Add Claim COB

Details

• Multiple Coordination of Benefits (COB) entries can be made under a single claim in ProviderConnect.
• On the Claim Detail (View Claim) screen, in the Coordination of Benefits section:
  • Click Add Adjustment to add an adjustment or multiple adjustments under each claim-level COB entered in ProviderConnect,
  • Click Delete COB to delete the claim-level COB entry and all related claim-level COB adjustment data for unbilled claims.

• Confirm the Tx_HideClaims system configuration item is set to 'False'
• Set the Avatar MSO registry setting Add Support for the Input of Third Party Payer Amounts to '2' to accept detailed Coordination of Benefits/Adjustment data.

1. In the Main Menu click Lookup Client.

• The Search Criteria screen displays.

2. Enter the client's name, ID, social security number.

• To display all clients, enter no data, click Search by Criteria.

3. Click Search By Criteria.

• The Search Results screen displays.

4. Click a client ID number.

• The ProviderConnect Demographic screen displays for the client and agency.

5. In the Client Sidebar menu click Treatment.

• The Treatment History screen displays.

6. In the Claim column, click the link to the claim. 

• The Claim Details screen displays.

7. Enter information in the following fields:
   • Other Payer Identification Code Qualifier
   • Other Payer Identification Code
   • Other Payer Last Name or Organization Name
   • Outpatient Adjudication Percentage
   • Outpatient Adjudication Monetary Amount
   • Payer Paid Monetary Amount
   • Adjudication or Payment Date
   • Remaining Patient Liability Monetary Amount
8. Click Add Claim COB.