CPT Code

The CPT codes used for this particular encounter will be listed here. Click on the CPT code to edit it.

D1, D2, D3, D4

Select the Diagnosis for which the CPT codes have been added.

M1, M2, M3, M4

Select the modifiers for a diagnosis. You can select up to four.

Units

Enter the number of units

UOM

Select the Unit of Measurement

Charge($)

The charge per unit will be displayed here.

Total($)

The total will be displayed here

Status

Click in this box to change the status of the claim, select an option from the list.

Grouping

Claims can be grouped together in to categories or a claim can be separated from a group using this option.

Inclusion

If a claim has been grouped together, enter the SNo of the claim with which to be grouped.

Rem. Amt.($)

The Remaining amount will be displayed here

Adj. Amt.($)

Adjustments if any will be displayed here

Adj. Reason

If any Adjustment amount has been entered, please select a valid reason from the list provided.

Activity

You can Add or Edit Activity notes using the icons provided

CPT Code

The CPT code is repeated here for reference.

Remarks

You can enter any Payor remarks in this box.

Reverse

This option allows you to Reverse a payment posting and take back the amount.

RP

Displays the Rendering Provider; moving the mouse over the RP, will display the name of the Provider.

Source

Displays the source from where the claim has been made.

Local use (box 19)

This is reserved for local use as per HIPAA regulations; please leave it blank.

Acct. Date

Displays the accounting date for the line.

Delete

To delete the particular entry, click this button.