Insurance Collections Integration

With the Insurance Collections Integration function, you can control how patient accounts are processed through the Insurance Collections Module.

The following illustrates the Insurance Collection Integration options. Review them carefully and even if you choose not to use all of them, reviewing them will provide you with a greater understanding of how the options are used to control the migration path of accounts in the insurance collection process. Changing these fields may cause results other than you expect. Review this information carefully and call Customer Service with any questions BEFORE you make any indiscriminate changes.

The integration options also allow you to elect to have entries recorded in the account transaction history whenever a collection letter is mailed out. You would need to create an Adjustment Code for Letters in Tables, Adjustment Code Table, Maintain Adjustment Codes. There will also be an icon on the adjustment transaction line that you can click to review a copy of the letter that was printed.

Data Field Information
Prompt Response Req Len
Automatic Roster Population If you want the collection roster to automatically populate every night, select this check box. 1
Time Time to start automatic roster population.   6
Default Expected Pmt Days Type the default number of days you expect to receive payment from the insurance carriers. This will be overridden by what is entered in the Expected Pmt Days field in the Insurance Carrier Table.   3
Default Timely Filing Limit Type a default (average) number of days that insurance carriers consider as timely filing of claims. This will be overridden by what is entered in the Timely Filing Limit field in the Insurance Carrier Table.   3
Default Follow Up Letter Days Type the default number of days since the insurance claim was filed for a follow up letter to be sent to the insurance carrier. This will be overridden by what is entered in the Follow Up Letter field in the Insurance Carrier Table.   3
Adjustment Code for Letters If you want to automatically post an adjustment to a patient's account each time you generate an Insurance Follow-Up letter, type the code you want or click the magnifying glass to search the table.   5
Default Denial Letter Type the Default Denial Letter code you want or select from the Insurance Collections letters list.   20
Default Timely Filing Letter Type the Default Timely Filing Letter code you want or select from the Insurance Collections letters list.   20
Default Expected Pmt Days Letter Type the Default Expected Pmt Days Letter code you want or select from the Insurance Collections letters list.   20