To Send in Lab Billings

Date of Tech Note: 23 April 2001
MediFile Version: 2.x
Author: Norine Bevan
Enhancement: N/A
Bug Fix: N/A

Detail

To fix the existing claims in your system with incorrect informaton in them, follow steps 1-4
1. In Admin corner --> Area Accounts: under each doctor's area account, make sure the 2nd BA is filled in with the proper BA for your health region.

2. In the Admin corner--> hsc code file: make sure the use 2nd BA Checkbox is selected for all Lab fee-codes (ie E152, E603, etc)

3. Make sure you send in the Originating Facility number, as your health region requires it.
This can be entered in "other billing" on the second page in the originating facility box when you first create the billing record. See step 4 to deal with potentially incorrect existing claims.

This can also be entered in the Admin corner --> Billing file: on the second page of the billing record.

4. Since you have many records that need to be changed, you can do a "change values" in the billing file to get these records in with the correct information. First search in your billing file using the search editor to find your records.

Then, under the file menu, select "Change Values." All patients will need to have the originating facility number input. The site shown here is 658810.

For AB patients only, the Palliser Region's BA is 4225210; for out-of-province patients, the Palliser Health Region wants you to use your normal BA for the physian (ie 3249910). The BA on claims for these patients does not change to 4225210. You can do a search in selection for “Agency is equal to AB” to find only the AB patients and then change the values.

Note: Before you generate an e-bill file, you can search in your billing file to find any claims that are labs but which have improper information in them.

Search first for all created lab claims, which begin with the letter E, and click "Ok." Then do a search in selection for claims that do not have the 4225210 BA or the 658810 originating faciility. If you find any, then you can do a change values to correct them before sending your billings in.