Add the Correct Gender Code to Claim Files

Overview

New changes add the correct patient gender information to claim files.

Generating and Printing Claims

A new Claim Value column has been added to the Genders Lookup Table. Values match the codes required for billing.

• F - Female

• M - Male

• U - Undefined (all other gender options)

Users with System Administrator privileges can now edit these values and other information on the table as needed. To access the Genders Lookup Table, open the Admin module (gears icon) and then select Lookup Table Management > Genders.

837-5010-P and 837-5010-I Claim Files

SMART now pulls gender information from the Claim Value column.

Additionally, SMART will no longer generate a claim for a patient who does not have a gender saved. SMART will prompt you save a gender for that patient on the Demographics tab in the Patient Information Management area.

UB04 Claim File

SMART now prints the Claim Value gender on the UB04 claim file. No changes have been made to the CMS - 1500 claim file.

New Gender Fields

A new gender field is available in both the Insured’s Info and Manual Billing Carrier tabs on the Insurance Coverage Information Screen.

Insured’s Info

• If the patient is the subscriber, the gender field automatically fills with the patient's gender provided in their demographics.

• If the patient is not the subscriber, a gender dropdown is available for selection.

Manual Billing Carrier (1, 2 and 3)

• If the patient is the subscriber, the gender field automatically fills with the patient's gender provided in their demographics.

• If the patient is not the subscriber, a gender dropdown is available for selection.