Getting every information right about the patient is the key to a successful claim. Patient Demographics entry is a critical step avoiding a lot of back-tracking and errors in the claims process. The task demands an eye for perfection and accuracy, as it determines the actual reimbursement of Healthcare provider for the services rendered.
With a common exception for emergency treatment, a patient’s insurance details are verified upon entering the physician’s clinic or hospital for treatment. The patient demographic sheet or fact sheet is filled by the patient or someone close to the patient. This fact sheet is transmitted electronically. We ensure that the fact sheet has all the details in order to facilitate a timely reimbursement of the treatment fee.
PATIENT DEMOGRAPHICS ENTRY SERVICES FROM QWAY WILL CAPTURE
Patient name and ID#, Gender, Marital Status, Email, Date of Birth, Social Security Number, Contact number, residential address and office address.
GUARANTOR / ACCOUNT DETAILS
Guarantor Name, Date of Birth, Phone number of Work and Home with their respective Address details.
Insurance Identification Number, Name and address of the Insurance company, Group name/ group number, Details of the policy and policy effective date and termination, policy number, Name of the insured, Date of Birth and the relationship of the insured to the patient.
frequently asked questions
What is patient demographic entry?
Patient Demographic entry is the basic information of the patient filled in the health insurance claim. It will contain things like Name, age, Insurance ID number, SSN, location and so on.
What is included in the demographic information?
Any patient demographic information will have the following details. Patient details, Insurance details and Guarantor details. Patient details are Name, SSN number, DOB, gender, marital status,address for communication, official email id and contact number. Insurance details are Insurance company name, Insurance number,policy start and end date, financial class and the relationship between the patient and the guarantor. The Guarantor details are guarantor name, SSN number, DOB, gender, marital status,address for communication, official email id and contact number.
What information is included in medical records?
Medical records contains all the details relating to the patient that is mentioned in the demographic entry. Additionally the patient’s medical history, tests undertaken, the medical results, the treatment and the medicines given. Medical records is one of the key documents . It helps the doctors to understand the condition of the patient for future treatments
Why are patient demographics important?
Patient demographics is an important part of medical claims. Lot of claim denials happen because wrong input of patient details. In some cases the claim gets delayed in correcting this information. There is a separate article on the topic “Why patient demographics entry is crucial for medical claims” which will explain you in detail on its importance.
What does EHR and EMR stand for?
EHR stands for Electronic Health Records and EMR stands for Electronic Medical Record. EMR is the patient’s medical and treatment history in digital format. On the other hand, EHR refers to all the details mentioned in the EMR plus in depth details of the patients. It focuses more on the well being of the patient. You can know the difference between EHR and EMR by going through the article by HealthIT.gov