Worker's Compensation Policy Profile
The System has the flexibility to meet your state's unique requirements for Workers Comp Claims. The Policy Profile and the Case must be set up on the Patient with the Policy Profile being set to Active instead of Default if there is another Policy Profile on the Patient.
Add a Worker's Comp Profile
On the Patient Dashboard, select the Insurance/Employer Management link.
Select the Add New Insurance Profile button.
Select the Add New link.
Insurance: Search for the Workers Comp Insurance.
If the WC Insurance cannot be found, look in the Insurance Library to see if it has been added (Workers Comp Insurance).
Policy: Enter the Policy number. In some states this is a Social Security Number, The lookup is a short-cut to pull in the Patient's Social Security number. If an SSN or Policy number is not required, use 999999999 which is a mandatory field. This displays in HCFA Box 1a or ANSI Loop 2010BA.
Group: Enter the unique Workers Comp Claim Number which displays in HCFA Box 11 or ANSI Loop 2000B.
Group name: HCFA Box 11c
Patient Relationship to Policy Holder:
20-Employee/Attorney, (HCFA Box 4 or ANSI 2000B).
If the Relationship is Self, leave as 18 Self and skip Steps 9 and 10.
Employer/Attorney: On the popup screen, select the Employer from the dropdown which displays in HCFA Box 7 or ANSI Loop 2010BB (Address).
Employee/Attorney: Use the Lookup Icon to choose Employer/Attorney.
Click Save (F2).
Worker's Comp HCFA Fields
If there is another Insurance Profile on the Patient, the WC Profile can be changed to Active instead of Default by unchecking the Default checkbox.
Click Save (F2).
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