Application Software Overview

 

Software Package Description:

Billing Solutions allows manual entry of bill information that calculates reimbursement for no-fault and workers comp fee schedule. It retains history of bill information by provider (client) and patient. Maintenance programs allow the user to enter new clients (providers), insurance companies, as well as fee schedule data.

Billing Solutions also prints state-mandated forms such as UB92, HCFA1500, NF-4, and C-4.

This software product is intended to be used by a medical billing service, a third-party company that does outsourced medical billing for providers (physician of facility). Also, this product can be used by a provider group with internal billing.

The software’s primary function is to allow claim entry, provider fee calculations, and form printing for Workers Comp and No-fault Auto claims, regulated by New York State guidelines for allowable fee calculations for reimbursement.

For more information email us at: gerry_depace@nadent.com

 

Menu Option Desciptions:

Bill Processing Menu:     

Option 1: Process New Bills (to ENTER claim, provider, and insurance company information)

Option A: Hospital form maintenance (to ENTER information for patient admission, conditions, payer, employer, provider, procedures, and diagnosis for HCFA1450 / UB92 form)

Option 1: Worker’s Comp form maintenance (to ENTER information for patient, injury, carrier, doctor, treatment, disability for C-4 form for NYS only)

                             OR
Option 2: No-Fault Auto form maintenance (to ENTER information for accident, insurance policy, patient, hospital admission, diagnosis, charges for NF-4 form for NYS only)

à Claim Detail Lines maintenance (to ENTER procedure line items)

Option B: Physician form maintenance (to ENTER information for patient, insured, other insured, accident, and ICD codes (diagnosis) for HCFA1500 form)

 
Worker’s Comp form maintenance (to ENTER information for patient, injury, carrier, doctor, treatment, disability for C-4 form for NYS only)

à Claim Detail Lines maintenance (to ENTER procedure line items)

Option 2:

Claim Inquiry

Option A: By Client
Option B: By Provider
Option C: By Patient
Option D: By Carrier (insurance company)

Reports Menu:

         Option 1: Claims Billing Report

Option A: By User
Option B: By Client
Option C: By Insurance Company
Option D: By Provider

Print Forms Menu:

        Option 1: Hospital Form Printout (HCFA1450 / UB92)

Option A: Print Individual
Option B: Print All

        Option 2: Doctor Form Printout (HCFA1500)

Option A: Print Individual
Option B: Print All

        Option 3: Worker’s Comp Form Printout (C-4 for NYS only)

Option A: Print Individual
Option B: Print All

        Option 4: No-Fault Auto Form Printout (NF-4 for NYS only)

Option A: Print Individual
Option B: Print All