1. Your system insurance default must be set to 100% coverage.
2. Telus only allows primary insurance billing through Juvonno.
3. Sunlife and Manulife do not provide Predeterminations, you are unable to select "Check Coverage" for these insurance companies. When you are submitting claims for these 2 insurers you will bypass the Check Coverage option and go right to the Complete and Invoice option.
NOTE: Telus is currently experiencing a problem with Great West life. You are temporarily unable to use the Check Coverage option until they fix the issue on their end it could be in October 2018.
4. You are able to confirm the submission by checking directly on the Telus portal. It could take up to 24 hour for the submission to be visible.
5. Telus bills Primary insurers only. You can accept payment from patients for balances owed that Primary insurers don't cover.
When the patient has completed their appointment, click on the appointment block and select the "Check Coverage" option. (**GWL Check Coverage option temporarily unavailable).
If you are not using the "Check Coverage" option select "Complete and Invoice".
a. Check Coverage Option
The system Predetermination popup will show 100% of the total invoiced. Select the Terms & Conditions box then select Submit.
The second popup shows the amount being approved. If there is no coverage the Approved Amount will show $0.00 .
If there is partial coverage the details will indicate the portion covered by Telus and the portion owed by the patient.
The example below shows a split invoice where the patient will owe a portion.
Select the "Generate PDF" button if you would like to see the insurance Form with approval details. You are able to print the form. Close the popup.
b. Complete & Invoice Option
From the schedule select Complete & Invoice where you will see under the Insurance field that the coverage is with Telus. Select Checkout.
You will receive a Submit Claim popup. Confirm to send 100% to Telus by selecting the Submit button.
On the Submit Claim popup, select the Terms and Conditions check box.
The patient appointment block on the schedule will indicated "Billed" at this point in the process.
Telus will respond immediately with the total amount covered.
Again you will have the option to generate a PDF.
If there is a percentage owed by the patient, you will then be able to accept payment from the patient.
The example below shows the split between the insurance company the patient portion.
Select Collect Balance Owing.
You will then get the Receive Payment popup where you can select the method of payment you are collecting from the patient.
The invoice will indicate Telus for the portion covered by the insurance.
Go to Reports and select the Day End option. The Telus item will appear on this report.
Open the Patient Profile, go to History, Invoices. The item will appear as paid and the invoice will indicate what portion is paid by Telus.
a. Destination Error
You may get a Telus response showing "Destination Error". There is an option to Retry Submission. We suggest you wait about 1 minute and try to submit the claim again. If you get the same message you are able to select "Void". This will void the transaction in Juvonno. We suggest when you do this that you log into the Telus portal and try to submit the claim manually. There may be an instance where the claim actually did go through. If you are notified the claim has already been submitted, you can pay the claim off manually in Juvonno.
To bill the patient manually click the appointment block on the schedule and select "Re-Invoice", deselect the Telus checkbox and bill the patient manually.
When you go through the Telus portal you may receive a Pending prompt meaning the claim has not been approved or declined. You will have to submit these types of claims directly through the Telus portal and pay them manually on Juvonno.
c. Voiding a claim in Telus
You are able to void a claim on Juvonno by 12:00 midnight Eastern Standard Time on the day you submitted the claim.
1. If you are using the Practitioner Commissions feature in Juvonno REFUND the item do not Void the item.
2. History of claims submitted through Juvonno will not not appear on the Telus portal. Only claims submitted through the Telus portal directly will appear.
d. Destination Errors
You may get a Telus response showing "Destination Error". There is an option to Retry Submission. We suggest you a wait about 1 minute and try to submit the claim again. If you get the same message you are able to select "Void". This will void the transaction in Juvonno. We suggest when you do this that you log into the Telus portal and try to submit the claim manually. There may be an instance where the claim actually did go through. If you are notified the claim has already been submitted, you can pay the claim off manually in Juvonno.