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Billing Process


EHR Driven Billing The billing process for accounts with the electronic health records is as follows:

  1. Begin with creating a patient encounter by checking in a scheduled patient.
  2. From Provider Dashboard or Find Patient, select a patient encounter to open, and open encounter.
  3. Click Diagnosis and select one or more diagnosis.
  4. Click Orders and select the CPT or HCPCS procedures, E&M, or medications to be charged.
  5. Click Superbill and select an E&M code and finalize the claim.
  6. Click Billing and the biller then can open the claim through Claim Management or Add Claim.
  7. The claim is then reviewed.
  8. The claim is then assigned to a batch.
  9. The claim is finalized.
  10. The batch is then sent at the end of day or any time or printed to a HCFA 1500 form or exported to a file for manual upload to a clearinghouse.
  11. Any errors will be sent back by the clearinghouse or insurer.
  12. All adjustments and payments are sent back electronically or mailed back as a COB or EOB.
  13. The patient owes amount is automatically entered.
  14. A patient invoice can then be printed for the patient.
  15. Patient payments can be made by cash, check or credit card.

Superbill Driven Billing The billing process for accounts that want to use the superbill to create claims is as follows:

  1. Begin with creating a patient encounter by checking in a scheduled patient.
  2. Click Find Patient, select a patient encounter to open, and click the Superbill button.
  3. Click Diagnosis and select one or more diagnosis.
  4. Click Orders and select the CPT or HCPCS procedures, E&M, or medications to be charged.
  5. Click E&M code to select an E&M and finalize the claim.
  6. Click Billing and the biller then can open the claim through Claim Management or Add Claim.
  7. The claim is then reviewed.
  8. The claim is then assigned to a batch.
  9. The claim is finalized.
  10. The batch is then sent at the end of day or any time or printed to a HCFA 1500 form or exported to a file for manual upload to a clearinghouse.
  11. Any errors will be sent back by the clearinghouse or insurer.
  12. All adjustments and payments are sent back electronically or mailed back as a COB or EOB.
  13. The patient owes amount is automatically entered.
  14. A patient invoice can then be printed for the patient.
  15. Patient payments can be made by cash, check or credit card.

Claims Driven Billing The billing process for accounts that want to use Claim Management to create claims is as follows:

  1. Begin with creating a patient encounter by checking in a scheduled patient.
  2. Click Find Patient, select a patient encounter to open, and click the Superbill button.
  3. Click Diagnosis and select one or more diagnosis.
  4. Click Orders and select the CPT or HCPCS procedures, E&M, or medications to be charged.
  5. Click E&M code to select an E&M and finalize the claim.
  6. Click Billing and the biller then can open the claim through Claim Management or Add Claim.
  7. The claim is then reviewed.
  8. The claim is then assigned to a batch.
  9. The claim is finalized.
  10. The batch is then sent at the end of day or any time or printed to a HCFA 1500 form or exported to a file for manual upload to a clearinghouse.
  11. Any errors will be sent back by the clearinghouse or insurer.
  12. All adjustments and payments are sent back electronically or mailed back as a COB or EOB.
  13. The patient owes amount is automatically entered.
  14. A patient invoice can then be printed for the patient.
  15. Patient payments can be made by cash, check or credit card.

Claims Driven Billing The billing process for accounts that want to use Claim Management to create claims is as follows:

  1. Create an appointment and check the patient in.
  2. Click Billing and the biller then can open the claim through Claim Management or Add Claim.
  3. The claim is then reviewed.
  4. The claim is then assigned to a batch.
  5. The claim is finalized.
  6. The batch is then sent at the end of day or any time or printed to a HCFA 1500 form or exported to a file for manual upload to a clearinghouse.
  7. Any errors will be sent back by the clearinghouse or insurer.
  8. All adjustments and payments are sent back electronically or mailed back as a COB or EOB.
  9. The patient owes amount is automatically entered.
  10. A patient invoice can then be printed for the patient.
  11. Patient payments can be made by cash, check or credit card.
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Billing Dashboard UP Billing Setup

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