Patient Folder
- Review all aspects
of a patient's demographic profile and financial history with the practice - including
insurance coverage(s), archived insurance, notes, recalls, accounts receivable
and unapplied credits (patient credit balances).
- Link
to Appointment History screen to show upcoming, past, cancelled, and no-show appointments.
- Access
patient's ledger from the folder.

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image to enlarge

- elligence helps
ensure that all of the information necessary to create a clean claim is captured
at the earliest possible stage in the patient workflow process.
- Family
billing - easily identify a guarantor and/or insured parties for each billing
account. Each patient is assigned a unique account number, even if the patient
is linked in a Family Billing account.
- Generate
unique patient account numbers automatically, or the practice can assign their
own account numbers.
- Assign
financial class for each patient.
- Designate
primary (assigned) and referring physicians.
- Track
encounters, and associate them with diagnoses, referring doctor, authorization
number, and the like.
- Enter
patient notes, reminders and collection notes are easily.
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Co-Payments
- Apply co-payments
at the time of service, with a few keystrokes.
- Co-pays
that are collected at the time of service can be applied to the applicable E&M
charge once the charge is entered, or may be applied to the visit if the patient
is a member of a capitated plan.

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Ledger
- Instantly review
Open (unpaid), Closed (paid), and Unapplied (over-paid) transactions, on a line-item
basis.
- Show
charges on a line-item basis, along with all payments and adjustments associated
with them.

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image to enlarge
- Insert
notes to reflect insurance information, collections, on-bill notes, and internal
memos. Notes are displayed in chronological order, interwoven with the transactions/dates
of service to which they have been attached.
- Modify
transactions, or "drill down" for more information, just by double-clicking
on the item. This assumes the operator has been granted proper security access,
and that the transactions have not been locked into place as a result of a Period
Close), just double-click on the item and make the necessary changes.
For
more information, call us toll-free
(800)
809-3254
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Fee
Schedules, Capitation & Contract Management
- Unlimited
fee schedules for easy tracking of fees, costs, and allowed amounts by procedure.
- Unlimited
fee schedules for managed care.
- Coming
Soon: Analyze your contracts with detailed information about the fees
associated with capitated accounts, amounts actually paid by capitated payers,
and your practice's profit/loss from each capitated plan.

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Charge
Capture
- Automatically
identify allocation of financial responsibility at the point of service, so the
patient portion can be collected before the patient leaves the office.
- Patient
credit balances (unapplied credits) can be applied easily to co-pays and charges
at time of service, or at any point during the billing cycle.
- Procedures,
diagnoses, modifiers, authorization numbers, notes and other transaction-specific
information are entered on a line-item basis.
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Collections
& A/R Management
- Implement
an effective in-house collections effort, improve receivables and reduce the need
for outside collection agencies with a comprehensive set of collections and A/R
management tools.
- Archive
statements, so that you can reprint them or view them on the screen exactly how
they looked on paper to the patient - reduces the time it takes to resolve statement-related
issues with patients.

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image to enlarge
For
more information, call us toll-free
(800)
809-3254

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Payments
& Receipts Management
- Post
insurance and patient payments, as well as adjustments to a patient's account
- on line-item basis.
- Balance
batches easily by using running totals and totals by batch. Batch report may be
printed at any time.
- Automatically
calculate allowed amounts, based on Fee Schedules.
- Post
multiple payments, adjustments and transfers of financial responsibility simultaneously.
- Attach
notes to payments, adjustments and transfers of financial responsibility.
- All
unapplied credits on file are identified on a per-patient basis on an easily-accessed
report; hyperlinks in the report take the operator to each patient's Ledger, so
each credit can be processed.

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Document
Designer
Customize
and design your own insurance forms, statements, superbills, recall notices, marketing
mailings, surveys and other documents and correspondence.

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image to enlarge
- Work
with a number of pre-defined documents, including the CMS 1500 (formerly HCFA
1500), UB92 and a gallery of superbills and patient statements.

- Templates can
be created from pre-formatted templates that come with elligence (e.g., a standard
1500 or UB-92 form), based on other templates the practice has already created,
or from scratch.


Use
custom report capabilities with ODBC applications such as Microsoft Excel, Microsoft
Access, Microsoft Word and Crystal Reports, so you can export data from elligence
to templates in other software programs.

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