Insurance
Government issued coverage for those who are under insured or below poverty level.
What is Medicaid?
Guideline that determines which parent has the primary insurance for a child.
This status displays when a patient is no longer eligible for a coverage.
What is e-rejected?
Time slot on a providers schedule indicating there are no regular openings but at least one overbook.
What is yellow?
Record that contains information about the party responsible for charges not covered by insurance.
What is Guarantor Account?
The person who pays the insurance premium.
What is Subscriber?
An employed 68 year old presents with Medicare and employer's insurance. Given the scenario, this should be primary.
What is Employer's Insurance?
This section of the RTE displays any errors within a submission. (ie. Plan mismatch)
What is the alerts section?
Your appointment is not scheduled until you click accept at this window.
What is Appointment Review?
This free text field allows you to indicate the reason for visit.
What is appointment notes?
Military issued insurance which WakeMed does not accept.
What is Tricare Prime?
Services resulting from a work related accident this insurance coverage should be primary.
What is Worker's Comp?
This button blinks when an answer returned from the payer.
This activity allows you to cancel and reschedule appointments.
What is Cancel Appointments Activity?
This button allows you to access registration without scheduling an appointment.
Approval from the insurance carrier for anticipated services.
What is Authorization?
This tool helps determine the coordination of benefits for Medicare Recipients.
What is MSPQ?
This button allows you to view the coverage verification history.
What is Review History?
This check box is selected to see a provider's schedule at multiple locations.
What is Combine Departments?
If a coverage is no longer effective you must do this.
What is terminate?
Commercial insurance which claims must always submitted as self.
A method of determining the primary payment source when a person is covered under more than one medical plan.
What is Coordination of Benefits?
This section of the RTE displays other insurances that a patient may have.
What is Other Entities?
You must do this in order to schedule an appointment for an employee.
What is break the glass?
For Woker's comp visits this must be attached to the registration/Hospital Account.
What claim info?