Topics | Claims: Attorney | Search: |
Introduction User can enter the details of injury through this popup. This popup will enable the user to add the information. Pri Ins Attorney: Click on the search icon to select a name of an attorney associated to selected Primary insurance. To reset the data, click on the 'Clear' link in the adjacent field. Sec Ins Attorney: Click on the search icon to select a name of an attorney associated to selected Primary insurance. To reset the data, click on the 'Clear' link in the adjacent field. Pri Ins Adjuster: Click on the search icon to select a name of an adjuster associated to selected Primary insurance. To reset the data, click on the 'Clear' link in the adjacent field. Sec Ins Adjuster: Click on the search icon to select a name of an adjuster associated to selected Primary insurance. To reset the data, click on the 'Clear' link in the adjacent field Date of injury:
Enter the date of injury for the selected case or select it from a Calendar
by clicking on the calendar icon. The user may enter a date in Standard
mm-dd-yyyy Format. The date, if present on Patient Register > Case
Management screen will be auto-populated in this field. State of Accident: Select the name of the state from the drop-down menu list where an accident occurred. The state, if present on Patient Register > Case Management screen will be auto-populated in this field. Unable to Work From: Enter the date from when the patient is unable to perform job duties on work for a period of time due to an injury or select it from a Calendar by clicking on the calendar icon. The user may enter a date in Standard Format mm-dd-yyyy. Unable to Work From date, if present on Patient Register > Case Management screen will be auto-populated in this field. Unable to Work Up to:
Enter the date till which the patient is unable to
perform job duties on work for a period of time due to an injury or select
it from a Calendar by clicking on the calendar icon. The user may enter a
date in Standard Format mm-dd-yyyy. Unable to Work Up to date, if present on
Patient Register > Case Management screen will be auto-populated in this
field.
|
See Also: | Fee Schedule | Fee Calculation | CMS Flag | Employer Billing Claim | Capitation Billing Claim | Supplementary Claims | Validations | Additional Claim Info | Paper Form Flag |