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Adding Provider Claims

A contract with a provider may specify that the provider is paid for each member visit or service. If so, providers or members may contact your company to initiate claims for payment. End users can use the Claims view to add claims for providers.

To add a provider claim

1. Navigate to the Providers > Providers List view.
2. In the Providers list, drill down on the desired provider.
3. Click the Claims view tab.
4. In the Claims list, add a record.
5. In the Add Claims dialog box, perform the appropriate task:
   • To choose an existing record, select a record and click OK.
   • To add a new record, click New and complete the fields.

     NOTE:  You can scroll down to the Claims form and complete additional fields.