code	Type the code you want to begin with or leave the field blank to start with the first code in the table.	3
End with Doctor Code	Type the code you want to end with or leave the field blank to end with the last code in the table.	3
Begin with Location	Type the code you want to begin with or leave the field blank to begin with the first code in the table.	6
End with Location	Type the code you want to end with or leave the field blank to end with the last code in the table.	6
Print for which Claim Type	Select the category of claims you want to print. The secondary forms print in the order that the primary payments were posted. The tertiary forms print in the order that the secondary payments were posted.	1
Print Claims Alphabetically by Ins Carrier Code	If you want to print the claims in alphabetical order by insurance carrier code, select this check box.	1

The delinquent insurance forms print in insurance carrier code order, followed by location code order, doctor code order, patient number order, and then by the accept assignment status. The words '***SECOND SUBMISSION***' print on the top of each form to alert the carrier that this form needs attention. It also prints the date of the first filing underneath each procedure line.

The delinquent insurance forms contained in the print file can only be printed one time. If for any reason the forms need to be printed again use the Reprint Delinquent Insurance Forms function.

You can print the Delinquent Filing Report and select the Forms Not Printed check box to see if there are any other insurance forms in the print file that have not yet been printed.