Insurance

OpenVPMS can:

• manage policies and insurance claims for individual patients
• submit insurance claims to insurers managed by PetSure VetHub.
• email insurance claims
• print insurance claims
• use insurer specific claim forms

Policy and Claims

• Policies and insurance claims are managed via the Patient - Medical Records - Insurance window.
• If a patient has an insurance policy, it will be displayed in the patient summary.
• The status of all claims can be monitored via Reporting - Insurance.
• If a patient has a policy, the user will be prompted to make a claim against that policy at Check Out

PetSure VetHub

PetSure VetHub provides online claims support.

This enables the status of claims to be automatically updated.

See Online insurance claims with PetSure VetHub for more details.

Email Claims

Claims can be submitted via email. The email will contain:

• the claim summary i.e. customer and patient information, and the policy number
• invoices being claimed
• the patient history

Print Claims

Claims can be printed, for insurers that don't support online submission.

Insurer Claim Forms

For insurers that receive claim via email or post, OpenVPMS includes a default insurance claim form.

For insurers that have specific form requirements, the Insurer has a Claim Form field. This should be assigned a Document Template with Type set to  Insurance Claim - Custom.

For an example template, see the default claim form at: <OPENVPMS_HOME>/reports/Patient/Insurance/A4/Insurance Claim.jrxml