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

Button Overview

Below you will find a description of the buttons located within the Activity tab:
  • Refresh: Click Refresh to update the data in the patient's activity
  • Print: Click Print to either print the Full Activity, a Summary, or a Screen snapshot of your current activity view
  • Close: Click Close to close the current activity you’re viewing
  • Expand All: Click Expand to see the details for the activity
  • Collapse All: Click Collapse to hide the details for the activity

View/Print Activity

Follow the instructions below to view the patient's 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 the (?) for all search capabilities.
    2. Click 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 the Advanced Search button. 
  3. Once you have opened the desired claim, click the Activity tab.
    • By default, clicking the View Activity (system default) button will display data for the current open claim. Alternatively you can click the drop-down menu to select from one of the following options:

      • For This Claim Only: Select this option to view activity history for the claim you currently have open.  

      • For All Claims: Select this option to view the activity history for all claims created for the patient you currently have open.

          

    Note: By default, the View Activity (system default) button will always display data for the open claim (if applicable). If viewing results for a new claim that hasn’t been saved, the system will return data related to the Active Patient’s debits, credits, statements, payments, insurance payments, and activity summary. In the event, a user clicks the For This Claim Only or For All Claims option, the next time they click the View Activity button the system will display results based on the last selection.

    • Optional: Choose from one of the following options:

      • Click the Expand All button located at the bottom of the screen, to see a detailed listing of the activity data in expanded format.

      • Or, click the Collapse All button, to see a summary of the activity.


Right-Click Menu

Right-click capabilities include: 
    • Track ClaimRight clicking on a CPT code or CPT code description will allow you to track the claim within Claim Tracking.
    • View Charge HistoryRight clicking on a CPT code will allow you to view the status changes made towards a charge.         
    • Track PaymentRight-clicking on an 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. 
    • Copy Check #: Right-clicking on an insurance payment or patient payment with a check number will allow you to copy the check number.
    • Where did this come from?Right clicking on a patient credit will allow you to see where the credit originated.
    • Print Receipt: Right clicking on a patient payment will allow you to print a patient receipt.

Activity Summaries

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 by Balance by Charge StatusThe 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 by Balance Due To: The 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.