Worker's Comp Claims

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QuickSCRIP offers the ability to transmit workers compensation claims to insurances. These claims are created and transmitted just like normal claims, but with some additional information.

Click here for a list of relevant workers comp fields.

Date of Injury

Most workers comp claims require at least a Date of Injury be sent in field DY-434. You can attach this information to an individual claim (which will send the Date of Injury ONLY for that claim), or you can attach it to the patient (for instances where you need to send multiple workers comp claims).

  • In the SIG lines, you can enter /IYmmddyyyy (month, day, 4-digit year) for single claims.
  • In the Patient 3rd party notes, you can enter /IY=mmddyyyy to link this to all claims sent on this customer.

Please note that a date of injury code is required for QuickSCRIP to transmit any workers comp information. If this code is not present, then we will not send employer info.

Claim/Reference Number

Additionally, insurances will also require a claim/reference number. This can be placed in the Third Party Notes lines attached to the patient.

  1. Start in the Rx Processing Menu
  2. Choose Option 13 Patient File Maint
  3. Look up the patient, and select the corresponding T1, T2', ect key that corresponds with their workers comp insurance.
  4. Go to either Notes lines (12 or 13).
  5. Add /CLM=xxxx where xxxx is the claim number for the workers comp to reference.

Alternatively, /CLM=xxx can be used in the SIG lines.

Patient Address Information

Some insurance companies also require patient address info be transmitted as well.

  1. Start in the Rx Processing Menu
  2. Choose Option 14 Insurance Vendor File Maint.
  3. Search for the insurance company in question
  4. Type O3 to go to screen 3
  5. On Line 16 Command Prog Name add a /PAD

Please note that patient address info is not required for all workers comp claims. Insurances that do not require this information may reject your claim, which will require that you remove the /PAD to get the claim to accept.

Employer Information

Many insurances require the transmission of employer information. QuickSCRIP allows you to create a database of employer records, which you can then attach to the patient in question.

  1. Start in the Rx Processing Menu
  2. Choose Option 30 Employer File Maint.
  3. Choose A from the menu at the bottom of the screen to add a new employer to the database.
  4. Give the profile a name, and fill in the relevant address and contact information.

Once a profile is built, you can link it to a customer. Look them up in the Patient File Maint. screen, and attach the employer to the patient on line 75. Employer info will be sent on a claim only if it has been linked to the customer AND a date of injury command is present on the customer or in the claim.

Carrier ID

Some workers comp insurances use the Carrier ID field to note what body part has been injured.

  1. Start in the Rx Processing Menu
  2. Choose Option 13 Patient File Maint
  3. Press F11 to pull up patient notes.
  4. Add /CLM=xxxx where xxxx is the claim number for the workers comp to reference.
  5. Enter through the remaining lines or press ESC to Escape.