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HMO patients and claims

Check the card, get the LOA, file the claim on the bill, then move it along weekly until paid.

Who
Front desk, Owner
When
At each HMO bill, then every week
Where
the billthen HMO claims
  1. 1

    Before treatment: on the patient record check the card under HMO cards is current (valid-until date), and get the LOA or approval number from the HMO.

  2. 2

    At billing: on the bill under Bill an HMO for this choose the HMO, type the Amount claimed and the LOA number, tap File HMO claim. The patient's balance drops by the covered amount.

    invoice
    invoice
  3. 3

    Send the HMO its paperwork: their form plus the bill PDF from Download bill.

  4. 4
    MoreHMO claims

    Weekly on HMO claims: tap Approved when the HMO agrees, Mark paid when the money lands. Denied? Tap Denied; the patient's balance goes back up and you bill them.

    hmo
    hmo
  5. 5

    Chase anything over 30 days on the ageing card. Note who you spoke to on the patient's record.

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Answers from this guide, in plain English. Usually under a minute.

It only knows what is in this guide and never sees patient records. Not answered? Search or message the J.A.H team.