- Patient Details
- Appointment Details Section
- Claim Details Section
- Add Tariff Section
- Surgical Assistant and Out-of-Province Billing
- More Claim Examples
How to create a New Claim:
Within the Manitoba Health section select the New Claim button.
The Claims window will display: (click the image for a larger view)
Patient Details Section
Type-to-search the name of the Patient and select from the drop-down options.
When you select a name their details will auto-populate.
If necessary, select the drop-down arrow next to the patient's name to edit or clear the fields.
Appointment Details Section
Doctor: The Doctor name will auto-populate based on the login.
Clinic: The Clinic will auto-populate based on the login.
If it does not, select it from the drop-down options.
Appt Date: The appointment date will auto-populate to the present day.
Otherwise, select to adjust the appointment date.
ICD-9 Description: Do not enter a code here, as it will applied in the Add a Tariff Section
Claim Details Section
Type: Will default to Claim. *Altering this option will result in a rejected claim.
Referred by: Start typing the name of a Practitioner and select from the drop-down options.
Radiologist: Start typing the name of a Radiologist, (this pulls from the 'Contacts' list).
Hospital: Start typing the name of a Hospital and select from the drop-down options.
** If you would like to set up a default Hospital in your Practitioner Profile, please inform your Juvonno representative.
If there is a specific Hospital missing from the search, please inform your Juvonno representative.
Claim Type: As per Manitoba Health please leave this field as the default 'blank' choice, unless you are confident in your selection. If the Claim Type is incorrect it will result in a rejected claim.
Location: Select from one of the options in the list.
** If you would like to set up a default location, please inform your Juvonno representative.
Confidential: Select Yes or No.
Comments: Enter additional comment text if applicable.
Add Tariff Section
Start Date/Time: Enter the Start date and (if applicable) time.
End Date/Time: Enter the End date and (if applicable) time.
Start and end Time when working overnight
When creating claims working overnight, you will create 2 claims, 1 on each day.
First claim - Appointment Date April 1, 2020 - End time will be 2400.
Second claim - Appointment Date April 2, 2020 - Start time will be 0001.
Specialty: This will auto-populate based on what is in the Practitioner Profile, Specialty Tab.
**To adjust, add/remove a default specialty please inform your Juvonno representative.
Tariff: Start typing a Tariff# and select from the quick results or select Search to find all results. Only tariffs relating to your specialty and those that do not have a default specialty will appear for selection.
Once you select the Tariff it will auto-populate the field as well as begin the calculations.
Toggling the Assistant checkbox, or selecting from the Anaesthetist/Second Anaesthetist drop-down will adjust the prefix to 0, 4 and 6 respectively. When ready to proceed, select Add and the Tariff will be added to the claim and display at the bottom of the page.
ICD-9 Code: Start typing an ICD code and select from the results found. If you require a list of ICD codes you can locate them at https://icd.codes.
Name: Once you select the Tariff a field will be displayed with the name auto-populated
Qty: This field will default to 1. Edit when necessary to multiply the total.
Base Fee: This fee will auto-populate once you have selected the Tariff (above).
Total: The total will auto-populate once you have selected the Tariff (above).
Copy Previous Claim: If you have already created a claim for a Patient and the claim details will be the same you can simply enter the Patient name on a blank claim and select the Copy Previous Claim option and the details will auto-populate. Edit as required. This option will not display without a patient selected.
When you have completed the claim select Save.
Surgical Assistant Billing
When billing for a surgical assistant, select the checkbox, enter in a base fee (manually calculated) and add the tariff to the claim. The total will match the manual base fee.
When you create a new patient, be sure to select the correct Province from the drop-down options located at the end of the Health Care # field. Enter the correct Health Care #, there will not be a PHIN #.