- 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:
Under the Manitoba Health section select the New Claim button.
The Claims window will display.
Patient Details Section
Patient Name: Start typing the name of the Patient. Select from the Patient Name 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 the appointment date.
ICD-9 Description: 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.
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: Select from one of the options in the list, note that the default option 'In Office' will not submit if a Hospital is entered in.
- If you are not sure what be entered in this field, please contact the MB Health Claims Unit at 204.786.7355 so they can advise you what should be entered. If the Claim Type is incorrect it will result in a rejected claim.
- If the appointment is not being performed out of a "Hospital" such as a Centre or a Clinic, leave this field set to "Blank".
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 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.
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 move to the left side of the page directly below the ICD-9 code line.
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 Last 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 Last Claim option and the details will auto-populate. Edit as required.
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 #.