Worklist Suggestions & Examples

Worklist Suggestions & Examples

Appointment

  • Missed Appointment Fee: Added by Front Desk user for biller to add a No Show Fee.
  • Workers Comp: Authorization missing
  • Eligibility Denials
  • Authorizations

Encounters

  • Manual Insurance Denials
  • Eligibility Denials
  • Authorizations
  • Missing information on a charge
  • Workers Comp
  • Follow-up

Patient

  • Eligibility Denials
  • Workers Comp
  • Authorizations

Remit

  • ERA Follow-up

Examples

    • Related Articles

    • Charge Management Rule Examples

      Alert for Provider Credentialing There is a System delivered Charge Management Rule to display a Validation Warning for Providers who are not yet Credentialed with a Specific Insurance. Use this link for more detailed documentation: Hold Billing for ...

    • Worklist Suggestion and Examples Content

      Content Worklist Suggestions & Examples Add an Appointment to A Worklist Add a Manual Insurance Denial to a Worklist

    • Charge Management Action Examples

      Add a Legacy ID in HCFA Box 33b for a Secondary Payer Scenario: BCBSTX is Primary and MagnaCare is Secondary. MagnaCare wants a Legacy ID in Box 33b on the HCFA (Paper Claim), but the Primary, BCBSTX, does not require this. Criteria Select ...

    • Denial Worklist Overview

      The Denial Worklist is populated when an ERA is applied, and at least one line item on the Remit has a zero dollar Payment and is statused to DW on the ERA Remit Items screen. The Denial Worklist is interactive with links to the: Encounter Dashboard ...

    • Create a Worklist

      Worklists can be used to work Tasks and specify the Users to work the Tasks. Worklists can be created from the Worklist screen. Tasks can be added to a Worklist from multiple areas in the System. Examples: Patient Dashboard Encounter Dashboard Query ...