Insurance Allowed Amounts not showing

Technical problems with Medisoft.
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DUNNSCHIRO
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Insurance Allowed Amounts not showing

Post by DUNNSCHIRO » Fri Nov 08, 2019 10:24 am

The allowed amounts that we have entered for insurances are not all showing in the transaction entry screen. We have a few here and there that work, but the rest show $0.00. Please help!

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Gavin Walker
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Re: Insurance Allowed Amounts not showing

Post by Gavin Walker » Mon Nov 11, 2019 9:47 am

The allowed amounts are stored on each insurance. Open up insurance #1 and go over to the allowed tab. That is what should be filling in when you select the procedure.
Gavin Walker
Walker Tek Solutions, LLC
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fax: 417-763-6386

DUNNSCHIRO
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Re: Insurance Allowed Amounts not showing

Post by DUNNSCHIRO » Wed Nov 13, 2019 11:05 am

We have those filled in for the insurances, but they do not all populate in the transaction entries.

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Gavin Walker
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Re: Insurance Allowed Amounts not showing

Post by Gavin Walker » Thu Nov 14, 2019 9:04 am

Is there a modifier involved?

DUNNSCHIRO
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Re: Insurance Allowed Amounts not showing

Post by DUNNSCHIRO » Fri Nov 15, 2019 1:36 pm

Yes

DUNNSCHIRO
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Re: Insurance Allowed Amounts not showing

Post by DUNNSCHIRO » Fri Nov 15, 2019 1:37 pm

And the ones with modifiers are the ones not populating. Do you know why that is?

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Gavin Walker
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Re: Insurance Allowed Amounts not showing

Post by Gavin Walker » Fri Nov 15, 2019 5:44 pm

If you edit the procedure code in the Procedure/Payment/Adjustment Code list and then go to the Amounts tab, is there an entry in there for the procedure code?

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Gavin Walker
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Re: Insurance Allowed Amounts not showing

Post by Gavin Walker » Fri Nov 15, 2019 5:50 pm

If there isn't an entry for the modifier, then go to the General tab and add a default modifier and then save the record and then go back to the Allowed tab.

DUNNSCHIRO
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Re: Insurance Allowed Amounts not showing

Post by DUNNSCHIRO » Thu Nov 21, 2019 11:00 am

Ok, I didn't realize I had to put the allowed amounts in the Procedure Codes, too. I think we have it figured out. Thanks so much for the help!

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