Registration
This color box indicates that a field is required in Athena
Yellow
#1 tool you can use to choose the correct insurance package
Insurance Card
Payer website you can use to verify eligibility for BCBS, Aetna, or Humana
Availity
Case Policy to use for self-pay patients
SLIDING FEE SCHEDULE - DISCOUNT [-100]
These are created by each individual receptionist to indicate how much money they collected
Payment Batches
This is an example of a purple Quickview Banner
Missing Insurance Card
All of this insurance company's claims should go to the same address
BCBS
Only EPO plans accepted at PMA
Ambetter
UHC
Button to click when you manually verify an insurance
Override payer-returned result
This is created by one receptionist at the end of the day, and includes the payment batches of all of the receptionists
Deposit Batch
These types of patients should never be registered as their own Guarantor
Minors
Two examples of BCBS-TX HMO alpha prefixes
ZGN
T2U
This Tricare plan should ONLY be used as a secondary to Medicare
Tricare for Life
This is also known as the Welcome to Medicare Visit
Initial Preventive Physical Exam (IPPE)
What to include in your EOD Report if you collected no payments
Cash Drawer Reconciliation Form
Any self-pay Superbills
4 elements to check when searching for patients
Name
DOB
SSN
Phone Number
Last step to narrowing down the insurance package to select
Verify claims address
These 2 types of Humana plans will have an H in the Member ID
Medicare Replacement & Medicare Supplement
If a patient receives their AWV on 07/19/2022, they are eligible to receive their next AWV on this date
07/01/2023
What to include in your EOD Report if you collected Cash/Checks and Credit Card payments
Cash Drawer Reconciliation Form
Scanned copy of patient checks
Signed credit card receipts
Any self-pay Superbills
This is where you go to print out a patient's Itemized Bill
Billing Summary
Package ID # for Tricare Prime
[476374]
2 insurances NOT accepted at PMA
Humana Gold HMO
UHC WellMed HMO
Insurance package to choose when a BCBS patient's member ID begins with the letter R
BCBS-TX - FEP [5752]
Email group that EOD Reports should be sent to
PMA EOD Cash Reports