Insert Last Name Field from the Physical Exam Consent and eSign it in minutes

Aug 6th, 2022
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How to Insert Last Name Field from the Physical Exam Consent

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hello everyone my name is brian petty and im a trainer and today we are going to go over just a quick demographic screen overview so first were going to select a patient and im going to choose a test patient here and then we want to highlight the area over that test patient and then go down to patient demographics and this will bring us up to our patient demographic screen so first were going to just go down from the left column and the account number will auto populate you can now add a prefix so if there if you want to put doctor in front miss mr mrs miss or sir are all right there your last name and first name you also have a suffix and then you have a middle initial as well now you have a previous name section and a newer feature here is a preferred name so you are able if you have a nickname or whatever you would like to be called the front office can put this in here and it will actually show in multiple places any clinical works you have your address line one and line two yo

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Complete box 22 (Resubmission Code) to include a 7 (the Replace billing code) to notify us of a corrected or replacement claim, or insert an 8 (the Void billing code) to let us know you are voiding a previously submitted claim. Enter the Blue Cross NC original claim number as the Original Ref.
The street address, area, state, ZIP code, and telephone number are included. Box 11: This field requires the insureds policy or group number to be filled.
What is it? Box 23 is used to show the payer assigned number authorizing the service(s).
Box 23 - TITLE: Prior Authorization Number (this field is also used for CLIA numbers) INSTRUCTIONS: Enter any of the following: prior authorization number, referral number, or Clinical Laboratory Improvement Amendments (CLIA) number, as assigned by the payer for the current service.
24. i. Display 2 character SECONDARY ID TYPE Qualifier for the rendering provider against the billed insurance entered in Setup Insurance page under Provider Master. 25 Display the FEDERAL TAX ID or SSN ing to rules below.
24. i. Display 2 character SECONDARY ID TYPE Qualifier for the rendering provider against the billed insurance entered in Setup Insurance page under Provider Master. 25 Display the FEDERAL TAX ID or SSN ing to rules below.
KEY: R = Required | NR = Not Required | S = Situational, only use if appropriate specific to claim Field IDField DescriptionData Type21DIAGNOSIS OR NATURE OF ILLNESS OR INJURYR22RESUBMISSIONNR23PRIOR AUTHORIZATION NUMBERNR24SHADED AREA SUPPLEMENTAL INFORMATION59 more rows
KEY: R = Required | NR = Not Required | S = Situational, only use if appropriate specific to claim Field IDField DescriptionData Type9OTHER INSUREDS NAMES9aOTHER INSUREDS POLICY OR GROUP NUMBERS9bRESERVED FOR NUCC USENR9cRESERVED FOR NUCC USENR59 more rows

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