[#19595] Insurance overrides based on service address
In addition to our previous update (#19561), now you can override multiple insurances at once, on the basis of the service location zip code. It can be either a facility’s or patient’s zip, depending on the PoS code.
Also, we have changed the directory of this setting. To access it, go to the Setup menu, click Rules, and select Insurance Overrides.
[#19553] Hide notice pages in paper statements for patients
By default, past due and final patient statements generated by EMSOW include a notice page, reminding that the payment is past due. If such reminders are undesirable, you can create statements without the notice pages by selecting the “Do not include notice pages in pastdue and final account statements” option in the billing company settings (Setup / Billing / Billing companies).
[#19561] Override multiple insurances based on ZIP code
The Insurance Overrides module replaces patient insurances based on the ZIP code of the referring facility. Now you can override multiple insurances at once, without creating many insurance rules. Go to the Setup menu and select Insurance Overrides. Add a new or edit an existing insurance rule. In the Insurances field, you will be able to enter several insurances.
[#19564] Additional search options in the Clearing module
Now you can manage your ERAs more efficiently, thanks to two additional search options in the Clearing module. First, we have added the Taken search option, where you can select files marked as taken, not taken, or any. For example, you can select Not taken, and the system will display unposted checks, if you use the “Taken” flag to mark completely posted ERAs.
Another update is the Files without tags checkbox right below the Tags field, which allows you to retrieve files without any tags. Reminder: you can create tags for ERAs by going to Setup / Billing / Clearing Tags.
[#19562] Prefix filter in the Clearing module
If you use the “Prefix for Claim Submitter’s Identifier” setting in the “Billing companies” module, you can now use those prefix values as filter criteria for incoming ERAs in the Clearing module. This will allow you to find ERAs that reference claims submitted on behalf of specific billing companies.
[#19528] Search referring facilities by state
We have added the State filter to the Processing and Billing modules. In both modules, they are located in the Options panel to the right of the window – in the Filter menu of the Processing module and in the Referring doctor dropdown menu of the Billing module. This feature helps you easily find services referred by facilities, operating in various states.
[#17866] Add new facility and doctor records while creating or editing orders and services
Now you can add a new referring doctor, facility or rendering provider while scheduling an exam, even without going to setup modules. For example, in the Edit service window, click on the “plus” button to the left of the Referring doctor field. In the window that opens, enter the details of the new referring physician, then click Save. The same can be done for referring facilities and rendering providers.
[#19412] Do not create patient statements for claims forwarded to a secondary payer
We have updated our payment posting feature to prevent errors and improve your billing accuracy. From now on, the system will not create a patient statement when you are posting a payment from an ERA that indicates that the original claim was forwarded to a secondary insurance carrier. If the secondary insurance is not entered into the service record, an error message will be displayed, asking the user to add the secondary insurance to the service.
[#19372] Updates in the Clearing module
To further improve your billing accuracy, we have also updated the Clearing module. Now, before you mark a file as taken by ticking the flag icon in the Taken column, you will see a confirmation window. To mark the file as taken, click Yes. Besides, we have added the Date taken column so that you could easily track the date and time of when the files were taken.
[#19482] Improved claims search
Now you can gain better control over your revenue streams. Previously, the Unsent claims filter disregarded the claims that users marked as submitted manually, so the filter would display those claims as if they were unsent. We have fixed this issue. Also, we have added a new filter, Unsent claims (via clearing house), which allows you to search specifically for claims that are supposed to be sent electronically.
[#19490] Billing status icons in the Processing module
You asked us to visualize the billing status of exams in the Processing module, and we did it. We have added visual icons to the billing status line. Now, along with the textual description, you will see status icons: ✅ for paid exams, ⌛ for pending payments, and ✍️ for written-off amounts. This update will help your staff see the billing status of the exams at a glance!
