Weāve broken this guidance up into small, digestible chunks. Youāll find links to the other steps at the bottom of the page.
Once you have Set up your Insurer Folders in Jane and created your Billing Codes you can get cracking with creating your Patient Policies. ā To do this, you can either hop over to your Patientās Profile or create a policy right from the Appointment Panel in your diary.
From the Patient Profile
From the Patient Profile, you can begin by heading to the Billing tab > Insurance Policies > New Insurance Policy.
From the Appointment
If you would like to enter a patientās insurance information from the main diary, follow the steps below:
1) Click on the patientās appointment in the Diary 2) In the Appointment Panel, scroll down and click to open the Insurance Info area 3) Click on theĀ āAdd PolicyāĀ button, and then select āAdd New Policyā
Regardless of which way you start, the process from here is exactly the same.
First up, select the relevant Insurer/Third Party for the patient:
Next, you can optionally give the policy a nameāthis is for internal use, and should be useful in identifying the policy.
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The only mandatory field is the Claim Number / Authorisation Code / Pre-Authorisation Number. The information in this field will display on all invoices for this policy.
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The āPolicy / Membership / Registration Numberā field is optional in Jane. If you enter information in this field, it will display on all invoices for this policy.
Youāll find some more optional fields further down the page, many of which can be really useful in keeping track of where a patient is at with their treatment. In the below example, Iāve entered the maximum number of treatments authorised in the policy, the policy end date, and the date of the patientās injury. Jane then knows to flag up and alert you when the patient has reached the maximum number of treatments, or the policy reaches its end date šØ
You can also add contact details of the insurance company, or the case manager youāre liaising with (if applicable).
Further down the page again, youāll find the default billing options. We find that the majority of clinics simply leave the defaults as they are, as they may not know the specific details of the patientās excess until theyāve submitted the first invoice to the insurer. The default settings let Jane know the insurance company are covering 100% of the invoice.
If you do know the patientās excess up front, just pop it in the āExcessā field. Similarly, if youāre working with an insurer who cover a specific percentage of the invoices (e.g. 80%), you can change the default to the relevant amount.
Otherwise, stick with the default options and hit Save when youāre ready.
The New Insurance Policy will now show up under the patientās Insurance Policies area.
And in the Appointment Panel in your diary:
Nice work, you just created your first insurance policy! š
Next up, weāll look at adding the policy and billing codes to appointments. This is where youāll start to see all your progress in action.
You can navigate to any section of this guidance using the links below:
- Step 1 - Setting up Insurers
- Step 2 - Billing Codes & Contract Rates
- Step 3 - Insurance Policies
- Step 4 - Insuring an Appointment
- Step 5 - Invoicing & Payments
Written by Jamie - UK Support Team