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How to configure Nhpies Integration in Cloudpital?

  • First click on Others =>Business unit 

  • Click on the edit action of  Business unit which we want to integrate with Nhpies

  •  Click on the Add on which is on the left side  => Nphies

  • We need to fill the following information that will be provider by Nphies

 

  • Then click on Billing =>Bill setting=>Nhpies Insurance 

  • We can search Patient by using Name and Mr no 

  • To check  Eligibility  there are two types .

  • When we select Discover there are no need to provide the Policy number ,Member id and Network 

  • But when we select Validation  then we need  Policy number ,Member id and Network 

  • Policy number and Network came from insurance company and Member Id came from Personal information 

  • Insurance Company will be automatically  loaded that is linked with the selected patient ,Provider name and Location name will be loaded from Nhpies configuration setting .

  • Here we can see all the  Eligibility we  recently checked  .

 

 

  • We can see the details of  Eligibility by clicking on  View action .

  • In Authorization first we have search the Patient , select the Appointment  and select the Case

  • When we click on Load after data all the details related to the Patient ,Appointment and Case will be automatically loaded and some of the fields are custom that we can change according to authorization request .

  •  Here we can view all Authorization Request 

  • Here we can view Claims request 

  • We can select any type from the drop down to get the latest status of any type request .

  • We can approve payment reconciliation request 

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