CPTs are the procedure codes used to identify the treatments used provided for the patient, contains codes, descriptions, modifiers amout to be charged etc.
PayerGroups are insurance payers to whom claims will be billed. They are identified as Groups because each may contain information for several different payer insurance plans. Information can be entered here which would apply to all Payer Plans that belong to this Payer Group.
Contains city, state and zip codes which will be presented as drop down lists whereever they may be recorded with the system, ie patients entry, providers and payers.
An entry identifying a electronic claims clearing house to whom the Clinic(s) may submit electronic claims instead of having to send electronic claims to each insurance company.
There is only 1 practice per PBClinic database
Facilities are the names and addresses of locations outside the primary care facility as well as the clinic where patients may receive treatment
Clinics are the locations of primary care facilities (clinic office) where services are provided to patients
Providers names, addresses, NPIs etc for each provider within the Clinic(s)
Patient Groups provide a means of identifying a subset of patients for whom reporting might be requested. ie Auto Accident
ICDs are the codes and descriptions which will be used for the diagnois applied to patient's conditions
CPTGroups allow grouping of CPT codes for reporting purposes.
CPTs are the procedure codes used to identify the treatments used provided for the patient, contains codes, descriptions, modifiers amout to be charged etc.
PayerGroups are insurance payers to whom claims will be billed. They are identified as Groups because each may contain information for several different payer insurance plans. Information can be entered here which would apply to all Payer Plans that belong to this Payer Group.
Payer Plans are the distinct Payer Plans with mailing addresses, contact information etc. Each Payer Plan must be belong to a Paper Group.
This allows recording the names, addresses and identifiers of Providers who have referred patients to the Clinic(s)
This tab is an anachronism dating back to the time when both 4010 and 5010 837 format were acceptable formats for submitting electronic claims.
Names and addresses of patients' Employers
Contains city, state and zip codes which will be presented as drop down lists whereever they may be recorded with the system, ie patients entry, providers and payers.
Not currently active
An entry identifying a electronic claims clearing house to whom the Clinic(s) may submit electronic claims instead of having to send electronic claims to each insurance company.
Each Clinic within the Practice may have different identifiers assigned to them by the Clearing House processor, those are stored here
Place of Service codes identify where the service for the patient is being performed.
Taxonomy coding is a industry standard for identifying the type of practice for a clinic and providers