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Creating eClaims from encounters
Creating eClaims from encounters
Updated over a week ago

📌Note: Before you can create and submit eClaims, you must integrate your CHR account with TELUS eClaims. For more information, refer to TELUS Health eClaims integration overview.

If you are a provider, the standard and most efficient way to bill a third-party insurer for a visit is from an encounter. If you start the encounter from the appointment, the bill is automatically linked to the appointment - making it easier to confirm that all your appointments are billed.

💡Tip: If you use the same billing codes for certain appointment types or presenting issues, you can add billing items to encounter templates, making your billing workflow even more efficient. Refer to Creating encounter templates.

Steps

1. Start an encounter from an appointment. See Other appointment actions.

2. If applicable, select an encounter template (with or without billing items added). See Starting an encounter.

3. In the Billing Items section of the encounter, complete or change the Insured Payment Detail and TELUS eClaims Payment Detail fields as necessary. For more information and detailed descriptions of the fields, refer to Modifying a TELUS eClaims billing practitioner, location and other bill details.

4. To add a billing item (service code) to the bill, click +Insured Billing.

📌 Note: If you selected a template with insured billing items added, the billing items are displayed. Click a billing item to modify or delete it.

A New TELUS eClaim Billing Item window appears.

5. Complete the relevant fields using the below table:

Field

Description

Code/ Description

1. If you want to search by code, start typing the code in the first search box.

2. If you want to search by description, start typing the description in the second search box.

3. Matches are displayed; select one from the list.

💡 Tip: Select the star icon next to the specific code to save the code to your favourites. Every time you create a bill, the starred favourites appear first in the list.

📌Note: The fee code list that appears is based on the Practitioner Profile (provider role) you selected.

Base Amount

Type the fee amount in CAD.

📌Note: The only eClaims supported Billing Item Template is the pre-configured TELUS eClaims. This template has all the codes and descriptions, however no default base amounts.

💡Tip: To save time, you can create billing templates with set amounts.

Quantity

If the service you provided is not time-based, type the number of units or click the up or down arrow to change the number of units.

Service Date

If you are logged in as a billing provider and the patient had a recent (past) appointment booked in your schedule, the date defaults to the appointment date.

If you are not a billing provider, the date defaults to the Visit Date specified at the top of the encounter.

To change the date for the specific billing item, click the calendar icon.

Time

The Start Time defaults to the appointment time.

To add the time you finished seeing the patient, click the clock icon.

Time Spent (in minutes) is automatically populated when you enter the start and finish times.

6. To save your changes, click outside the Billing Item window when you are finished adding the service code.

7. To add additional service codes, click + Insured Billing.

8. To edit a billing item, click it and make the required changes.

9. To delete a billing item, click it and click the trash can icon in the top-right corner.

10. Save or Sign the encounter.

📌 Note: The claim (Draft status) does not appear in the patient chart’s Insured Billing section or the Billing dashboard until you sign the encounter. You must submit the eClaim from there. Refer to Submitting an eClaim for more information.

Updated September 7, 2023

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