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Knowledgebase : Insurance > Setup
1. Go to _File > Setup > Insurance > Insurance Fee Schedule_. 2. Under the plan you want to add the information to, select _Material _under the 'Allowance Type' drop down. Enter the dollar amount ($...
INSURANCE PROCEDURE CODES are the healthcare industry standard for identifying the products and services provided to patients. Think of them as codes for products and services that are easily recogniz...
1. Go to _File > Setup > Insurance > Insurance Companies_ 2. Select the Insurance Company to see details 3. Navigate to the 'Preferred Lab' field and click the drop-down to select your lab
This is a list of the most commonly used formulas for calculating patient and insurance responsibility. Frame Formulas for Patient Responsibility Flat retail allowance towards frame frame_r...
Overview on setup, electronic & paper claim submission, batch claim submission, claim status, viewing status reports, correcting claims and downloading/posting ERA. NOTE: FOR BETTER QUALITY CLI...
There are two methods to submit claims when using Gateway EDI as your clearinghouse with My Vision Express: -Manually- when you submit the claim, an ANSI837 file is generated in a specified director...
* You must be on the September 2014 build. * This procedure code must have an Option Code AD * The following Diagnosis codes: 369.16 369.17 369.24 369.62 369.63 369.65 369.66 369.68 369.69 369....
1. Follow this path in the program: _File > Setup > Insurance > Procedure Codes_. 2. Press ADD and fill in necessary fields. 3. Click on SAVE on the Task Bar.
* Go to _File > Setup > Company_ * Click the _System_ tab * In the 'Other Settings' section, scroll to the 'Insurance' option * Expand the _Claim_ category * Click the drop-down next to_ Add...
Interaction Alerts can be set under the _Interactions_ tab within the Patient Profile, the Exam module, the Quick Order module (in the More window), and the Insurance Claim module. When entering an in...
An 'Interaction Alert' can have an Expiry date set so that it does not continue to pop-up once the expiration date has passed. * Click the _Interactions_ tab (available in the Patient Profile, Exa...
* Go to _File > Setup > Insurance > Insurance Companies_ * Select the Insurance Company that needs to include the 'Order Provider' * Click the _Claims_ tab * Tick the checkbox for _Ordering Pr...
*These steps are only necessary for Local/Server Customers. Web-hosted Customers will already have the updated list available. FROM THE SERVER COMPUTER: * Go to _File > Setup > Company_ * Clic...
1. Go to _File > Setup > Insurance > Procedure Codes_ 2. When the window appears, click the ADD button 3. A new line will be added at the bottom of the procedure codes list. Click on the line to d...
Here is how to create an account with Who Is Your Insurance. 1. Go to whoisyourinsurance.com 2. In the top-right corner, click the Register link.   - Enter your email address and click the Reg...
Go to _File > Setup > Insurance > Insurance Companies_ Select IMPORT This will bring up the Insurance Carriers window. Select the 'MVE' radio button. This will show all the insurance companies...
1. Go to _File > Setup > Insurance > Insurance companies_. 2. When the window appears, add or click on the desired insurance company. 3. In the Insurance details, check the box that reads "Availab...
1. Go to _File > Setup > Insurance > Facility Address_ 2. Select the facility that you want to link to only 1 location 3. Uncheck the "All locations" box 4. Click the Facility _Locations_ tab ...
1. Go to _File > Setup > Physician/Resource (Inhouse)_. 2. Click the ADD button to add a physician or select a physician. 3. In the details screen below, select the default rendering provider from...
1. Go to _File > Setup > Insurance> Insurance Fee Schedule_. 2. Select the desired insurance company. 3. In the details box below, notice the dispensing fees box. Input the amount. 4. Select the...
1. Go to _File > Setup > Insurance > Insurance Companies_. 2. Select/highlight the corresponding insurance company. 3. Navigate to the insurance details at the bottom and enter in the correspondin...
1. Go to _File > Setup > Insurance > Insurance Plans_ 2. Click the ADD button to add a new entry 3. Select the insurance company from the 'Insurance' drop-down NOTE: Insurance companies bolded i...
1. Go to File > Setup > Insurance > Insurance Plans 2. Click the Add button to add a new entry 3. Select Insurance Company from the Insurance drop-down NOTE: Insurance companies bolded in red DO...
To setup APEX you can follow the same steps as setting up Gateway EDI but you would use your APEX Credentials instead . Gateway EDI Setup [http://support.myvisionexpress.com/index.php?/Knowledgebase/A...
CUSTOM FEE SCHEDULE FIELDS The purpose of this setting is to avoid confusion when manually entering Insurance Benefits in the Patient Profile and/or the Order window. For example, if an Insurance Pla...
Purpose This article provides information on how to configure a clearinghouse for use within My Vision Express. From My Vision Express, go to _File > Setup > Company_ and navigate to the _'System ...
This article will provide you steps on how to add service facilities. 1. Go to _FILE > SETUP > FACILITY ADDRESS_ 2. To modify existing facility simply click on the Facility in the list and modif...
This article will provide you steps on how to setup the default billing and rendering providers for easy claim creation. The default providers can be setup so when a specific physician is selected...
DEFAULT FITTING FEES This is a setting that will mostly be used for Medicaid Plans. Defaulting the Fitting Fee for lenses will automatically apply that fee in the order. The drop-down menu that displ...
SETUP THE INSURANCE COMPANY 1. Add Medicare to your Insurance Setup (File > Setup > Insurance > Insurance Companies) a. Enter the company's contact information b. Select the "Medicare" as the In...
To comply with the 5010 standard the zip code must contain all nine digits when submitting your claims. The provider and facility zip code must be updated to successfully submit insurance claims. Belo...
Please see attached the documentation for making the switch to ICD-10 Codes
Yes. A default submission method can be selected for an Insurance Company, or individual Insurance Plans. For an Insurance Company: 1. Go to _File > Setup > Insurance > Insurance Companies_ 2. S...
Receiving the follow error: "RS=IDCO0388|EID=IDCO0388|ELD=INVALID NETWORK ID.|FID=HCNEI|FNM=PROVIDER NETWORK ID|EID=IDCO0388|ELD=INVALID NETWORK ID.|FID=HCNEI|FNM=PROVIDER NETWORK ID" 1. Go to _File...
Video and PDF Walkthrough on How to Set Up and Use the Insurance Plan Module For a PDF copy of the training material, please click here [http://support.myvisionexpress.com/index.php?/Knowledgebas...
Insurance groups are a great way to link various lenses to a common procedure code. You can then specify the insurance charge for all those lenses within one line or group in the fee schedule. This wi...
You have the option to _LINK_ (import) Groups from our database to your insurance companies. My Vision Express will handle updating those groups on our databse and you can _SYNC __(update) _your linke...
This means you have not attached the Insurance to the patient's profile. 1. You can do that without leaving the Order, by clicking the DETAILS_ _button at the top-right corner of the screen. Note:...
The Identification Number that singles out Doctors and Hospitals that bill by computer
PCP Simple View allows you to specify only the Patient Pays, Insurance Pays, and Overage Discounts. Detailed View, on the other hand, allows you to specify Retail Allowances, Contracted Amounts, Patie...
1. Go to _File>Setup>Insurance>Insurance Companies_ 2. Select the Insurance you are looking for and un-select the box that says: _Include Decimal in Diagnosis Codes_.
In order to populate this list you must ensure that you have your appropriate credentials entered under PATIENT ELIGIBILITY (GATEWAY EDI) - To verify, navigate to _File > Setup > Company_ and click on...
1. Go to _File > Setup > Insurance > Modifier _from the main menu to access the Modifier screen. Note: Here you can edit the list of modifiers that affect the procedure codes for insurance billing. ...
* Go to _File > Setup > Required Fields_ * Tick or Untick the checkbox next to the corresponding field * If the box is _ticked_ - this field will be required and a user cannot save and/or close...
Go to _File > Setup > Insurance > Diagnosis_ * Click the ADD button * Enter the Diagnosis Code in the _Code_ field * Choose the diagnosis code _Type_ * Enter a _Sort_ number (if desired) *...
Activate the Who Is Your Insurance (WIYI) Interface settings for each location and employee that will use the interface. (You must have a Who Is Your Insurance account before setting up the interface ...
The Submitter Identifier can be obtain from your clearinghouse for the Insurances that you submit.
* Go to _File > Setup > Company > Integration _tab * Type AVAILITY in the Clearinghouse field * Enter 01 in the Interchange Qualifier (ISA07) field * Enter your Interchange Sender ID number an...
1. Go to The Patient module (e.g. Patients Main Menu option). 2. Search for the Patient to see if he or she is already in the system or click the ADD button to create a new patient. 3. Click the_ ...
This can occur if you enter the plans using the 'mini window' that populates when you click 'Plans' while on the Insurance Companies screen. To avoid this, navigate to Insurance Plans via the main men...
There are multiple reasons that can cause this issue. The most common error is in the Insurance Fee Schedule copay section. If the order is showing a double copay for the exam, material, frame, spec...
1. Go to _File > Setup > Insurance > Insurance Companies_ 2. Check the 'Insert Authorization from Order (Box 23)' under the CMS 1500 section for the specific insurance company 3. Click the Save ic...
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