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PAYCODE 3,5,6 (Insurance) DATABASE FILES
Menu Path: FILES/Paycode X

When a paycode 3 (auto insurance), 5 (primary insurance), or 6 (secondary insurance) is entered as one of the paycodes in the invoice data entry screen, a corresponding record is automatically added to the appropriate paycode file.  Additionally, these paycode records can be edited either via the same invoice data entry screen, or from the main menu as shown below, although editing from the main menu is rarely if ever done--these files are transparent to the billing person, and contain data required to file claims.  Refer to the following for paycode-specific information:
Screen Data Field Descriptions
Paycode 3 -- Auto insurance
Paycode 5 -- Primary insurance
Paycode 6 -- Secondary Insurance

wpe5.jpg (23782 bytes)
Screen 1 Main Menu-FILES
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wpe6.jpg (28929 bytes)
Screen 2 - Main Paycode 3 Screen (Paycodes 5 and 6 are identical)
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wpeA.jpg (22272 bytes)
Screen 3 -- Detail Paycode 3 (Auto Insurance) Screen

This information initiated in the invoice data entry screen,  with reference to an insurance company in the insurance database file. You can either edit the data here, or go back to the the insurance/invoice screens and make changes.   Refer below to the explanation of fields in screen 3.

wpeE.jpg (27308 bytes)
Screen 4 - Detail Paycode 5 (Primary Insurance)  Screen (Paycodes 6 Secondary Ins. is identical)

The detail paycode 5 and 6 screen is shown in screen 4 above--the main paycodes 5-6 screen is the same as for auto insurance (screen 2).   Paycode 5 and 6 record data entry is initiated in the invoice data entry screen,  with additional reference to an insurance company in the insurance database file. You can either edit the data here, or go back to the the insurance/invoice screens and make changes.  Refer below to the explanation of fields in screen 4.

SCREEN DATA FIELD DESCRIPTIONS

Paycodes Field Description
3-5-6 Patient Code From invoice record
3-5-6 Invoice From invoice record
3-5-6 Status From invoice record
3-5-6 Date Date of Service
3-5-6 Relative Relation to the insured person
3 Auto owners name Not always the patient
3-5-6 Insurance Company Code if auto, auto owners insurance, else the insureds ins. co.
3-5-6 Name Ins Co name extracted from Insurance file using Ins Code
3 Agent auto insurance (local) agent
3-5-6 Policy number of the insured-if policy number is not known, use Social Security No.
3 Claim number auto claim (if known-otherwise leave blank)
5-6 Insured's Name Not necessarily the patient-parents name if patient is a child
5-6 Insured's Date of Birth Usually not known if insured is not the patient-leave blank
5-6 Group Name Enter if known, else leave blank
5-6 Group Number Enter if known, else leave blank
5-6 Prior Authorization Usually left blank-may need for scheduled non-emergency transports