| CMN Expires | The date the CMN will expire and billing should be halted. This allows you to stop a claim from being printed until you receive the proper documentation from the patient’s physician.
Note: An expired CMN will not stop an order from posting but will stop a claim from being printed. If this is the initial CMN, you should enter the starting date of service to recognize that a CMN is required but has not been received. |
| Note Type | Choice of 4 different note types:
1. CMN form. |
| Note | Note number from the Customer Edit, Comments tab.
Note: When you indicate an item requires a CMN or a Narrative, the documentation window appears in the drop down. You will need to select a document or print a document for this item. Once you have selected a document, it’s document number appears for the number. Note: If a CMN is attached, then clicking on the ellipse button will open the CMN document and allow the user to enter information from the CMN. |
| PAR Expires | The date the Prior-Authorization (PAR) expires and billing should be halted. This allows you to stop an order from being shipped until you receive the proper authority’s approval to supply the item.
Note: An expired PAR will not stop an order from being entered but will stop a delivery ticket (Batch) from being printed and will not allow the item to be posted to claims. Note: If this is the initial order, you should enter the starting date of service to recognize that a PAR is required but has not been received. |
| Prior Authorization | Enter the prior authorization number for this line item if items have different prior authorization numbers. |
| DOC Expires | User-Defined Documentation. The date you would like the billing halted. This allows you to stop a claim from being printed until you receive any documentation you may require to continue service.
Note: An expired DOC will not stop an order from posting but will stop a claim from being printed. Note: If this is the initial DOC, you should enter the starting date of service to recognize that a DOC is required but has not been received. |
| Reserved for Local Use | Miscellaneous field, used to print 24K on the CMS-1500 form for certain payors. |
| PO Order | If you created a Purchase Order from this Medical Order, then the Purchase Order will appear here. |
| Salesperson | The Salesperson who gets credit for this Line Item. |
| Narrative | Text to be submitted electronically as the Narrative.
Note: This field overrides the Narrative in any CMN/Narrative attached to this Line Item. Note: Narrative is limited to 80 characters by the ANSI 5010 format. |
| Paperwork Attachment | Choose the type of paperwork you want to attach to this line item. Choose how you will send the paperwork, fax or mail. |
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