To review and correct R&B billing errors, we must review the patient’s LOC/Facility record. We will follow the steps below to review the record, make changes, and the refresh the claim to capture those changes.
- Verify the Room and Board Insurance
- Open the patient record and verify that the Room and Board Insurance Carrier has been added
- Verify that the “Bill for R&B” checkbox has been checked on the correct carrier

- If the carrier is not present, you can add it by typing in the red “POLICY” box and using the Blue plus to add the carrier and Policy Information

- Verify the LOC/Facility Entries
- Go to the LOC/FACILITY tab and review the entry for the Nursing Home entry by choosing the “Edit” option using the blue gear

- Verify that the “Bill R&B” Yes option has been selected
- Verify that the “Rate” & “Patient Portion” entries
- Verify that the Insurance Carrier has been selected from the dropdown list
- Then click OK to save the updated entries

- Go to the LOC/FACILITY tab and review the entry for the Nursing Home entry by choosing the “Edit” option using the blue gear
- Refresh the claim
- Open the Claims Management Widget on the Home screen and Go to the “NOT SENT” tab.
- Fill in the fields to match the Payer Type, Date Range, Patient, select the “Room and Board Only” checkbox, and the OK to Refresh the Claim
- You can verify that the claim properly created by searching this same “NOT SENT” tab after Refreshing the claim.

- Verify the Room and Board Insurance
