Prolis Billing
Prolis offers a comprehensive billing tools, all integrated with the clinical side of it. Means no manual data entry for billing purpose, all the data is taken from the clinical side of Prolis. A laboratory can bill to its Client (Client Billing), an Insurance Company, Medicaid/Medicare (Third Party Billing) and to a Patient (Patient Billing). All billing tools provide above 3 choices.
Instant Procedure:
a) Select a recurring day (Billing Day) to do the billing, after determining that all the accessions within the period to be billed (covered period), have been finalized and reported.
b) On a billing day perform the synchronization for the covered period, using the Synchronization tool under the Billing AR menu -> Synchronize Data. Run this tool separately for Client Billing, Third Party Billing and the Patient Billing. It is discouraged to run the tool for All Billing Types.
c) Locate the Billing Editor tool by hovering Billing AR menu -> Billing -> Billing Editor and invoke.
d) On the Billing Editor, Select the desired Billing Type 
(default) or 
or 
.
(default) or or .e) Select the covered period you synchronized the data for in step b, using the 
and the 
fields.
and the fields.f) Click the Hollow Triangle button 
. All the target Bilee's will be displayed in the field located on the right of this button.
. All the target Bilee's will be displayed in the field located on the right of this button.g) You may deselect and/or select any of the displayed billee's. By default all are selected. Click the solid triangle button 
to pull all target accessions. The system will display the total records within the navigation control 
. The first record will have its detail displayed.
to pull all target accessions. The system will display the total records within the navigation control . The first record will have its detail displayed.h) Click the Charge Detail Tab. Look at the ST column of the Charge Detail grid, displaying either 
(ready to bill) or 
(reject to bill). If all the grid rows (line items) display , move forward to the next step i) or else resolve the rejection reason by correcting it until all the line items display the . Common reasons are the missing diagnosis code (Dx), Dx not compatible with the CPT code being billed (Medical Necessity issue), missing the CPT code, missing provider's NPI, missing patient's address or the billing price as zero. These validating elements can be updated in the Payer Management.
(ready to bill) or (reject to bill). If all the grid rows (line items) display , move forward to the next step i) or else resolve the rejection reason by correcting it until all the line items display the . Common reasons are the missing diagnosis code (Dx), Dx not compatible with the CPT code being billed (Medical Necessity issue), missing the CPT code, missing provider's NPI, missing patient's address or the billing price as zero. These validating elements can be updated in the Payer Management.i) Click the select All button located under the charge detail grid on the right side 
. It will place a check mark in the FN column, next to the 'ST' column of the charge detail grid. Place a check mark by clicking the 'Bill Now' checkbox 
and finally click the save changes button 
at the top row of the Editor. The billed accession should display like 
and ST column of the charge detail grid like 
this.
. It will place a check mark in the FN column, next to the 'ST' column of the charge detail grid. Place a check mark by clicking the 'Bill Now' checkbox and finally click the save changes button at the top row of the Editor. The billed accession should display like and ST column of the charge detail grid like this.j) Within the Navigation control, click the 'Next' button to navigate to the next accession. Repeat the steps h and i.
to navigate to the next accession. Repeat the steps h and i.k) Keep repeating the step j until all the accessions within the editor are billed.