Batch production of M47/ACC47 Claims
Abstract
Capable 21C has the ability to produce M47/ACC47 claims en masse. It can
also produce these as a batch so that when a payment advice is received from
ACC, it can be processed quickly and easily. This knowledgebase article
explains how to do this.
Underlying challenge
Note that when using this feature, all claimable visits for all patients in a
date range are printed. This means that it is not possible to
mix-and-match the date ranges for the claims. Before exploiting this
feature, it is recommended that each ACC patient be reviewed, and their claims
all brought up to date to a single date (eg about a week before the first batch
is to be printed).
In order for this feature to work effectively, there are a few specific
requirements.
- There must be an insurer called ACC.
- Services and Payment methods need to be configured appropriately so that Capable
21C knows which line items are billing to (and received from) ACC. Refer
to
Fundamentals Training Setup 2 for more details
- Appointment Types should be configured so that patients on ACC are automatically
invoiced correctly. Refer to Fundamentals
Training Setup 2 for more details
- In Setup|Settings, the Insurance Statement style needs to be set to M47.
- The layout of the M47 statement needs to be appropriate for ACC Claiming.
- Patients should be appropriately configured to be a) insurance patients; b) on
ACC; and c) have an ACC approved Claim Number, Diagnosis and Date of Accident
Once these prerequisites have been met, follow the steps in the Resolution
section to produce a batch of M47/ACC47 claims.
Resolution
To produce a batch of M47/ACC47 claims:
- Go to Management|Current Debtors. It may take a minute or two for Capable
21C to prepare the list of debtors.
- Drop down the basic filter (where it shows 'Print all statements selected') and
change it to Print only for insurance patients.
- Underneath that drop-down box, a new box will appear that allows the selection
of an insurer. Drop it down and choose ACC.
- On the current debtors window, set the Date of Last Statement Run to be the
starting date for the batch (eg typically one week ago).
- Set the Print Invoices Till to be the ending date for the batch (eg today's
date).
- In the M48 Code box, key in an appropriate batch number. ACC uses the date
of the batch as its default batch numbering system (eg if the batch is printed
on 23rd January, 2009, ACC's default batch number would be 230109). It is
not necessary to use ACC's batch numbering system, but it seems to expedite some
ACC claims.
- Click the Print Statements button.
If an M48 (batch summary) printout is required, follow these steps AFTER the M47
claims have been printed:
- Go to Tools|Batch Payment.
- Locate and click on the batch number just printed.
- Click the Print List button.
Detailed Information
When a payment advice is received from ACC, the paid claims can be processed into
Capable 21C easily by:
- Go to Tools|Batch Payment.
- Locate and click on the batch number being paid. ACC will typically
identify the batch on the Payment Advice.
- Ensure that there is a tick on each patient/visit that has been paid by ACC.
- Click the Accept Payment button.
- Nominate the appropriate payment method.
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This knowledge resource is designed
for use on a Windows (tm) XP system operating at a screen
resolution of 1024x768 or better. Windows Media Player must be
installed for this training resource to operate correctly.
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Pty Ltd
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