DuxWare Release Note - 12/06/2020
PM Release Notes – 12/6/2020
Claims:
Add Service and Service Edit have been updated in the patient ledger. Users have the ability to tab key or enter key to advance to the next field. Service create/add/edit are unified. This means you will have the same screen for service edit in the patient ledger and add service.
Claims Filing Electronic Claims - Clearinghouse Payer ID ***additional payer setup option to accommodate patients with more than one policy with the same carrier.
- Support>General>Payer Manager>Electronic options: Unique Payor ID Suffix (Loop2330B N3). For example, if the patient has two BCBS policies with the same clearinghouse ID, some clearinghouses will not be able to process the secondary or tertiary filing. If this occurs, just add a suffix to the clearinghouse payer ID, into the field as indicated below.
For instance, a child patient has parents who both have coverage with Blue Cross Blue Shield. Electronically, the policy would be identical with exception of the policyholder and order of filing. The clearinghouse payer ID would also be the same. Some clearinghouses cannot accommodate this scenario. In the Payer Manager/Setup, you would view the Clearinghouse ID: 23738, then input the same ID into the Unique Payer ID Suffix field and append a letter at the end: 23738A. The suffix allows the secondary filing to not reject at the clearinghouse level. This scenario does not happen often, but it does on occasion. If you need assistance or clarification, please call into your PM Support Team.
Reports:
Claim Data Report
Report>Listing>Claims Data Report: it will list only payments/adjustments on for the claim sequence. Currently, it carries over the total payments, etc. into the next sequence.
Add ability to show payments by claim sequence.
Satisfied by adding new columns to output on report under filing status section: • Filing Sequence Payments • Filing Sequence Credits • Filing Sequence Debits
To show payments by sequence, the user will select at least the following columns to output: • Claim Number • Filing Sequence • Filing Sequence Payments • Filing Sequence Credits • Filing Sequence Debits
Claims Filing Status Report
Reports>Daily>Claims Filing Status: Enhancements (updated screen with more options)
Old Report Criteria Page:
Updated Criteria Page:
If you have any questions regarding the updates to your system, please do not hesitate to contact your PM Support Team for assistance.