Insurance carriers are organized in Carrier Groups. These groups represent common billing addresses for a single-payer. When carrier payments are applied to patient accounts, Fusion Enterprise will only allow the check to be posted to those accounts which have that particular carrier. For example, United Health Care has many different claims addresses, and each of those needs to be set up in the system. From a collection and posting standpoint, however, they can all be considered a single entity.
Jump to Section [Carriers] [Contracts] [Auxiliary Information]
In Fusion Enterprise:
- Click Administration.
- Select Carriers.
- Right-click anywhere to access the Options menu.
Carriers
The Carriers dialog is divided into two sections. The Carrier Group / Carrier Grid is on the top, and the Carrier Info section is on the bottom. Selecting any carrier in the grid will populate the Carrier Info area with the current information for that carrier.
Right-clicking will bring up the following menu:
Click for [Add Carrier] article.
ALERT: Deleting a carrier should be used with caution. The carrier is not actually deleted, since it must be retained for any records that may currently be referencing it, but it is excluded from being selected for any future case.
Deleting a carrier will not affect cases that currently have that carrier in a policy. Deleting the last carrier in a carrier group will also delete the group.
Contracts
The Add, Edit and Show contract functionality is identical to those features found in the Contract Module. Contracts may be accessed in one of two ways - through the Contract Module or through the Carrier Group menu.
Click for [Add Contract] article.
Auxiliary Information
Auxiliary Information contains additional fields that may be required to properly process the claim.
CMS: Box 17A allows the specification of which information will be displayed in Box 17A on the CMS1500. The choices are UPIN, State License Number, or blank.
The other fields are for the ANSI 837 format. To learn more, see [ANSI 837]