Pre-Billing Checklist

Before you begin processing and billing claims in Claims Management, perform these tasks:

Completed Task

 

Set up provider information in Administration. For more information, see Setting Up Providers.

 

Set up claims information in Administration. For more information, see Setting Up Insurance.

 

Set up product information in Administration. For more information, see Setting Up Products & Services.

 

Set up and map procedure and diagnosis codes. Contact Eyefinity Customer Care.

 

If you are going to use the VSP interface to submit VSP claims, contact Eyefinity Customer Care to set up the VSP interface if it is not already set up.

 

If you are going to bill claims to or receive electronic remittances from Gateway EDI, contact Eyefinity Customer Care to set up the Gateway EDI interface.

 

Invoice orders that have insurance applied to them in Front Office. A claim for an order is created in Claims Management after the order has been invoiced.