Situation
Billing company is requiring admin to process billing
OpenEMR Version
I’m using OpenEMR version 7.0.2
Browser:
I’m using: safari
Operating System
I’m using: ubuntu 20.04 lts
Search
Did you search the forum for similar questions? no
Logs
Did you check the logs? yes and no
If you provide a user accounting priviliges should’nt they be able to execute billing procedures? Is administrator the only level that billing can be executed?
We began to use x12 and claimrev or our clearing house. We are not handling medicare/medicaid and other insurance products. However, it appears the “accounting” assignment of permissions is not adequate to produce billing functions.
Am i interpreting this incorrectly as far as permissions and functionality?
I figure the ACL is the key behind my question however, is there a configuration for Accounting in applying an accurate ACL for all billing responsibilities? Does anyone have an example of how they have their ACL configured for outside billing services?
Finally could someone please point me to a Billing Company that is familiar with Open Emr?
hi @Warren, the Accounting ACL should be sufficient for a user after some configuration has been completed by an admin. Is there a specific screen that they’re having difficulty with?
Could you or anyone provide an example of the ACL config for Accounting that would provide full billing functionality? They don’t need to see the overall accumalation of $, only the necessisary ability to process the claims via x12.
Thank you for your reply Stephen. What I really am concerned about is the ACL modules that the accounting role consists of. There are 3 different levels for accounting:
Accounting-view
Accounting-addonly
Accounting-wsome
Accounting-write
Accounting-write is the admin (per se) for accounting classifications. How do you differentuate between the 4 when assigning access control?
I created the following new ACL group for x12 billing see attached. Is this sufficient or overkill?
Hello @Warren
It’s entirely possible that your accounting ACL is fine, just that OpenEMR billing module does not have by default the claim file field contents required by the clearing house or the insurer. Mostly because most claim file recipients have their own minor variations on the generic standard fields.
I have not worked with ClaimRev myself, but the fact that the owner posts here on the forum tells me that he is probably familiar with how OpenEMR handles claims. But the clearing house and insurance payer do not care which EMR the claim file came from. They simply want the claim file to be formatted as required and contain the right information. And in my time supporting OpenEMR for billing it has been very common to need to adjust the claim file output in one way or another to accommodate either the payer or the clearing house or both.
It would be easier to help if you could describe what specific function is wrong or missing for your Accountant role? What is the claim workflow you are following and what errors are you seeing?
Omitting required data or processing steps will prevent the billing process from proceeding as intended which I imagine might appear as an inadequate ACL. You might start by comparing your billing workflows with these tutorials:
