The Injury Page displays information about a patient’s injury, including mandated claim information and associated contacts such as adjustors, attorneys, PTP, and more.
You can manage injury information with these functions:
C. To view claims administrator information, click on claims administrator name
A. To edit Injury information, click the ‘Pencil’ icon in the upper right-corner of the section to edit
Update, add or change injury information at any time. For more information, see the Help Article: Edit / View Injury.
B. To delete an Injury, click the Trashcan icon
For more information, see the Help Article: Delete Injury / Patient.
Note: Delete is only enabled if the Injury does not have any Bills or RFAs.
C. To view claims administrator information, click the Claims Administrator Name
The Claims Administrator Profile displays:
- Bill review companies associated with the claims administrator and their contact information
- Request for Authorization Information
- Claim number patterns for the claims administrator
For more information, see the Help Article: Claims Administrator Profile.
D. To download a Facesheet, click ‘Facesheet’
This will open in a new tab on your browser, where you can download and print a PDF with patient, injury, and contact information.
E. To add a new Bill for the Injury, click ‘Add Bill’
You can add a bill directly from the Bill List breadcrumb, or from the ‘Add Bill’ button on the right side of the injury page. For more information, see the Help Article: Add Bill.
F. To view existing Bills for the Injury, click the ‘Bill Count’ breadcrumb
This takes you to the Bill Count associated with the Injury where you can also add new bills. For more information, see the Help Article: List of Bills Page Explained.
G. To create a new RFA, click ‘Add RFA’
Create and track Requests for Authorization (RFAs) for each Injury. For more information, see the Help Article: Add / Send RFA.
Note: This feature is only available for non-federal California Injuries
H. To view existing RFAs for the Injury, click the ‘RFA Count’ breadcrumb
This takes you to the list of RFAs associated with the Injury where you can also add new RFAs.
I. To add diagnosis codes to the injury, click ‘Add ICD-10 Code’
Diagnosis codes added on the injury level will appear on all subsequently created Bills and RFAs.
J. To add contact information, click ‘Add Contact’
Contacts are organized by their role for easy reference. For more information, see the Help Article: Add / Edit / Delete Contacts.
K. To add an Injury Note, click ‘Add Note’
Use Injury Notes to retain important information about the Injury. For more information, see the Help Article: Add / View Injury Notes.
Injury Notes can appear on all Bill Histories for all Bills (including future Bills) associated with the Injury.
L. To upload documents to an Injury, click ‘Add Document’
Store Injury Documents such as Settlement Hearing Notifications or Declarations of Readiness for organized, easy access later. For more information, see the Help Article: Add / Edit / Delete Documents.
M. To view Injury History, click ‘History’
History displays the complete history of the creation and edits to the patient’s Injury.
You’re all set!