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<< Click to Display Table of Contents >> Insurance Diagnosis |
  
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<< Click to Display Table of Contents >> Insurance Diagnosis |
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Selecting Ins Diag/Proc will display the Insurance Grouper Diagnoses screen.
Select Web Client > System Menu > Hospital Base Menu > Patient Account # > Insurance > Claim > Stay Information > Ins Diag/Proc
Insurance Diagnoses
The Diagnosis Codes and descriptions will pull from the Medical Records Grouper screen; however, they may be edited for insurance billing purposes by selecting either the Insurance or the Insurance Admitting option from the drop-down menu. Any changes made using either of these two options will not affect the Medical Records Grouper screen. Any changes that are made will only be reflected on the insurance claim. Below is a description of the drop-down options that are displayed.
•Insurance: Selecting the Insurance option will allow the primary and secondary diagnosis information to be edited. The Principle Diagnosis Code pulls to locator 67A on the UB. The Secondary Diagnosis Codes pull to locators 67B-Q, except for codes V00*-Y99* which will pull to locators 72A-C.
•Insurance Admitting: Selecting the Insurance Admitting option will allow the Admitting diagnosis that pulls to the insurance claim to be edited. This Admitting Diagnosis Code will pull to locator 69 on the UB.
•FC/Set#: Displays the Financial Class and Set Number on the claim that was used to access the Insurance Diagnosis/Procedure information screen. This option is view only.
If diagnosis codes have been added to the account, the existing diagnosis codes will display. For more information on updating the Diagnosis screen, please see the Diagnosis section of the Health Information Management documentation.