Claim Section

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The Claim section allows you to to create, edit and send the claims and charges for the patients.

The following help pages are supported by the current version of CollaborateMD. Please follow the curriculum outline to receive the proper training associated with this section.

Claim

Charges

Additional Info

Insurance

Activity

Notes

Alerts

Documents

Review

The activity displayed in this tab is only applicable to the selected claim. To view all claim activity go to the Activity located in the Patient section.

View/Print Activity

Follow the instructions below to view the patients activity:  

  1. Go to the Claim section.
  2. You can search for claims in one of four ways:
    1. Use the Search field provided to search by patient name, phone#, and more. Click on the (?) for all search capabilities.
    2. Click on Find for <Patient Name> button to find claims for the active patient.
    3. In the Recently Opened pane, select the claim you wish to open. 
    4. Click on the Advanced Search button. 
  3. Once you have opened the desired claim, click on the Activity tab.
  4. Click on the View Activity button.
  5. Click on the Expand All button located at the bottom of the screen, to see a detailed listing of the activity data in expanded format.
  6. Click on the Collapse All button, to see a summary of the activity.
  7. Right click capabilities include: 
    • Track ClaimRight clicking on a CPT code will allow you to track the claim within Claim Tracking.
    • View Charge HistoryRight clicking on a CPT code will allow you to view the changes made towards a charge. 
    • Track PaymentRight clicking on a insurance payment or patient payment will allow you to track the payment within Payment Tracking.
    • Open CheckRight clicking on an insurance payment or adjustment  will allow you to open the check within the Payment section. 
    • Where did this come from? Right clicking on a patient credit will allow you to see where the credit originated.
    • Print ReceiptRight clicking on a patient payment will allow you to print a patient receipt. 
  8. The Activity Summaries include
    • Payment and Adjustment BreakdownThe Payment and Adjustment Breakdown table provides a high level overview of what has been collected by the patient, what has been collected from their insurance, and how much has been taken in as adjustments from the insurance. This table also shows how much has been applied from account credits on the patient's account. 
    • Charge Balance Breakdown: Balance by Charge Status: The Balance by Charge Status table under the Charge Balance Breakdown summary provides a grand total of all outstanding charge balances by charge status. This allows users to quickly see at a glance where their outstanding balances are "sitting."
    • Charge Balance Breakdown: Balance Due ToThe Balance Due To table under the Charge Balance Breakdown summary provides a grand total of all outstanding charge balances based on the party (patient or insurance) that is responsible for paying. This table also allows users to easily see how available account credits, due patient and insurance, impact the total amount owed.
    • Aging Balance SummaryThe Aging Balance Summary tables provides an aging view of outstanding charges, separated by what is owed by the patient and what is owed by insurance. Users can easily change the way the outstanding amounts are bucketed by selecting the proper date (DOS, entered date, and last billed date) that best suits their office's workflows.
  9. When you're done viewing the activity, select Refresh to refresh the screen, Print to print the results or select Close to close your view.