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public:gorev:carriermanagement [2020/01/12 15:20]
sgriffin
public:gorev:carriermanagement [2020/03/05 22:30] (current)
mgriffin
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 +
 ====== GoRev Administrative Insurance Carrier Management Tutorial ====== ====== GoRev Administrative Insurance Carrier Management Tutorial ======
-Welcome to the GoRev Administrative Insurance Carrier Management Tutorial. In this tutorial, we will focus on the process of Adding New Insurance Carriers, Editing Existing Insurance Carriers, and Deleting Unwanted Insurance Carriers as an Administrator in GoRev..+Welcome to the **GoRev Administrative Insurance Carrier Management Tutorial**. In this tutorial, we will focus on the process of adding new Insurance Carriers, editing existing Insurance Carriers, and deleting unwanted Insurance Carriers as an Administrator in GoRev..
  
 **Note:** If you need assistance with a particular portion of this tutorial, please use the **Table of Contents** on the left hand side of this screen to navigate to the topic that you require.  **Note:** If you need assistance with a particular portion of this tutorial, please use the **Table of Contents** on the left hand side of this screen to navigate to the topic that you require. 
  
-====== 1 : Navigating to the "Carrier ManagementWindow ====== +====== 1 : Navigating to the "CarriersModule ====== 
-Click on the **Configuration**” button+As a GoRev Administrator, the **Carriers** module will allow you to manage **Insurance Carriers** for your Facility
  
-{{:public:gorev:carrier1.png?800|}}+==== Utilizing the Configuration Menu ==== 
 +In order to navigate to the **Carriers** module, first, begin by clicking on the **"Configuration"** menu in the Admin Toolbar
  
 +{{:public:gorev:step_1_part_1_navigate_to_configuration.png?800|}}
  
-Select the **Carriers** +==== Selecting the Carriers Option ==== 
 +Once the **Configuration** menu becomes visible, please click on the **"Carriers"** option in this menu
  
-{{:public:gorev:carrier2.png?800|}}+{{:public:gorev:step_1_part_2_navigate_to_carriers_section.png?800|}}
 ====== 2 : Adding a New Insurance Carrier ====== ====== 2 : Adding a New Insurance Carrier ======
-Click on the **Menu**” button. +At this point, the **Carrier Management** window will be visible.  
 + 
 +==== Utilizing the Menu Button ==== 
 +In order to add a a new **Insurance Carrier** to the GoRev System for your Facility, first, begin by clicking on the **Menu** button in the Carriers section of this window.  
 + 
 +{{:public:gorev:step_2_part_1_menu_button.png?800|}} 
 + 
 +==== Selecting the New Option ==== 
 +Once the Carrier Management menu becomes visible, please click on the **"New"** option from the list.   
 + 
 +{{:public:gorev:step_2_part_2_new_option.png?800|}} 
 + 
 +==== Entering the Insurance Carrier Name ==== 
 +After the information in the **General Tab** of the **Carrier Information** area becomes blank, please enter the Insurance Carrier name into the **Carrier Name** field in this area.  
 + 
 +{{:public:gorev:step_2_part_3_enter_carrier_name.png?800|}} 
 + 
 +==== Defining the Finclass Prefix ==== 
 +Next, please enter the appropriate **Finclass Prefix** into the corresponding field provided.  
 + 
 +{{:public:gorev:step_2_part_4_enter_finclass_prefix.png?800|}} 
 + 
 +==== Selecting the Claim Filing Indicator & ECS ID Type ==== 
 +After entering this information, please select the required **Claim Filing Indicator** from the corresponding menu in this area.  
 + 
 +{{:public:gorev:step_2_part_5_enter_claim_filing_indicator.png?800|}} 
 + 
 +Now, please select the **Electronic Claims Submission ID Type** that you require from the “**ECS ID Type**” drop-down menu. 
 + 
 +{{:public:gorev:step_2_part_6_enter_ecs_id_type.png?800|}} 
 + 
 +==== Entering the NM1 ECS ID ==== 
 +Next, please enter the required **NM1 Electronic Claims Submission ID** into the “**ECS ID (NM1)**” field provided.  
 + 
 + 
 +{{:public:gorev:step_2_part_7_enter_ecs_id_nm1.png?800|}} 
 +==== Selecting the Billing Type ==== 
 +After entering this information, please select the appropriate **Billing Type** from the corresponding drop-down menu.  
 + 
 +{{:public:gorev:step_2_part_8_enter_billing_type.png?800|}} 
 + 
 +==== Entering the Insurance Carrier's Contact Information ==== 
 +Now, please enter the Insurance Carrier's **Address**, **Phone Number**, and **Fax Number** into the corresponding fields provided
  
-{{:public:gorev:carrier3.png?800|}}+{{:public:gorev:step_2_part_9_enter_address_phone_fax.png?800|}} 
 +==== Utilizing the Carrier Management Checkboxes ==== 
 +Next, if necessary, please disallow **Statement Auto Approval** and/or **Use** of the Carrier by using the **Disallow Statement Auto Approval** and **Disallow Use** checkboxes provided. 
  
-Select the “**New**”+{{:public:gorev:step_2_part_10_disallow_use_and_statemet_auto_approval.png?800|}}
  
-{{:public:gorev:carrier4.png?800|}} +Now, if necessary, please allow **Automatic Eligibility** and/or **Auto Charging of Patients** by utilizing the **Enable Automatic Eligibility** and **Auto Charge Patient** checkboxes in this area
-====== 3 : Entering the Insurance Carrier Name  ====== +
-Enter the **Insurance Carrier Name**. +
  
-{{:public:gorev:carrier5.png?800|}} +{{:public:gorev:step_2_part_11_auto_charge_and_enable_automatic_eligibility.png?800|}} 
-====== 4 : Defining the Finclass Prefix ====== +==== Navigating to the "Filing" Tab ==== 
-Enter the **Finclass Prefix** into the field provided.+After entering all of the required information in the **General** tab, please navigate to the **Filing** tab by clicking on the corresponding tab in this area
  
-{{:public:gorev:carrier6.png?800|}} +{{:public:gorev:step_2_part_12_navigate_to_filing_tab.png?800|}} 
-====== 5 : Selecting the Claim Filing Indicator and the ECS ID Type ====== +==== Entering Filing Information ==== 
-Select the **Claim Filing Indicator** that you require from drop-down menu+At this point, the **Filing** section will be visible. To continue, please enter the **Timely Filing Duration**, the **Corrected Claim Timely Filing**, and the **Appeal Timely Filing Duration** into the corresponding fields provided 
  
-{{:public:gorev:carrier7.png?800|}}+{{:public:gorev:step_2_part_13_corrected_claim_timely_duration_field.png?800|}} 
 +==== Selecting the ICD-10 Effective Date ==== 
 +After entering this information, please select the required **"ICD-10 Effective Date** from the corresponding menu in this area. 
  
-Select the **Electronic Claims Submission ID Type** that you require from the “**ECS ID Type**” drop-down menu.+{{:public:gorev:step_2_part_14_icd_10_effective.png?800|}}
  
 +==== Selecting Accept Assignment ====
 +Now, please select the **Accept Assignment** option you require from the corresponding menu provided. 
  
-{{:public:gorev:carrier8.png?800|}} +{{:public:gorev:step_2_part_15_accept_assignment.png?800|}}
-====== 6 : Entering the NM1 ECS ID====== +
-Enter the **NM1 Electronic Claims Submission ID** that you require into the “**ECS ID (NM1)**” field. +
  
-{{:public:gorev:carrier9.png?800|}}+**Note:** Option **A** is Assigned. Option **B** means that Assignment Accepted is on. Option **C** is Not Assigned.  
 +==== Defining Additional Filing Information ==== 
 +Next, please enter the **Secondary Payer ID**, the **Secondary Provider ID**, and select the appropriate **ID Types** by utilizing the corresponding fields and menus in this area
  
-====== 7 Selecting the Billing Type ====== +{{:public:gorev:step_2_part_16_secondary_payer_and_provider.png?800|}}
-Select the appropriate **Billing Type** from the drop-down menu in the “Carrier Information” area+
  
-{{:public:gorev:carrier10.png?800|}} +After defining this information, please enter the required **Outpatient Bill Type** into the corresponding field provided
-====== 8 : Entering the Insurance Carrier's Contact Information ====== +
-Enter the **Insurance Carrier’s Address**, **Phone Number**, and **Fax Number** into the corresponding fields present in the **General** tab on your screen.+
  
-{{:public:gorev:car11.png?800|}} +{{:public:gorev:step_2_part_17_outpatient_bill_type.png?800|}}
-====== 9 : Defining Additional Carrier Details  ====== +
-Click on any required box or boxes in this window that pertain to the **Insurance Carrier** being added to the GoRev System.+
  
-{{:public:gorev:car12.png?800|}} +==== Adding Commentary ==== 
-====== 10 : Navigating to the "Filing" Tab ====== +Now, please use the **"Notes"** field in this area to leave any commentary that you require
-Click on the tab in the “Carrier Information” area. +
  
-{{:public:gorev:cara.png?800|}} +{{:public:gorev:step_2_part_18_notes.png?800|}}
-====== 11 : Entering Filing Information ====== +
-The **Filing** area should, now, be visible. Enter the **Timely Filing Duration**, the **Corrected Claim Timely Filing**, and the **Appeal Timely Filing Duration** into the corresponding fields. +
  
-{{:public:gorev:carrier11.png?800|}} +==== Navigating to the "Claim Generation" Tab ==== 
-====== 12 : Selecting the ICD-10 Effective Date ====== +After entering all of the required information in the **Filing** tab, please navigate to the **Claim Generation** tab by clicking on the corresponding tab in this area. 
-Select the **ICD-10 Effective Date** that you require from the drop-down menu in this area.+
  
-{{:public:gorev:carrier12.png?800|}}+{{:public:gorev:step_2_part_19_navigate_to_claim_generation.png?800|}} 
 +==== Utilizing the "Claim Generation" Checkboxes ==== 
 +Once the **Claim Generation** area becomes visible, if necessary, please **Allow Corrected Claims**, enable **Do Not Bill**, and/or **Disallow NDC's on Claims** using the corresponding checkboxes in this tab. 
  
-====== 13 : Selecting Accept Assignment ======+{{:public:gorev:step_2_part_20_checkboxes.png?800|}} 
 +==== Entering the ETIN ==== 
 +Next, please enter the required **Electronic Taxpayer Identification Number** into the **"ETIN"** field in this area.  
 + 
  
-Assignment Code“A” Assigned. “B” Assignment Accepted on. Clinical Lab Services Only. “C” Not Assigned.+{{:public:gorev:step_2_part_21_etin.png?800|}} 
 +==== Defining Anesthesia Information ==== 
 +Now, please enter the appropriate **Anesthesiologist** and **CRNA/Assistant Percentages** into the corresponding fields provided
  
-{{:public:gorev:carrier_assignment.png?800|}} +{{:public:gorev:step_2_part_22_anesthesiologist_and_crna.png?800|}}
-====== 13 : Defining Additional Filing Information ====== +
-Enter the **Secondary Payer ID**, the **Secondary Provider ID**, and select the  **ID Types** by utilizing the fields and drop-down menus present in the **Filing** area. +
  
-{{:public:gorev:carrier13.png?800|}} +Additionally, if you would like to divide **Anesthesia Claims**, please click on the **Split Anesthesia Claims** checkbox in this area. 
-====== 14 : Adding Commentary ====== +
-Use the **Notes**” field in this area to leave any commentary that you require+
  
-{{:public:gorev:carrier14.png?800|}}+{{:public:gorev:step_2_part_23_split_anesthesia_claims.png?800|}}
  
-====== 15 : Navigating to the "Claim Generation" Tab ====== +==== Entering Drop Modifiers ==== 
-Click on the tab present in the “Carrier Information” area+Next, please enter the required **Drop Modifiers** into the corresponding field on your screen 
  
-{{:public:gorev:carrier15.png?800|}} +{{:public:gorev:step_2_part_24_drop_modifiers.png?800|}} 
-====== 16 : Utilizing the "Claim Generation" Checkboxes ====== +==== Saving the New Insurance Carrier ==== 
-Select any of the checkboxes in this area that correspond to the **Insurance Carrier** being added to the GoRev System+In order to save the newly created Insurance Carrier, first, begin by navigating to the **General** tab in this window
  
-{{:public:gorev:carrier16.png?800|}} +{{:public:gorev:step_2_part_25_general_tab_to_save.png?800|}}
-====== 17 : Entering the Appropriate ETIN ====== +
-Enter the required **Electronic Taxpayer Identification Number** into the “**ETIN**” field. +
  
-{{:public:gorev:carrier17.png?800|}} +Once the **General** tab is visible, please click on the **"Save Carrier"** button in this tab to finish adding the **Insurance Carrier** to the GoRev System  
-====== 18 : Defining Additional Claim Generation Information  ====== +==== Locating the Newly Added Insurance Carrier ==== 
-enter the appropriate **Anesthesiologist** and **CRNA/Assistant Percentages** into the fields provided+At this point, the newly added **Insurance Carrier** will be present in the **Carriers** list on your device.
  
-{{:public:gorev:carrier18.png?800|}}+{{:public:gorev:step_2_part_26_new_carrier_visible.png?800|}}
  
-To divide **Anesthesia Claims**, click on the “**Split Anesthesia Claims**” checkbox in the **Claim Generation** area.+**Note:** If you have difficulty locating your newly added **Insurance Carrier**, please use the **Search** field in this area to aid in your search
  
-{{:public:gorev:carrier19.png?800|}} +{{:public:gorev:step_2_part_27_search_bar.png?800|}} 
-====== 19 Entering the Required Drop Modifiers =====+====== Editing Existing Insurance Carriers =====
-Enter the **Drop Modifiers** that you require into the field provided. +
  
-{{:public:gorev:carrier20.png?800|}} +==== Selecting the Required Insurance Carrier ==== 
-====== 20 : Navigating to the "General" Tab ====== +In order to **Edit** an existing Insurance Carrier, first, begin by selecting the required **Insurance Carrier** from the list in this window. 
-navigate to the **General** tab in this window. +
  
-{{:public:gorev:carrier21.png?800|}} +{{:public:gorev:step_3_part_1_select_carrier_to_edit.png?800|}}
-====== 21 : Saving the New Insurance Carrier ====== +
-Click on the “**Save Carrier**” button in this tab to finish adding the **Insurance Carrier** to the GoRev System. +
  
-{{:public:gorev:carrier22.png?800|}} +==== Editing the Selected Insurance Carrier ==== 
-====== 22 : Selecting an Insurance Carrier to Edit ====== +After the information for the selected Insurance Carrier becomes visible in the **General** tab of the Carrier Information area, please edit any of the information in the **General**, **Filing**, and **Claim Generation** tabs that you require
-Select the **Carrier** that you require from the **Carriers List**.+
  
-{{:public:gorev:carrier23.png?800|}}+{{:public:gorev:step_3_part_2_edit_whats_necessary.png?800|}} 
 +==== Saving the Edited Insurance Carrier ==== 
 +Once you are finished, please save the edited information by clicking on the **"Save Carrier"** button in the **General** tab of this area. 
  
-Use the **Search** field on your screen to search +{{:public:gorev:step_3_part_2_save_edits.png?800|}} 
 +====== 4 : Deleting Unwanted Insurance Carriers ======
  
-{{:public:gorev:carrier24.png?800|}} +==== Selecting the Required Insurance Carrier ====
-====== 23 : Editing the Selected Insurance Carrier ====== +
-Edit any of the information that you require.+
  
-{{:public:gorev:carrier25.png?800|}} +In order to **Delete** an unwanted Insurance Carrier from the GoRev System, first, begin by selecting the required **Insurance Carrier** from the Carriers list
-===== 24 : Saving the Edited Insurance Carrier Information ===== +
-Click on the **Save Carrier**” button+
  
-{{:public:gorev:carrier22.png?800|}}+{{:public:gorev:step_4_part_2_select_to_delete.png?800|}}
-====== 25 : Selecting an Insurance Carrier to Delete ====== +
-Select the **Insurance Carrier** that you would like to delete from the **Carriers List**.   +
  
-{{:public:gorev:carrier23.png?800|}} +==== Utilizing the Delete Button ==== 
-====== 26 : Deleting the Selected Insurance Carrier ====== +Now, please click on the **Menu** button present in the **Carriers** section of this window
-Click on the **Menu** button present in the Carriers” section. +
  
-{{:public:gorev:carrier3.png?800|}}+{{:public:gorev:step_4_part_3_click_menu_button.png?800|}}
  
-Select the **Delete**” option from the list+Once the **Carrier Management** menu becomes visible, please finalize the removal process by clicking on the **"Delete"** option in this menu.
  
-{{:public:gorev:car26.png?800|}}+{{:public:gorev:step_4_part_4_delete.png?800|}} 
 + 
 ====== Additional Resources ====== ====== Additional Resources ======
  
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