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Customizing your insured payment settings
Customizing your insured payment settings
Updated over 3 months ago

Your needs may differ from other users when using the Insured Billing section in the patient chart. You can customize settings within the Insured Billing section of patient charts, impacting only your account. For example, if you are a front-end staff creating bills for one provider, you can customize your settings so that the CHR remembers the billing provider's name every time you create a bill.

Steps

1. From the patient chart, click Start/Open > Insured Billing.
The Insured Payments section opens.
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2. Select the gear icon next to +New Payment.

3. Use the below table to modify your insured payment settings:

Setting

Description

Default Status

Select Draft if you want the bills you create to remain in the CHR, and you will manually submit them to your billing provider.

Select Ready if you want bills that you create to automatically submit to your billing provider once saved.

๐Ÿ“Œ Note: You can also change this setting in Billing Settings. See Changing the default billing status for your account.

TELUS eClaims Default Status

๐Ÿ“Œ Note: This setting is only visible if you use TELUS Health eClaims.

Select Draft if you want eClaims that you create to remain in the CHR, and you will manually submit them to your patient's primary insurance company.

Select Submit Predetermination if you want eClaims that you create to automatically submit to your patient's primary insurance company for predetermination.

Select Submit Claim if you want eClaims that you create to automatically submit to your patient's primary insurance company.

Always use billing practitioner's default billing status

If you create bills for providers at your clinic, you can select this option. This ensures that you use the correct default billing status for each provider.

Soft Validation (invalid record will be saved as Attention Required)

โš ๏ธ Important: This setting only applies to Alberta HLink, PEI, Manitoba and British Columbia Teleplan.

Note: The CHR automatically checks the bill against its internal validation first to verify if any key information, such as a billing provider is not missing. If a bill is missing this information, you are unable to save it. A validation error appears.

Enabled: The system checks the bill against the provincial insurer. If the bill is missing key information such as a service code, and you save it, the bill automatically has an Attention Required status.

Disabled: If the bill is missing key information such as a service code, you are unable to save it. A validation error appears.

For more information, refer to Soft billing validation for insured payments.

Remember last billing practitioner (Receptionist Only)

The system remembers the last billing practitioner that you used when creating a bill.

This is useful when you are a front-end staff creating bills for one provider only. The provider's name will automatically be selected every time you create an insured bill from the patient's chart (not associated to an appointment).

๐Ÿ“Œ Note: This only applies to users with the Staff role.

Remember last template specific fields (Manitoba User Only)

The system remembers the last hospital code that you used when creating an insured bill in Manitoba.

By default show advanced fields with referral practitioner (BC MSP, AB Hlink)

The Show Advanced Fields and Referring Practitioner sections automatically expand when creating an insured bill in Alberta or British Columbia. If you regularly bill codes that require a referring practitioner, this saves you from having to select the checkboxes each time you add a fee item to a bill.

Alberta:

British Columbia:

Remember last service date/time

When you create a bill, the system automatically adds the service date and time used for the previous bill for the patient, not the current date.

Remember last billing item's custom fields

When you create a bill, the system automatically adds the custom fields used for the previous bill.

For example, Location, Payment Issuer, Provider, Clinic Site ID, Provider ID, Specialty.

๐Ÿ“Œ Note: Custom fields in a bill differ in every province.

โš ๏ธ Important: This function does not apply to Ontario billing.

Focus the diagnostic code field after selecting a code

This setting is enabled by default.

Under Diagnosis codes, once you select a diagnostic code and description from the list, you are automatically brought to another diagnosis code search field.

Fill finish time from the linked appointment

When you create a bill, the system automatically adds the appointment end time in British Columbia and Manitoba.

๐Ÿ“Œ Note: The setting is enabled by default.

โš ๏ธ Important: This function does not apply to Ontario billing.

Fill Diagnosis codes from the latest billing item of this patient

When you create a bill, the system automatically populates the diagnostic code used for the previous bill for this patient.

๐Ÿ“Œ Note: Adding a new diagnostic code in an encounter will replace the previously used one.

Accept TELUS eClaims terms and conditions by default

๐Ÿ“Œ Note: This setting is only visible if you use TELUS Health eClaims.

When creating an eClaims, the required field, I accept the TELUS eClaims terms and conditions, is selected by default.

4. Click Save.

5. Refresh your screen to apply the changes.
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Updated August 1, 2024

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