Information regarding accident and illness can be entered in the Additional Claim Information section. This can be either collapsed or expanded by using the +/- icon located in the top right corner of the window.
Note: This section will be collapsed by default, as it is less frequently used.
To fill in Additional Claim Information:
1. | Select the Type of Accident using the drop-down menu. |
2. | Enter the Date of Accident. |
| Note: All dates in this section can also be selected from the Calendar by clicking the icon. |
3. | Select the State where the accident took place using the drop-down menu. |
4. | Enter the Current Illness Date. |
5. | Enter the past illness date (Date patient had same illness). |
6. | Enter the date range the Patient was Unable to Work, if applicable. |
7. | Enter the Admission and Discharge dates, if applicable. |
8. | Enter the Date Last Seen. |
9. | Enter the Initial Treatment Date. |
10. | Click in the Generate Claim radial button to indicate whether or not you want to generate a claim from this charge. The selection is defaulted to “Yes.” |
| Note: If “No” is selected, the charge will not appear in the Claims Processing queue. |
11. | Enter additional claim information, if necessary, in the Reserved for Local Use box. |
| Note: This information will appear in Field 19 on a claim form. |
12. | Select the Outside Lab check box to indicate services provided by an outside lab. |
| Note: This corresponds to box 20 on an HCFA/CMS-1500 form. |
13. | Select the delay reason using the drop-down list. |
14. | Select the Medicaid Special Program Indicator from the drop-down list. |
15. | Enter the Referral Number. |