| Prompt |
Response |
Req |
Len |
| Batch Number |
Informational only. Displays the batch
number selected on the Batch Number screen. |
|
17 |
| Accounting Date |
Informational only. Displays the Accounting
Date, which is automatically set to the current system date. |
|
8 |
| Date of Service |
This field indicates the date the procedures
were performed. The default displayed is either the current system
date or, if you are posting from superbill numbers, the date of
the appointment. To change the date, click the calendar icon to
select a date. |
|
8 |
| Performing Dr |
This field indicates which doctor actually
performed the procedure(s). The default displayed is either the
responsible doctor code contained in the Patient Name record or,
if you are posting from superbill numbers, the doctor the patient
was scheduled to see. To change the Performing Dr, select from
the Performing Doctor list. |
 |
3 |
| Insurance Dr |
This field indicates which doctor will
be submitted on the insurance claim. If your practice selected
the Default Per Dr for Ins Dr field in the CGM webPRACTICE Default
Values function, the Insurance Dr field automatically defaults
to the performing doctor code. To change the Insurance Dr, select
from the Insurance Doctor list. |
 |
3 |
| Location |
This field indicates where the services
were performed. The default displayed is either the default location
contained in the Patient Name record or, if you are posting from
superbill numbers, the location the patient was scheduled at.
To change the location, select from the Location list. |
 |
3 |
| Procedure Code |
Type the code you want or click the
magnifying glass to search the table. This code automatically
defaults to the code stored in the Default CPT field in the CPTDX
DMS record if it has been completed for the selected patient. |
|
10 |
| Mlt |
Type the multiplier/number of units
to indicate the number of times this procedure is performed. This
field defaults with '1'. If the procedure code has the Flat
Fee check box selected in Maintain Procedure Codes, the charge
will bill as a flat fee regardless of the number of units entered. |
|
3 |
| Procedure Group |
Type the code you want or click the
magnifying glass to search the table. This code automatically
defaults to the code stored in the Default Grouping field in the
CPTDX DMS record if it has been completed for the selected patient. |
|
20 |
| Diagnosis 1 |
Type the code you want or click the
magnifying glass to search the table. This code automatically
defaults to the code stored in the Default DX field in the CPTDX
DMS record if it has been completed for the selected patient.
If no codes have been entered in the Default CPT/DX Codes DMS
record, the primary diagnosis code from the last posted Encounter
defaults. |
 |
10 |
| Diagnosis 2 |
Type the code you want or click the
magnifying glass to search the table. This code automatically
defaults to the code stored in the Default DX field in the CPTDX
DMS record if it has been completed for the selected patient.
If no codes have been entered in the Default CPT/DX Codes DMS
record, the secondary diagnosis code from the last posted Encounter
defaults. |
|
10 |
| Referring Dr |
This field indicates which doctor referred
the patient for the procedure(s). The default displayed is either
the referral doctor code contained in the Patient Name record
or, if you are posting from superbill numbers, the referring doctor
stored for the appointment. To change the Referring Dr, select
from the Referral Source list. |
 |
6 |
| Superbill # |
If your practice has selected to post
from superbill numbers, this number defaults from the previous
Superbill Number screen. Otherwise this response is optional.
Your response must be numeric, if entered, and may not contain
leading zeros. This unique superbill number may not be used again.
This entry is used to track superbill numbers. |
|
10 |