{"id":16,"date":"2011-12-22T21:43:36","date_gmt":"2011-12-22T21:43:36","guid":{"rendered":"http:\/\/www.akron.duonglam.ca\/?page_id=16"},"modified":"2012-03-05T15:37:17","modified_gmt":"2012-03-05T15:37:17","slug":"entering-3rd-party-plans","status":"publish","type":"page","link":"https:\/\/www.akron.duonglam.ca\/?page_id=16","title":{"rendered":"Entering 3rd Party Plans"},"content":{"rendered":"<p>Nexxsys provides assistance with entering drug plans into the patient file.\u00a0 Press the help button for more information on how to enter a plan when in the patient&#8217;s\u00a0<strong>3rd Party<\/strong>\u00a0tabs.\u00a0 This will also provide a phone number for contacting the plan.\u00a0 For further information regarding error messages, refer to the individual payors.<\/p>\n<p>The following is the Nexxsys codes for each payor:<\/p>\n<ul>\n<li>Assure\/Telus: \u00a0AS<\/li>\n<li>Green Shield: GS<\/li>\n<li>Claim Secure: CS<\/li>\n<li>ESI\/Eclips: EP<\/li>\n<li>Ontario Drug Benefit\/ODB: DB<\/li>\n<li>Trillium: TR<\/li>\n<li>Nexgen: NG<\/li>\n<li>Intrim Federal Health Program: IF<\/li>\n<li>Indian Affairs\/Non-insured Health Benefits\/NIHB: IA<\/li>\n<\/ul>\n<div>Multiple Plans<\/div>\n<div>Often patient are covered by more than one drug plan.<\/div>\n<div>&#8211; Patient is Over 65yrs and has private insurance.<\/div>\n<div>\u00a0 \u00a0 \u00a0 ODB is always the first plan (#1). \u00a0Enter the private drug plan as a secondary plan. \u00a0All adjudication should go first to ODB then private insurance unless the prescription is not covered by ODB.<\/div>\n<div>&#8211; \u00a0Patient has own plan and spouse plan.<\/div>\n<div>\u00a0 \u00a0 \u00a0The patient&#8217;w own plan is the primary plan and the spouse&#8217;s will be the secondary. \u00a0For children, the parent who&#8217;s birth date is earlier (i.e the older parent) will be the primary payor.<\/div>\n<div>&#8211; \u00a0Payer assistant cards<\/div>\n<div>\u00a0 \u00a0 These card are entered exactly like a separate payor. \u00a0The should be the last payor adjudicated to.<\/div>\n<div>&#8211; \u00a0More than 2 plans.<\/div>\n<div>\u00a0 \u00a0\u00a0\u00a0In some occasions, patients will have 3 plans. \u00a0Some Payor (i.e Green Shield) will not adjudicate if they are entered as a 3rd payor. \u00a0If you run into problems, call the payor to check if adjudication is possible. \u00a0If not, patient will have to pay and submit the receipt manually.<\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nexxsys provides assistance with entering drug plans into the patient file.\u00a0 Press the help button for more information on how to enter a plan when in the patient&#8217;s\u00a03rd Party\u00a0tabs.\u00a0 This will also provide a phone number for contacting the plan.\u00a0<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.akron.duonglam.ca\/?page_id=16\">Read more &#8250;<\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":11,"menu_order":3,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-16","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/pages\/16","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=16"}],"version-history":[{"count":4,"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/pages\/16\/revisions"}],"predecessor-version":[{"id":111,"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/pages\/16\/revisions\/111"}],"up":[{"embeddable":true,"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/pages\/11"}],"wp:attachment":[{"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}