How to Submit a IFHP Bluecross Claim | Scribe

    How to Submit a IFHP Bluecross Claim

    • Verismo Health |
    • 17 steps |
    • 24 seconds

      Registering the Patient

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      Tip: The Bluecross Provider ID is already auto-populated in your EMR system, but if you forget, check the description of the Whatsapp staff group for the ID.
      1
      Manually register the patient, entering their UCI number into the health insurance # and set the health card type to Other.
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      In the patient's reason for appointment, type IFHP anywhere to indicate this is an IFHP visit
      2
      Scan in IFHP Form of Patient into Patient Documents, do not accept anything that does not look like the two photos below. They must also provide 1 piece of photo ID (passport or drivers license) and there must be a UCI number on the forms.
      3
      Alert Doctor that Patient is under BlueCross and inform Doctor to complete the "Blue Cross Claim Form" in the eForms section of the EMR.
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      If you have been informed by Verismo Health that a physician at your clinic is using their own IFHP provider number, please let the physician know to use the "Blue Cross Claim - Provider ID" eForm which populates their own Bluecross number instead of the "Bluecross Claim - Clinic ID" which populates our Clinic ID number. If they use the "Provider ID" form, do NOT bill the visit inside our system as the clinic will not receive the funds from this bill.

      Have Provider Complete eForm

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      If this is the first time your provider is filling the eForm, please guide them on the steps below
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      Make sure the provider completes all fields marked in red: - Fee code - If it is a time based code like K005A, K013A ... make sure the unit of time is marked in - The ICD9/10 diagnostic code (3-digit from ClinicAid) or the medical diagnosis itself written out, if MD isn't sure the dx code 799 can be used - The amount of the claim, it is the exact value of OHIP - The mathematical total of the claim - Provider signature - Patients signature (have the patient e-sign the form)
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      When the provider is done filling the form, they should press Submit so it is saved to the patient's chart.
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      To fax this to BlueCross:\ Click "E"\ Click on the "Blue Cross Claim - Clinic ID" eForm\ Scroll down\ Click on Providers "1. IFHP, Bluecross" and click "Add Provider"\ Click "Fax"
      To fax this to BlueCross:\ Click "E"\ Click on the "Blue Cross Claim - Clinic ID" eForm\ Scroll down\ Click on Providers "1. IFHP, Bluecross" and click "Add Provider"\ Click "Fax"

      Logging the IFHP claim on ClinicAid

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      Click "B " on Patient
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      Make sure to Select Private
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      Click "Code" and enter respective code according to the eForm (e.g. A007A), if it is a custom code outside of the OHIP list of codes as dictated by the physician (e.g. ODSP form etc.) use the private code VH82, which is for Blue Cross - Custom Amount, and enter the amount (default is set to $0)
      10
      Click "Dx Code" and enter Diagnostic Code on the eForm, if the Doctor provided only the name of the diagnosis try to search it up here (it is not critical you find the exact name), if you used VH82, you can leave this field blank.
      11
      Click "Add"
      12
      Click "Save and View"
      13
      Click " Add Payment"