Properties: This button is exclusively visible to users with Read Access to the Properties Master screen. Access to this button is strategically granted to enhance user functionality. Clicking the Properties button triggers a popup, presenting a list of properties from the
Properties
Master screen in PrognoCIS that cater to creation of a new Claim.
Create New Claims
This radio button remains checked by default. If user does not want to create a new claim, then they need to select any of the other three radio buttons present below. For creating a new claim following information is to be provided that includes:Date of Service: This displays the date on which the service was rendered to the patient. Date can be either entered manually or can be selected by clicking on the calendar
icon.Patient: This displays the name of the patient. Name can either be entered manually or can be auto-generated by clicking on the binocular
icon.
Provider: This displays the name of the provider. Name can either be entered manually or can be auto-generated by clicking on the binocular
icon.
Referring Provider: Here name of referring provider has to be mentioned, which can either be entered manually or can be auto-generated by clicking on the binocular
icon.
Claim Location: This displays the location where claim was created.
Encounter Type: This displays the type of encounter selected from the auto-populated list.
Reason for Visit: This displays the reason of patient’s clinic visit. Reason of visit is associated to Encounter of the patient
Create a copy of an Existing Claim with a New Visit ID
User is expected to select the Date of service or the Claim ID. The search button displays a list of existing claims with status as 'Billed' or ‘Entered’. The
program creates a Dummy encounter corresponding to this claim.
Create a copy of an Existing Claim with a Same Visit ID
At times after a claim is sent, users want to make more charges in the billed claim. In such a case, a supplementary claim can be created corresponding to the same visit Id.Create Claims for Encounters Dated
Entering the date in this field will create claims for all the encounters that were either not closed or for those claims were not created for the encounters created on that date. The creation of claims is controlled by a property create.claims.condition; if the property is set to ‘A’ then claims for the encounters that were created on that date but not closed will be created. If the property is set to ‘C’ then claims will be created for all the encounters will CPT and HCPC codes. In case, the property is set to ‘N’ then this field will become inactive and no claims will be created.