Insurance
Submitted by Guest on Sat, 10/08/2019 - 09:26
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
- provides gap claim support
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