Waiting for Personal Injury Billing

Your office accepts third part personal injury billing. You may not want to create a bill (HCFA form) until the care is complete.

Since TPS2000 is an “intuitive” billing programming, it is difficult to make it STOP billing. There are a couple of suggestions that we can make.

1. TPS2000 will try to create a bill if there is an amount due on the carrier side of the ledger. So, you could, for the third party patients, create a policy that defaults to 0.00% putting the entire amount due on the patients side. As long as the services are 100% Patient Responsible, no HCFA form will be created. Then, when the case settles and you are ready to create your bill, go to the CLAIM for this patient, to the Visit Info/Misc Tab and put a check mark “4” in the Bill Carrier for All Services >0.00 field. You will then be able to create a HCFA for these services.

2. The second solution will be to use one of the Carrier Types to designate your Third Party carriers. (NOTE: if an insurance company could handle both personal injury protection (PIP or Med Pay) as well as Thrid Party you would need to create this carrier TWICE, once for the PIP and once as the Third Party). Next type all of your Third Party carriers as, for example, U2 (User Designated 2). Now, when you bill your carriers, instead of selecting SELECTED CARRIERS you will choose SELECTED CARRIER TYPES and select ALL except the U2.

CAUTION: If you decide to use option number 2, please be sure that ALL CARRIERS IN YOUR LIST HAVE BEEN TYPED. If you setup a new carrier and do not give it a carrier type, then, when billing using carrier types, TPS2000 will ignore any carrier that has not been typed.