MedCard Division

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The MedCard System Terminal Prompting
MedCard Division 1767 Veterans Highway, Suite 6 ?
Islandia, New York 11749 ? Tel [phone] ?
Fax [phone] www.medcard.com
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WELCOME TO YOUR PERSONAL CLAIMS PROCESSING,
BENEFIT VERIFICATION, ELECTRONIC REFERRAL AND
PATIENT SELF-PAY SYSTEM
YOU CAN NOW CHECK PATIENT ELIGIBILITY, SEND
REFERRALS, PROCESS CLAIMS AND COLLECT
SELF-PAYALL AT THE TIME OF SERVICE
THE TERMINAL IS CUSTOMIZED FOR YOUR PRACTICE. BY
FOLLOWING THE BASIC STEPS, THE TERMINAL CAN
PROCESS ALL OF THE DATA IN LESS THAN ONE MINUTE.

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BENEFIT VERIFICATION/MEDICAL ELIGIBILITY
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MedCard
ELIG./REFERRAL EASY-PAY CLAIMS
PAYMENT YOUR PRACTICE NAME Date Time
PRESS ELIG./REFERRAL
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MedCard
ELIGIBILITY CLAIM STATUS NEW REFERRAL
SERV. AUTH. VIEW REFERRAL
Press ELIGIBILITY
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MedCard
01 MedCard Prudential 10 15
CIGNA OXFORD AETNA/USHC
SELECT INSURANCE COMPANY
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PLEASE NOTE THAT THE ELIGIBILITY PROMPTING VARIES
BY INSURANCE COMPANY
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MedCard
ENTER PROVIDER ID
- - - - - - - - - DR TABLE

SELECT PROVIDER FROM DR. TABLE
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MedCard
Provider 1 Provider 3 Provider 2
Provider 4 Provider 5 More
SELECT AND PRESS PROVIDER NAME FROM THIS SCREEN.

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MedCard
ENTER FIRST DATE OF SERVICE
- - - - - - - - -
ENTER PATIENT FIRST DATE OF SERVICE
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MedCard
ENTER PATIENT ID
- - - - - - - - -
ENTER PATIENT ID OR SWIPE CARD
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MedCard
ELIGIBILITY MedCard DIALING
NOW
YOUR PATIENTS ELIGIBILITY IS NOW BEING CHECKED.
PLEASE WAIT FOR THE NEXT SCREEN.
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MedCard
ELIGIBILITY MedCard PROCESSING
NOW
YOUR PATIENTS ELIGIBILITY IS NOW BEING PROCESSED
DIRECTLY FROM THE CARRIER. PLEASE WAIT...
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THE TERMINAL NOW PRODUCES A PRINTOUT Eligibility
is completed!
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ELECTRONIC REFERRALS
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MedCard
ELIG./REFERRAL EASY-PAY CLAIMS
PAYMENT YOUR PRACTICE NAME Date Time
PRESS ELIG./REFERRAL
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MedCard
ELIGIBILITY CLAIM STATUS NEW REFERRAL
SERV. AUTH. VIEW REFERRAL
Press NEW REFERRAL
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MedCard
Prudential 15 CIGNA
OXFORD AETNA/USHC
SELECT INSURANCE COMPANY
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PLEASE NOTE THAT THE REFERRAL PROMPTING VARIES BY
INSURANCE COMPANY
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MedCard
ENTER PCP ID
- - - - - - - - - DR TABLE

SELECT PROVIDER FROM DR. TABLE Primary Care
Physician
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MedCard
Provider 1 Provider 3 Provider 2
Provider 4 Provider 5 More
SELECT AND PRESS PROVIDER NAME FROM THIS SCREEN.

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MedCard
ENTER SCP ID
- - - - - - - - - DR TABLE

SELECT PROVIDER FROM DR. TABLE Specialty Care
Physician
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MedCard
Provider 1 Provider 3 Provider 2
Provider 4 Provider 5 More
SELECT AND PRESS PROVIDER NAME FROM THIS SCREEN.

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MedCard
INITIATING PROVIDER PCP SCP

SELECT PCP OR SCP
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MedCard
ENTER DIAGNOSTIC CODE _
_---.--
ENTER DIAGNOSTIC CODE
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MedCard
ENTER PROCEDURE CODE
-----.--
ENTER PROCEDURE CODE
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MedCard
ENTER MEMBER ID
- - - - - - - - -
ENTER PATIENT ID OR SWIPE CARD
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MedCard
DATE OF BIRTH MMDDYYYY
ENTER PATIENT DATE OF BIRTH
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MedCard
RELATIONSHIP CODE 01 SELF SPOUSE
18 DEPENDENT CHILD
SELECT RELATIONSHIP CODE
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MedCard
NUMBER OF VISITS ---
ENTER NUMBER OF VISITS
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MedCard
ELIGIBILITY MedCard DIALING
NOW
YOUR PATIENTS REFERRAL IS NOW BEING CHECKED.
PLEASE WAIT FOR THE NEXT SCREEN.
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MedCard
ELIGIBILITY MedCard PROCESSING
NOW
YOUR PATIENTS REFERRAL IS NOW BEING PROCESSED
DIRECTLY FROM THE CARRIER. PLEASE WAIT...
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THE TERMINAL NOW PRODUCES A PRINTOUT REFERRAL
AUTHORIZATION is now completed!
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CLAIM STATUS
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MedCard
ELIG./REFERRAL EASY-PAY CLAIMS
PAYMENT YOUR PRACTICE NAME Date Time
PRESS ELIG./REFERRAL
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MedCard
ELIGIBILITY CLAIM STATUS NEW REFERRAL
SERV. AUTH. VIEW REFERRAL
Press CLAIM STATUS
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MedCard
01 MedCard Prudential 10 15
CIGNA OXFORD AETNA/USHC
SELECT INSURANCE COMPANY
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PLEASE NOTE THAT THE CLAIMS STATUS PROMPTING
VARIES BY INSURANCE COMPANY
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MedCard
ENTER PROVIDER TAX ID
- - - - - - - - - DR TABLE

SELECT PROVIDER FROM DR. TABLE
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MedCard
Provider 1 Provider 3 Provider 2
Provider 4 Provider 5 More
SELECT AND PRESS PROVIDER NAME FROM THIS SCREEN.

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MedCard
ENTER FIRST DATE OF SERVICE
- - - - - - - - -
ENTER PATIENT FIRST DATE OF SERVICE
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MedCard
ENTER LAST DATE OF SERVICE
- - - - - - - - -
ENTER PATIENT LAST DATE OF SERVICE
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MedCard
ENTER PATIENT ID
- - - - - - - - -
ENTER PATIENT ID OR SWIPE CARD
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MedCard
RELATIONSHIP CODE 01 SELF SPOUSE
18 DEPENDENT CHILD
SELECT RELATIONSHIP CODE
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MedCard
BILLING CHARGE 000.00
ENTER DOLLAR AMOUNT BILLED TO CARRIER
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MedCard
DATE OF BIRTH MMDDYYYY
ENTER PATIENT DATE OF BIRTH
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MedCard
ELIGIBILITY MedCard DIALING
NOW
YOUR CLAIM STATUS IS NOW BEING CHECKED. PLEASE
WAIT FOR THE NEXT SCREEN.
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MedCard
ELIGIBILITY MedCard PROCESSING
NOW
YOUR CLAIM STATUS IS NOW BEING PROCESSED DIRECTLY
FROM THE CARRIER. PLEASE WAIT...
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THE TERMINAL NOW PRODUCES A PRINTOUT CLAIM
STATUS is completed!
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SERVICE AUTHORIZATION
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MedCard
ELIG./REFERRAL EASY-PAY CLAIMS
PAYMENT YOUR PRACTICE NAME Date Time
PRESS ELIG./REFERRAL
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MedCard
ELIGIBILITY CLAIM STATUS NEW REFERRAL
SERV. AUTH. VIEW REFERRAL
Press SERV. AUTH.
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MedCard
01 MedCard Prudential 10 NY
MEDICAID AETNA/USHC
SELECT INSURANCE COMPANY
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PLEASE NOTE THAT THE SERVICE AUTHORIZATION
PROMPTING VARIES BY INSURANCE COMPANY
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MedCard
ENTER PROVIDER ID
- - - - - - - - - DR TABLE

SELECT PROVIDER FROM DR. TABLE
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MedCard
Provider 1 Provider 3 Provider 2
Provider 4 Provider 5 More
SELECT AND PRESS PROVIDER NAME FROM THIS SCREEN.

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MedCard
ENTER PATIENT ID
- - - - - - - - -
ENTER PATIENT ID OR SWIPE CARD
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MedCard
ENTER FIRST DATE OF SERVICE
- - - - - - - - -
ENTER PATIENT FIRST DATE OF SERVICE
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MedCard
ENTER SPECIALTY CODE --
ENTER SPECIALTY CODE FROM LIST
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MedCard
ENTER PROCEDURE UNITS
---
ENTER THE NUMBER OF UNITS-DEFAULT IS 1
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MedCard
PRESCRIPTION UNITS --
DEFAULT IS 1
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MedCard
CO-PAY TYPE? --
DEFAULT IS 1
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MedCard
ELIGIBILITY MedCard DIALING
NOW
YOUR SERVICE AUTHORIZATION IS NOW BEING CHECKED.
PLEASE WAIT FOR THE NEXT SCREEN.
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MedCard
ELIGIBILITY MedCard PROCESSING
NOW
YOUR SERVICE AUTHORIZATION IS NOW BEING PROCESSED
DIRECTLY FROM THE CARRIER. PLEASE WAIT...
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THE TERMINAL NOW PRODUCES A PRINTOUT SERVICE
AUTHORIZATION is completed!
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MedCard Claims ProcessingSelecting a Patient
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MedCard
ELIG./REFERRAL EASY-PAY CLAIMS
PAYMENT YOUR PRACTICE NAME Date Time
TO IDENTIFY YOUR PATIENT IN THE SYSTEM START BY
PRESSING ELIG /REFERRAL. THIS TAKES YOU TO YOUR
NEXT SCREEN.
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MedCard
01 MedCard
NOW PRESS 01 MEDCARD TO CONTINUE.
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MedCard
ELIGIBILITY MedCard
Patient MedCard Id - - - - - - - - - - -
PREV NEXT
NOW ENTER YOU PATIENTS MEDCARD ID. THIS CAN
BE FOUND ON THE PATIENT PROFILE LIST PROVIDED BY
MEDCARD
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MedCard
ELIGIBILITY MedCard DIALING
NOW
YOUR PATIENTS MEDCARD ELIGIBILITY IS NOW BEING
CHECKED. PLEASE WAIT FOR THE NEXT SCREEN.
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MedCard
ELIGIBILITY MedCard PROCESSING
NOW
YOUR PATIENTS MEDCARD ELIGIBILITY IS NOW BEING
PROCESSED. PLEASE WAIT...
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MedCard
DEMOGRAPHICS OF THE PATIENT
CONT.
HERE ARE THE DEMOGRAPHICS ON THE PATIENT YOU
SELECTED. (IF THIS IS THE WRONG PATIENT PRESS
CANCEL). PRESS CONTINUE.
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MedCard
1 INSURANCE CARRIER.1 2 INSURANCE
CARRIER.2 Select a Carrier BACK
CANCEL
NOW SELECT THE PRIMARY INSURANCE CARRIER
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MedCard
ELIGIBILITY TRANSACTION
COMPLETE
YOUR PATIENT IS NOW ENTERED INTO THE TERMINAL.
PRESS CANCEL FOR THE NEXT SCREEN.
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MedCard Claims ProcessingProcessing the Claim
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MedCard
ELIG EASY-PAY
CLAIMS PAYMENT PRACTICE
NAME Date Time
PRESS CLAIMS TO BEGIN PROCESSING
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MedCard
NEW REVIEW CLAIM
CLAIM EDIT
PRINT CLAIM
CLAIM BATCH
DELETE
CLAIM
NOW PRESS NEW CLAIM TO CONTINUE.
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MedCard
PATIENT - Select One MORE
SELECT YOUR PATIENTS NAME FROM THIS SCREEN. IF
ITS NOT THERE, PRESS MORE.
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MedCard
ENTER PROVIDER ID - -
- - - - DR TABLE PREV NEXT
PRESS DR TABLE TO SELECT A DOCTOR.
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MedCard
Provider 1 Provider 3 Provider 2
Provider 4 Provider 5 More
SELECT AND PRESS PROVIDER NAME FROM THIS SCREEN.

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NOTE---The terminal prompting is customized for
each practice. Your prompts may vary slightly
from the following.
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MedCard
ENTER DIAG CODE 1 - - - . - -
DIAG TABLE PREV
NEXT
FOR EACH OF THE DIAGNOSTIC CODES ON YOUR PATIENT,
ENTER THE CODE OR SELECT A CODE FROM THE DIAG.
TABLE...THEN PRESS NEXT.
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MedCard
ENTER PROC CODE 1 - - - - - . - -
- - PROC
TABLE PREV NEXT
ENTER PROCEDURE CODE OR SELECT CODE FROM PROC.
TABLE. PRESS NEXT.
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MedCard
SELECT DIAG. CODE
1 CODE PREV
SELECT THE DIAGNOSIS CODE THAT CORRELATES TO
PROCEDURE CODE
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MedCard
PROCEDURE DATES FROM DATE MMDDYY 090199
- - - - - - PREV NEXT
TODAYS DATE OF SERVICE IS ON THE SCREEN. IF THIS
IS THE CORRECT DATE OF SERVICEPRESS NEXTIF NOT,
TYPE IN NEW DATE AND PRESS NEXT
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MedCard
PROCEDURE DATES TO DATE MMDDYY 090199
- - - - - - PREV NEXT
TODAYS DATE OF SERVICE IS ON THE SCREEN. IF
THIS IS THE CORRECT DATE OF SERVICEPRESS NEXTIF
NOT, TYPE IN NEW DATE AND PRESS NEXT
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MedCard
PLACE OF SERVICE 99 - - PREV
NEXT
THE PLACE OF SERVICE IS SET AT 99 FOR THE DOCTORS
OFFICE. (ADDITIONAL PLACES OF SERVICE CAN BE
CUSTOMIZED FOR EACH TERMINAL) PRESS NEXT
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MedCard
ENTER UNIT/DAYS 01 - - PREV
NEXT
SET AT 01, UNLESS CHANGED BY THE USER PRESS NEXT
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MedCard
SERVICE CHARGE 50.00 - - - -
50.00 PREV NEXT
PROC. CODES SELECTED FROM THE PROC. TABLE, WILL
AUTOMATICALLY HAVE FEESALL OTHERS, TYPE FEE IN.
PRESS NEXT.
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MedCard
ENTER PROC CODE 2 _ _ _ _ _ - _ _ _
_ PROC
TABLE PREV NEXT
IF YOU PERFORMED MORE THAN ONE PROCEDURE ON YOUR
PATIENT, ENTER IT HERE(UP TO 6 PROCEDURES PER
CLAIM) FOLLOW THE SAME STEPS AS PROC. 1 AND
PRESS NEXT.
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ADDITIONAL PROMPTING

• Hospital Admission Date
• First Consult Date
• Disability Date
• Onset (X-Ray) Date
• Similar Illness
• Hospital Discharge
• Recovery Date

• Return to Work
• Disability Type
• Was it an Emergency
• Outside Lab

• NOTE-These are standard HCFA 1500 questions.
  Each terminal prompting will be customized based
  on the Doctor Practice. Not all terminals will
  have all prompts.

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MedCard
TOTAL CHARGES 50.00 PREV NEXT
THESE ARE THE TOTAL CHARGES FROM ALL PROCEDURES
PRESS NEXT
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MedCard
AMOUNT PAID 10.00 PREV NEXT
TYPE IN THE AMOUNT THE PATIENT PAID PRESS NEXT
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MedCard
BALANCE DUE 40.00 PREV NEXT
THIS IS THE BALANCE DUE. (TOTAL CHARGE MINUS
AMOUNT PAID) PRESS NEXT.
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MedCard
ACCEPT ASSIGNMENT? YES NO PREV

-PRESS YES to ACCEPT ASSIGNMENT PRESS NO IF YOU
DO NOT ACCEPT
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MedCard
MedCard REFERRAL ID - - -
- - - PREV NEXT
ENTER UPIN OF PCP. IF NONE... PRESS NEXT TO
CONTINUE.
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MedCard
MedCard AUTHORIZATION NUMBER - - - - -
- - - - - - - - - - - - - - - - - - - - PREV
NEXT
ENTER AUTHORIZATION NUMBER (IF NECESSARY) THEN,
PRESS NEXT.
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MedCard
PRINT Claim YES NO

IF YOU WANT A COPY OF THIS Claim, PRESS YES. IF
YOU DONT, PRESS NO.
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You have just processed a claim!
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MedCard Claims ProcessingSending the Claims
(To be done when all claims are completed)
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MedCard
ELIG EASY-PAY
CLAIMS PAYMENT PRACTICE
NAME Date Time
PRESS CLAIMS
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MedCard
NEW REVIEW CLAIM
CLAIM EDIT
PRINT CLAIM
CLAIM BATCH
DELETE
CLAIM
NOW PRESS BATCH . TERMINAL WILL AUTOMATICALLY
DIAL AND PRINT CLAIM TRANSACTION LOG
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You have just sent all your claims for processing!
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Additional Prompting

• Edit Claim
• Review Claim
• Print Claim
• Delete Claim
• All of the directions for these Claim key prompts
  can be found in your User Guide

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PATIENT EASY-PAY
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EASY-PAY

• EASY-PAY ALLOWS PHYSICIANS TO OFFER FLEXIBLE
  PAYMENT PLANS FOR THEIR PATIENTS.
• THE TERMINAL MANAGES THE PAYMENT SCHEDULES FOR
  EACH PATIENT AND REMINDS THE PHYSICIAN WHEN TO
  SEND UP PAYMENTS FOR AUTHORIZATION.

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MedCard
ELIG./REFERRAL EASY-PAY CLAIMS
PAYMENT YOUR PRACTICE
NAME Date Time
PRESS EASY-PAY
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MedCard
EASY-PAY New Tran.
Maint Menu Review Trans. Main
Menu
PRESS New Tran.
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MedCard
Provider 1 Provider 3 Provider 2
Provider 4 Provider 5
SELECT AND PRESS THE PROVIDER NAME FROM THE LIST.

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MedCard
Reference Number
1000
PRESS ENTER TO ACCEPT THE REF. , OR TYPE IN A
NEW ONE AND PRESS ENTER.
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MedCard
Patient Last Name
--------------------------
TYPE IN THE PATIENTS LAST NAME. (YOU DO NOT HAVE
TO HOLD DOWN THE SHIFT KEY TO TYPE IN ALPHA
CHARACTERS.)
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MedCard
Patient First Name
--------------------------
TYPE IN THE PATIENTS LAST NAME. (YOU DO NOT HAVE
TO HOLD DOWN THE SHIFT KEY TO TYPE IN ALPHA
CHARACTERS.)
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MedCard
Not to exceed amount
0.00
ENTER THE AMOUNT NOT TO EXCEED BASED ON THEIR
PAYMENT TYPE ONE TIME, RECURRING, ANNUAL.
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PAYMENT TYPES

• ONE TIME - Enter the total amount not to be
  exceeded for the one visit.
• ANNUAL - Enter the total amount not to be
  exceeded for each visit during the next year.
• RECURRING - Enter the total amount to be exceeded
  over the set time period. (Monthly, Semi-monthly,
  or Weekly)

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MedCard
Swipe Customer Card
or Enter Card Number

SWIPE OR ENTER THE CARD NUMBER THAT WILL BE USED
FOR PAYMENT.
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MedCard
Type of Transaction One
time Recurring
Annual
SELECT THE TRANSACTION TYPE THAT WILL BE USED FOR
PAYMENT.
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NEW CONSENT RECORD

• ONCE A TRANSACTION TYPE IS CHOSEN, A NEW CONSENT
  RECORD WILL BE PRINTED.
• THE PATIENT SIGNS THE CONSENT RECORD, AND IT
  SHOULD BE PLACED IN THE PATIENTS RECORD.

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MedCard
ELIG./REFERRAL EASY-PAY CLAIMS
PAYMENT
x Payments
Due Date Time
WHEN PAYMENTS BECOME DUE, A REMINDER WILL APPEAR
ON THE MAIN MENU SCREEN.
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PAYMENTS DUE

• PAYMENTS DUE CAN BE SENT UP INDIVIDUALLY FOR
  PROCESSING, OR THEY CAN ALL BE SENT UP FOR
  PROCESSING.
• PHYSICIAN NEEDS TO MAKE SURE THAT AN APPROVAL WAS
  RECEIVED FOR ALL PAYMENTS.
• (NO SIGNATURE IS REQUIRED.)

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MedCard
ELIG./REFERRAL EASY-PAY CLAIMS
PAYMENT

Date Time
TO VIEW AN EXISTING CONSENT RECORD, PRESS
EASY-PAY.
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MedCard
EASY-PAY New Tran.
Maint Menu Review Trans. Main
Menu
PRESS REVIEW TRANS.
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MedCard
CARDHOLDER NAME PATIENT NAME REFERENCE NO.

ALL
SELECT ONE OF THE METHODS TO PULL UP A CONSENT
RECORD.
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MedCard
JOHN DOE Amount not to exceed Date of next

Payment AUTHORIZE
MODIFY DELETE
PRINT Date
Ref
ONCE THE CONSENT RECORD IS SELECTED, IT CAN BE
AUTHROIZED, MODIFIED, DELETED, OR PRINTED.
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REPORTS

• Audit
• Summary
• EASY-pays Due
• EASY-pays All
• Providers
• Claims
• (Audit Summary reports can be done for
  individual providers or for all providers.)

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