Contacts

Contacts at Plans, Employers and Referring Physicians Offices

Employers

Employers

Anesthesia Preferences

Anesthesia setup (Bill for Age, Bill for Emergency, Bill for Physical Status, etc). that may be tied and shared among plans.

Anesthesia Time Preferences

Anesthesia Time setup (Minutes per unit, Minute caps, unit caps, etc.) that may be tied and shared among plans.

Claim Formats - Paper

Mapping of a paper claim that may be shared among plans

EMC Claim Formats

Electronic claim definition for practice (Submitter Number, Tax Id, etc)

Fee Schedules

Definition of procedures and fees for a plan

Networks

HMO/PPO Network

Plan Types

User-defined breakdown (Medicare, Medicaid, etc.) for reporting

Plans

Contract provisions for billing patients with insurance

Rate Structures

Definition of anesthesia rates per unit for a plan

EMC Claim Format Plans

Electronic claim definition for a plan (Provider IDs ,etc.)

Facility Groups

Facility (Hospital, Surgical Center, etc.) chain for reporting

Facilities

Hospital, Surgical Center, etc.

Locations

Location within Facility (Place of Service)

O/R Suites

O/R Suite within Facility

Referral Groups

Referring physicians may be grouped into their respective practices for reporting purposes

Referrals

Referring physicians, Attending Physicians, Surgeons, etc.

Staff Groups

Staff members of the practice may be grouped into other entities (Stockholders, Non-Stockholders, etc.) for reporting purposes.

Staff

Individual Staff members (Physicians, Anesthetists, etc.) of the practice.

Agency

Collection Agencies

Followup Actions

Followup Action Codes used by the practice and the followup time period that next action

Followup Criteria

How and When accounts or claims are to be sent to the Followup Queue

Form Letters

Form Letters may be defined with mail merge fields

Practices

Remainder of the practice information

Divisions

Divisions of the practice

Division / Facility X-Ref

Valid Facilities for the Division