Incoming Delivery Log Template The Children s Hospital Epic by hko20175

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									 The Children's Hospital                         Epic                                            Passed
                                             Summer 2005                                          Failed
Test Case Description                Claims General Processing                              Not Executed
Application: (Rx, CD etc)                       Resolute                                         Tester:
Component: (See tab)                             Claims
                    Date:                    9/13/2005
                          Testing environment has been currently
         Pre-Requisites:
                          refreshed from production
                          Tester should have an idea of what the claims
      Extra Instructions:
                          should look like
                        1. User must have access to Epic text
                        2. User must have access to Epic hyperspace
          Dependencies:                                 3. User
                        must have access to FTP files      4. User
                        must have access to Premis test
          Patient Name:
            Patient Sex:
            Patient Age:
           Department:
                 HAR #:
             Insurance: All



       Test Day                                Instructions                    Expected Result             Pass or Fail   Comments
                            Access Epic text in the testing environment
                            select Resolute and login with your username
                            and password
                            Select the Claims Menu
                            Select Process Claims
                            Tab until you get to Accept/Edit/Cancel and Claims should process
                            enter A for accept and return                 depending on volume
                                                                          this might take some
                                                                          time
                            Select Claim Run Report from the Claims       This will display the
                            Menu and enter a ?                            claims runs that are
                                                                          sitting out there that
                                                                          have not been accepted
                                                                          yet
                            The most recent claim run should be the one
                                                                          You will see each CDF
                            you just fired off you will see a date stamp
                                                                          used in the claims
                            and the person's name who kicked it off just
                                                                          processing along with a
                            by seeing that you will know that claims have
                                                                          count and dollar amount.
                            processed
                            In the Claim Run field enter the claim run
                            number associated with your particular claim
                            run and hit enter
                            Return through the Report Detail Option field
                            In the Printout to field enter the device        The report should print.
                            number you want to print the report out to ie;   The accounts listed on
                            90                                               this report will be used
                                                                             to check claims in
                                                                             Hyperspace.
                            Log into Epic Hyperspace test environment
                                                                             This will bring up the
                            Select Account Maintenance                       hospital account select
                                                                             screen
Using the claim run report that was printed        You will see a list of the
earlier enter an account number in the             accounts you entered in
Account field. Do this with several different      the Selected Accounts
accounts listed on that report so that you         section of that screen.
have a random sampling of claims to view.
                                                   You will be taken into
Once you have all your accounts entered say
                                                   Account Maintanence
about 20 or so click on the Accept button
                                                   You will be taken to the
Click on the Liability Bucket Info tab             liability bucket info
                                                   screen
In the Insurance Buckets section of the            This will bring up menu
liability bucket info screen left click on the 1   options
which is to the left of the + sign
                                                   This will take you to the
Select View Claim                                  claim source infromation
                                                   screen.
                                                   This will take you to
Click on the Claim Image tab
                                                   claim image
Review the claim image to make sure it looks       The claim should look as
correct                                            expected
Once you are done reviewing the claim click
on Exit Workspace to get back to account
maintanence
Select the next account to review by clicking
on either the Prev Acct or Next Acct arrow.
The arrow you need to click on will be blue
that will take you to the next account. Then
follow the same steps to review the claim
image.
Do this for all the accounts you entered in the All the claims should as
account selection screen.                       expected.
Log back into Epic text again.
Select the Claims Menu
Select Create Electronic Claim File
Enter the claim run number that you used
earlier when you ran the claim run report.
Enter until you get to the
Accept/Edit/Cancel field and enter A to
accept
In the Electronic Forms field enter all and
return. Make a note of the file name for later
ie: claims3183209141528prd.txt
                                                This will create the 837
Return through the Send Claims to File field electronic claims files
and return                                      that are uploaded to
                                                Premis
Using an application such as SSH Secure File    This will store the
Transfer connect to the test environment and electronic claim file on
from the /tchstuff/claims directory transfer your local pc
the electronic claim file you just created to
your local machine
You must have access to the Premis test
to complete the following steps.
Copy the electronic claim file and paste it to   This puts the file on the
the following directory                          Premis server.
G:\Premis\Sites\Download
Log into the Premis Test database                Make sure that you are
                                                 in the test database by
                                                 looking at the lower
                                                 right corner of the
                                                 screen it will say test.

Select Process
Select Auto List Processing from the drop
down menu
Select Testing 837 File and hit Ok             This will begin the
                                               download of the
                                               elcentronic claim files
                                               into Premis.
                                               The majority of the
The main thing you want to check here is that claim should be
the claim are mostly accepted into the system. accepted rather then
                                               rejected.
Testing is complete you can now move on to
the specific claim CDF test scripts.
       Component
Accounts
Activities
Adjustments
Admissions
Allergies
Application
Administration
Appointment Desk
Appointment Entry
Audit Trail
Bed Management
Benefits
Care Plans
Charges
Charting
Charts (HIM)
Check In/Check Out
Claim Coding
Claim Configuration
Claim Information
Claim Information
Claim Processing
Clinical References
Confirmation and
Verification
Contracts
Conversions
Data Synchronization
Decision Support
Deficiency Tracking
Discharge
Dispensation
Documentation
Updates
ED Manager
Emergency
Department
Encounters
Enterprise Billing
Event Management
Extracts
Flowsheets
General
Histories
Hospital Outpatient
HTML Displays
HTML Tables
Hyperspace
Administration
Images
Import
Incoming
Transcription Interface
Interactions
Interventions
Item Groups
Labor and Delivery
Letters
Map (ED)
MAR
Master Files
Medical Necessity
Checks
Medicare Secondary
Payor
Medications
Messages
Navigators
Notes
Order Sets
Order Transmittal
Orders

Patient Demographics
Patient Desk
Patient Education
Patient Lists
Patient Lookup
Patient Management
Patient Merge
Patient Unmerge
Payments
Print Groups &
Reports
Printing
Providers
Questionnaires
Referral Entry
Release Requests
Remittance Codes
Remittance
Processing

Reporting Workbench
Reports
Results
Review
Rule Builder
Scheduling
Security
SmartSets
SmartTools
Staff and Resources
Standard Interfaces
Third Party Products
Track Board
Transactions
Transcriptions
Transfer
Utilities
Workqueues

								
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