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Posted by David Vega on 27 Jul 2011 06:09 PM

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 at the order level the default providers will automatically carry over to the claim level.

NOTE: Before beginning this process make sure all your providers have been setup in the provider module located at File > Setup > Providers along with Facilities located at File > Setup > Facilities.

The default provider values can be setup in the 3 following locations:

Company Information

Physician Setup

Provider Setup

 


Company Information Setup 

These steps will outline how to setup the default rendering provider and facility as well as flag as a Group Practice for ANSI837 claim submissions. 

1. Go to File > Setup > Company Information

2. If a multiple location practice click Company Tab and highlight the location. For single location proceed to next step

company

3. Click the Location Settings tab

4. Locate the Insurance section

group

5. If submitting as a Group practice in ANSI format check the box labeled "Group practice for electronic claims submissions using ANSI 837"

6. Set your "Default Rendering Provider" by clicking in the field and selecting the provider. (This option is recommended for single location only.  For multiple location follow instructions for Physician level setup)

7. Set your "Default Facility" by clicking in the field and selecting the facility. (This option is recommended for single location only. For multiple location follow instructions for Provider level setup)

8. Click the Save button to finalize changes and restart program

 


Physician Setup 

These steps will outline how to setup the default rendering provider at the physician level so when the physician is selected at the order level the rendering provider is filled in automatically in 24J & 31 on the insurance claim.

1. Go to File > Setup > Physician/Resource(Inhouse)     

2. Click on your Physician to view Details below

physician

3. Go to the "Default Rendering Provider" field and select the provider by clicking in the field

rendering

4. Repeat steps 2-3 for additional physicians

5. Click the Save button to finalize changes

 


Provider Setup

These steps will outline how to setup the default billing provider at the provider level so when the physician is selected at the order level the default billing provider is filled in automatically in box 33 on the insurance claim based on the default rendering provider selected for the physician.

1. Go to File > Setup > Provider

2. Click on the Provider to view details

3. Click the Facilities tab to select facilities by clicking/highlighting where services are rendered by the provider. (This will make the facility available at the claim level in box 32 of the claim)

facility

4. Go to "Default Billing Provider" field and click to select the default billing provider for box 33 on the claim

provider

5. Go to "Default Facility" and click to select the default facility for box 32 on the claim

default facility

6. Repeat steps 2-5 for additional providers

7. Click the Save button to finalize changes 

 

For additional assistance contact My Vision Express Support via any of the following options:

1.877.882.7456 ext 3

Click Here for Live Chat

Email: support@myvisionexpress.com

Visit Support Central to submit a ticket

 


Comments (3)
Hollis Stavn
10 May 2013 02:59 AM
This is still confusing. In Company Locations you have Lois Lane- Does that come from somewhere or just there, and you have Coral Gables Hospital- Where does that come from or did you just type in a name there. You have Physicain In House- I assume that is set up with individual NPI? Under Insurance for Billingn Provider you have an insurance company- This is either just not clear or you dont understand it.
David Vega
23 May 2013 05:34 PM
Hollis,

Please accept our apologies for the confusion. We have updated the doc to be a bit more clear on the instructions. If you need any additional information feel free to contact our support team at 1-877-882-7456 ext 3.
David Vega
23 May 2013 05:34 PM
Hollis,

Please accept our apologies for the confusion. We have updated the doc to be a bit more clear on the instructions. If you need any additional information feel free to contact our support team at 1-877-882-7456 ext 3.
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