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 Req Len
Print for which type of Claim Select which type of claims to print, the PDF or Legacy. They cannot be printed together. 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 Req 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 Account 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 Account 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 Primary, Secondary, or Tertiary Select the option to print only Primary, Secondary or Tertiary forms.

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
Alignment Profile Select the alignment profile for the printer that you are printing the insurance forms to. 20

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.