@brady.miller@stephenwaite@htuck I am working on a system where we would like to better-automate submission of x12 claims to insurance companies directly. In this case, Insurance companies will 90% of the time will act as their own x12 partner, which may have different formats and specifications. The other 10% may be paper claims. The current billing report just submits one batch, and generates one file, unless you manually go through and check the boxes to generate different files. We would like to be able to generate the proper batch in a format that is one-per insurance company, or a batch of HCFA forms in the case of no x12 partner specified for insurance. I would like to add a Billing Tracker page, where these generated claims files would show up for download, or they would be picked up on the back-end by a CRON job and sent via FTP to the x12 partner. A status would be shown the file has been downloaded, sent to x12 partner, etc.
Is this something that the OpenEMR community would find valuable, or would this be better as a module?
Are there other features that might be useful in this area?
the heart of this matter is also combining appropriate services into one claim as well so that the claim form box is fully utilized and the 837s are improved
ps the X12 selector not working on new service items is a known bug in the billing manager
the heart of this matter is also combining appropriate services into one claim so that the claim form box is fully utilized and the 837s are improved
I guess I wasn’t thinking of batching claims, but claim files. So from a practice standpoint, every claim going to the same insurance company could be printed and faxed together, rather than manually clicking each box and generating individual files for each insco batch. I’m not clear why an OpenEMR practice would benefit from more than one encounter per claim? I get that it would be less work for the claim recipient.
I’m not sure what you mean by the “claim form box is fully utilized” or what improvements are needed in 837s?
OK, I just read that whole thread you posted. Makes more sense. But why not use your proposal of faxing through a service and avoid printing? I assumed that’s how it would work.
Is it possible to render full PDF of a HCFA programmatically and fax using a service, or does it have to be printed on an official HCFA 1500 form? OpenEMR just generates the “overlay” right, so in order to automate that, there would need to be some PDF/data combining process.
