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Blue Care Network
Blue Care Network Paper Billing: The provider's BCBSM license number will be reported in box 24k when billing all BCN claims (including secondary).
Electronic Billing (print image file only)
Insurance Header: Enter "OUT OF NETWORK" in the "Service Code" field to print your clinics name and address in box 32.
Patient Menu - Registration
Adjust First Visit (question box): When the first service for a patient is entered a question would popup asking: "Adjust 'First Visit' and 'Injury' Dates ?". This has been separated into two questions: "Adjust 'First Visit' and 'First Consulted' Dates ?" and "Adjust 'Injury' Date ?".
Dx^ (field): Changed the diagnosis pointer column heading from DxRf to Dx^.
Patient Menu - Appointments
Print (button): Added the ability to print a list of "NEW PATIENT APPOINTMENTS".
Print (button): Added color to individual appointment schedule.
Patient Menu - Master File
Screen Msg (field): Increased length from 25 to 50.
HIPAA (field): Enter the date the HIPAA form was signed by the patient.
Notes (tab page): Added the [Insert Patient.txt File] and [Edit Patient.txt File] buttons. Click on [Edit Patient.txt File] to enter text that is commonly used in the patient note field. When you click on the [Insert Patient.txt File] button, the contents of this file will be inserted into the note field.
Date (fields): When the "First Visit", "Last Visit", or "Last Xray" fields are manually changed, then the "Injury", "First Cons", "Last Xray", and "Last Visit" fields (on the claim screen) will also be changed. This will only occur on new patient records.
Patient Menu - Claims
Posting Message (field): Enter a message you would like displayed when posting insurance payments to this claim. This new field is located on the Notes tab page.
Modifiers (field): New option to place a + (plus sign) if front of the modifiers. This will cause the modifiers to be added to the procedure code modifiers rather than override them.
Notes (tab page): Added the [Insert Claim.txt File] and [Edit Claim.txt File] buttons. Click on [Edit Claim.txt File] to enter text that is commonly used in the claim note field. When you click on the [Insert Claim.txt File] button, the contents of this file will be inserted into the note field.
Delete (button): Added a [Delete] button on the [Claim Tracking] tab page. Left click to delete the highlighted claim tracking record. Right click to delete all claim tracking records for the claim.
Date (fields): When the "Injury", "First Cons", "Last Xray", and "Last Visit" fields are manually changed, then the "First Visit", "Last Visit", or "Last Xray" fields (on the master file screen) will also be changed. This will only occur on new patient records.
Billings Automatically Crossover (field): Changed field name from "Automatic Crossover" to "Billings Automatically Crossover". This field should only be used if you know that the primary insurance always forwards all services to the secondary insurance.
Patient Menu - Insurance Headers
Benefits (tab page): Added the [Benefits] tab page to enter policy information such as effective dates, coverages and limits, in and out of network co-pays, etc.
Notes (tab page): Added the [Insert InsHdr.txt File] and [Edit InsHdr.txt File] buttons. Click on [Edit InsHdr.txt File] to enter text that is commonly used in the insurance header note field. When you click on the [Insert InsHdr.txt File] button, the contents of this file will be inserted into the note field.
Patient Menu - Transactions
Change Date (button): This new option allows you to change the date of an individual transaction or change the date of the entire visit (including patient payments).
M1 (field): New option to place a + (plus sign) if front of the modifiers. This will cause the modifiers to be added to the procedure code modifiers rather than override them.
Dx^ (field): Changed the diagnosis pointer column heading from dxrf to Dx^.
Doctor (field): Doctor number can no longer be changed unless on the high password.
Billing Menu - Insurance Billing
Missed Billings (button): Prints a list of services that have a balance but have not been billed to primary, secondary, or tertiary insurance. This report will only include services that are between 30 days old and 1.5 years old - therefore are still billable but may have been overlooked. If cash patients show up on this list, be sure to change the "Insurance Claim" field to "N" and blank out the "Primary" insurance field (on the claim screen) for these patients.
Print Worksheet (button): Remarks will be displayed in red if it will cause the entire electronic billing file to reject.
Print Worksheet (button): Diagnosis 3 thru 10 will be displayed when the "Show More Details" option is selected in the Worksheet Options box.
Billing Menu - Print Response Files
Verify Insured's Id's (Auto Post) (checkbox): You can choose to have each insured's id number verified with the insured's id returned in the 835 response file. This increases accuracy when auto posting to be sure the proper insurance is posted to. This is useful when insurance companies return inaccurate information in 835 files.
Check # (field): You can select a specific check number in the 835 electronic billing response file that you would like to post.
Previous Payment (button): You can choose to go back to a payment you previously skipped when Auto Posting from your 835 electronic billing response file.
Adust Payment (fields): Added option to manually adjust a payment when Auto Posting from your 835 electronic billing response file.
Open (button): Electronic billing response files that were compressed using PKZIP (but did not have a .zip filename extension) can be opened and reviewed.
Print (button): Reduced the length of the 835 electronic billing response file report.
Print (button): Added the name of the insurance company claims were forwarded to on the 835 electronic billing response file report.
Display Report of Un-Posted Services (field): A report of services that were not posted to will be displayed (after Auto Posting) if this option is selected.
Reports Menu - Appointments
Print Schedules without Appointments: You can now print blank appointment schedules for days that do not have any appointments scheduled - if you choose "Yes" for "All Intervals".
Reports Menu - Aging
Account Adjustment Total: When the "* Portion of Balance is an Account Adjustment" remark appears at the end of the report, the total of the account adjustments will be displayed at the end of the report.
Reports Menu - Patient Correspondence
Visits (field): Changed the "Visits" field in the "Claim File Options" box. Type "<" in the first position to search for claims that have less than the specified number of visits. Type ">" in the first position to search for claims that have more than the specified number of visits.
Example: to find claims with over 52 visits type: >52.
Visits (field): Added new options for the "Visits" field in the "Claim File Options" box. The default is to search the claims current visit number. New options: "A"-search Visits Allowed, "R"-search Remaining Visits, "P"-search Care Plan Visits.
Group Name (field): Search for patients by the insurance header group name.
Subscriber (field): Search for patients by the insurance header subscriber's name.
Labels (Avery 5160): The patients phone number that is marked as primary in the master file will print on the "File Folder Labels" option (which is used to print "File Folder" or "Travel Card" labels).
Utilities Menu - Word Processing
Insert Merge Code (button): The following merge fields were added: Total Patient Payments, Total Insurance Payments, Current Visit.
Customize Menu - Providers
Add (button): The add button will automatically assign the next available provider id.
Corporate NPI (field): Added the provider corporate NPI field.
Suffix (field): Added the provider suffix field.
Customize Menu - Procedure Codes
Bill with Description (field): Answering yes to this field will include the procedure description when you bill this service. The description of the procedure can be billed on the CMS-1500 form or the ANSI version of electronic billing.
Customize Menu - System Configuration
Minimum Appointments (field): Display a warning message (at registration) if the patient's scheduled appointments falls below the minimum number of appointments entered in this field.
CMS-1500 Version (field): Select from old 12/90 version or new 08/05 (NPI) version. The CMS-1500 (08/05) form will not be accepted until January 2, 2007.
General Changes
Screen Message (popup box): Slightly decreased the size and print of the Screen Message box.
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