Definitions Flashcards
Enterprise Registration. Holds the basic patient,
guarantor account and coverage data.
Prelude
Scheduling. Schedule and check in visits. Collect
visit‐specific data
Cadence
Billing for professional services. UB and CMS
claim forms available.
Resolute Professional Billing
Using an integrated set of tools to send
statements and follow‐up on those self‐pay
balances. Requires the use of an encounter‐
specific account ﴾HAR﴿ in both HB ﴾called a
hospital account﴿ and PB ﴾called a visit account﴿.
Single Billing Office
Person/entity responsible for self‐pay balances
One statement per guarantor account
Guarantor/ Guarantor Account
Payer + Plan + Subscriber
Insurance
Whose name the coverage is in
Subscriber
Anyone covered by the subscriber’s insurance
Member
which coverage to bill
for this visit and in what order
Visit Filing Order
Created when the encounter is checked in
Encounter Form Number
Created when the encounter is created
Contact Serial Number (CSN)
Estimates the
amount to be billed, as well as the amount of self‐pay that will be outstanding for a particular visit or set
of services. Often automatically created based on orders associated with a visit
Patient Estimates
