Other Providers

The Other Providers screen allows for the viewing and recording of other providers, bills and payments in the case.

Structure of This Page

Other Providers Table

The other providers table lists information for all other service providers associated with this case The information included in this table includes:

 

  1. Name of plaintiff associated with this service provider

  2. Name of service provider

  3. Type of service provider

  4. First date of service associated with this provider

  5. Last date of service associated with this provider

  6. Number of service visits with this provider

  7. Total bill amount for the provider

  8. Comments associated with this service provider

 

Adding a Provider

By clicking the Add Other Provider button, the following information can be indicated:

 

  1. Name of plaintiff associated with this provider

  2. Name of service provider

  3. Name of contact at service provider’s office/facility

  4. Type of provider

  5. Number of visits to/by this provider

  6. First date of service associated with this provider

  7. Last date of service associated with this provider

  8. Comments associated with this service provider

 

Bills Sub-Table

The bills sub-table lists information for all bills associated with this service provider. The information included in this table includes:

 

  1. Bill number

  2. Billing account number

  3. Amount of bill

  4. Negotiated amount of bill

  5. Date bill was submitted

  6. First date of service associated with this medical bill

  7. Last date of service associated with this medical bill

  8. Balance of this medical bill

  9. Comments associated with this bill

Adding a Bill

By clicking the Add Bill Details button, the following information can be indicated:

  1. Bill number

  2. Billing account number

  3. Amount of bill

  4. Negotiated amount of bill

  5. First date of service associated with this bill

  6. Last date of service associated with this bill

  7. Date bill was submitted

  8. Comments associated with this bill

 

Payment/Adjustment Sub-Table

The payment/adjustment sub-table lists information for all payments and adjustments associated with this service provider. The information included in this table includes:

 

  1. Information regarding the bill associated with this payment/adjustment

  2. Date claim was submitted

  3. Date payment/adjustment was made

  4. Payee

  5. Collateral source of payment/adjustment

  6. Amount of payment/adjustment

  7. Indication of adjustment

  8. Comments associated with this payment/adjustment

 

Adding a Payment/Adjustment

By clicking the Add Payment/Adjustment button, the following information can be indicated:

 

  1. Selection of bill associated with this payment/adjustment

  2. Collateral source of payment/adjustment

  3. Date claim was submitted

  4. Date payment/adjustment was made

  5. Payee

  6. Amount of payment/adjustment

  7. Indication of adjustment

  8. Comments associated with this medical payment/adjustment

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