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Insurance Company Record Maint., Page 1

 

 

There are only three fields in the Insurance Company table that relate to statement printing, and normally insurance billing controls these.

 

•Reject After #Days: The number of days entered in this field determines if and when the system will automatically reject an outstanding insurance claim. If rejected, the account becomes a private pay account, unless there are other outstanding claims, and normal aging will proceed. If needed, the claim may be rebilled at that time. Automatic rejection occurs when cycle statements are printed, and the criteria has been met.

 

•Lag Days: The number of charge closed days after a patient’s discharge date that the system waits, before auto-generating insurance. First Time Statements will not print for accounts with ungenerated insurance claims.

 

•M/R Complete (Y or N): If set to Y, a Finish Date will have to be entered on the TruBridge EHR Medical Record Grouper screen (medical record coding), before insurance will be automatically generated. First Time Statements will not print for accounts with ungenerated insurance claims.

 

NOTE: The Insurance Company table is a part of the TruBridge Insurance procedures and is listed here for informational purposes only. The Autogen process is explained in the Insurance User Guide.