HIPPA Setup

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HIPPA Setup

There are several HIPAA-related setups and questions that must be filled out before you begin entering claims.

All of these will be found in the Maintenance Menu:

1. Select Provider File (option 2) and then select Update Physicians (option 1). Select each provider and fill in the new field labeled Taxonomy Code. There is an F6 browse lookup to help you select the correct one for your services.

When you have filled out the Taxonomy Code for each of your providers, proceed to #2.

2. Select Insurance File (option 6) and then select Fuzzy Search by Name (option 2). Type in the name of the insurance company you need to adjust. You will need to fill in an additional screen for the following insurance names. The insurance names must be exactly as shown. If you do not have the exact name in your insurance file you will need to add it.

Medicare
Blue Shield
Medicaid
__Commercial ins (Note:: the __ indicates 2 spaces)

3. Medicare DME (only for Region B providers)

For each of the above you have the initial screen, which in most cases is already filled out. When you update and press [ESC], the new screen will appear that must be filled out. See example below. The information that you enter in these fields will depend on your clearinghouse.