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NCPDP Injury Page Explained

The nifty Injury Page displays information about a patient’s injury, including mandated claim information and associated contacts, such as adjustors, attorneys, PTP, etc.

You can manage injury information with these functions:

A. To edit injury information, click ‘Edit Injury’

B. To delete an injury, click ‘Delete’

C. To add a new bill or view existing bills for the injury, click ‘Bills’

D. To create a new RFA or view existing RFAs for the injury, click ‘RFAs’

E. To create a paper Second Review, click ‘Paper SBRs’

F. To upload documents to an injury, click ‘Documents’

G. To add injury notes, click the ‘Comments’ tab, type your comment, then click ‘Add’

H. To view claims administrator information, click ‘Claims Administrator Profile’

I. To add a Billing Mailing Address click ‘Add’

J. To view Injury History, click ‘Show Injury History’

K. To add contact information, click ‘Add Contact’

From the ‘Patient Page’, click on the patient’s injury

A. To edit injury information, click ‘Edit Injury’

Update, add or change injury information at any time.

B. To delete an injury, click ‘Delete’

Injuries with submitted Bills cannot be deleted.

C. To add a new bill or view existing bills for the injury, click ‘Bills’

This takes you to the List of Bills associated with an injury where you can also add new bills.

D. To create a new RFA or view existing RFAs for the injury, click ‘RFAs’

Create and track Requests for Authorization (RFAs) for each Injury. For help creating an RFA, see the Help Article Add / Submit RFA.

E. To create a paper Second Review, click ‘Paper SBRs’

To appeal improper reimbursements from before you joined DaisyBill is easy. Click ‘Paper SBRs’ to create and submit paper requests for Second Review (SBRs) for bills not originally submitted with DaisyBill. For more help, see the Help Article Create Paper SBRs.

Do not create paper SBRs for Bills originally submitted from DaisyBill.  

F. To upload documents to an injury, click ‘Documents’

Store injury documents such as Settlement Hearing Notifications or Declarations of Readiness for organized and easy access later. For more help, see the Help Article Add / Edit / Delete Documents.

G. To add injury notes, click the ‘Comments’ tab, type your comment, then click ‘Add’

Use Injury Comments to retain important information about the Injury.  For more help, see the Help Article Comments.

Injury Comments appear on all Bill Histories for all Bills (including future Bills) associated with the Injury.

H. To view claims administrator information, click ‘Claims Administrator Profile’

The Claims Administrator Profile displays:

  • Bill review companies associated with the claims administrator and contact information
  • Claim number patterns for the claims administrator
  • Request for Authorization Information

For more help, see the Claims Administrator Profile.

I. To add a Billing Mailing Address click ‘Add’

J. To view Injury History, click ‘Show Injury History’

Show Injury History displays the complete History of the creation and edits to the patient’s Injury.

K. To add contact information, click ‘Add Contact’

Contacts are organized by their role for easy reference.

You’re all set!

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