OfficeMate Home Office User's Guide - OfficeMate Software Solutions

Setting Up Insurance Plans
Chapter 2 Setting Up Insurance Carriers & Plans
Select Yes from the Hold Claim until product is delivered radio buttons
to prevent the claims from being printed or transmitted until the order has been
filled. The claim will be available for billing when the Delivered radio button is
selected on the Rx Order window. Select No to print or transmit the claims
immediately.
Select Yes from the Suppress Claim Edits at POS radio buttons to prevent
the claims from being edited at the location level. Select No to allow edits to be
made to the claims.
Select Carrier, Plan, or None from the Name and Address on Claim form
radio buttons to control what address populates the receiver’s portion of the
claim.
Select the fee that populates box 24F on the CMS 1500 form from the Box 24f
Price Charges drop-down menu.
Note
If you converted from OfficeMate Enterprise 1.x or OfficeMate
8.x or below to 9.x, the default selection for the Box 24f Price
Charges drop-down menu is Product Fee; if your products and
services do not have fees assigned to them, then $0.00 appears in
box 24F on the CMS 1500 form.
Select Yes from the Include non-covered items on Claim radio buttons to
include items that are not covered under the plan on the claim form. Select No
to prevent items that are not covered from appearing on the claim.
Select provider or facility from the Box 31 Source drop-down menu according
to the plans requirements for box 31.
Select Location or Corp. from the Box 32 Print Address radio buttons to
print either the location’s address or the home office’s address.
Select Yes from the Box 33 Print Corporate Address radio buttons to print
the home office’s address on the claim. Select No to suppress the home office’s
address.
From the Box 33 Billing Entity drop-down menu, select the biller
information that should appear in box 33 on the CMS 1500.
In the Enter the number of Claim copies to print field, type the number
of copies of the claim form to print.
122 OfficeMate Home Office User’s Guide