CLAIMMASTER ARTICLE 28 DEMONSTRATION SYSTEM

Send your Lytec claims directly to insurance companies, bypassing Clearinghouse costs and headaches

ClaimMaster is flexible enough to handle the non-standard insurance issues for:

• NY Medicaid for Clinics
• NY Medicaid for Physicians, including secondary claims
• NY Empire Medicare
• NY GHI  Medicare
• NY Blue Shield, including secondary claims
• NJ Medicare

PLUS pre-process 835 Remittances so Lytec can Auto-post

Install a demonstration Article 28 system with Lytec 2007 using the following instructions:

Click here to download a ClaimMaster System

Demo Lytec Data backup for 2007 The database is clinicTutorial and the password is system1.

Installation Instructions:

1. Double Click the ClaimMasterDemo.exe that you just downloaded (If that does not work, you can download a zipped install instead here)
2. Click the "Setup" button.
3. Choose Next to start the installation.
4. Choose Yes to the license agreement.
5. Fill in the license information.
   • Enter your company
   • Enter your name
   • Enter the license: DEMO-0000
   • Note: DEMO is all characters and 0000 is all numbers
     
6. Keep pressing <ENTER> to accept all the defaults until it says finished
   
   • You may need to choose a folder to install your forms. It is best to install them in the same folder as all your other Lytec forms.

Basic Use of the Demo, using sample claim files:

• Double click ClaimMaster or choose it from the program menu.
• Enter the password: new
• Choose "settings" menu option, and then choose "Open Practice"
• Choose C:\Program Files\OctagonSystems\ClaimMaster\claimsdata\demo
• Choose the "file" menu option.
• Choose "create new insurance from template"
• Double click "clinic medicaid"
• Click "OK"
• Change the following fields: Enter your company name wherever it asks <CO> or <Enter your company name>. Where it says <FIND THE DIRECTORY THAT HAS YOUR MEDICAID.INP FILE>, please navigate to your Lytec program folder (often c:\program files\lytec2007). Enter your contact, phone and etin. Change your locator default to a 3 digit number. Enter your rate code and choose SAVE.
• Choose "settings" menu option, and then choose "Select insurance".
• Double click on the clinic insurance you just created.
• (In Lytec, print a claim to edi_medicaid or to edi_medicaid_sec with the include payments box checked)
  
• Choose the file menu option, and then choose Select Lytec File.
• Double click on medicaid.inp
• Choose the run menu option, and then choose process.
• Hit <ENTER> to accept defaults until it says finished.
• Choose the view menu option, and then choose valid claims and then just press <ENTER>.
• You may need to allow script to be processed. If your browser indicates it is blocking script when the page opens, please right click on that message to choose unblock.
  
• Choose the send/receive menu option, and then choose the first option available. It will be different depending upon the insurance company you chose. You will then be stopped by not having an account with the insurance company.

Advanced Use of the Demo, connecting to your Lytec system:

• Set up your Lytec system:
  1. In Lists / Insurance, be sure your insurance type is properly set, (i.e. Medicare or Medicaid).
  2. Print a claim to either edi_medicaid or edi_emp_medicare forms.
• Set up ClaimMaster to look at your system.
• To define an insurance carrier:
  1. choose File / Create New Insurance or Table from Template.
  2. Double click on the template you want. (i.e. physician medicaid or empire medicare)
  3. Type the practice name before the insurance name and then click ok.
  4. Follow the instructions on the screen to enter your practice information, and choose OK. (Note: Be sure to set the Lytec Data Directory properly by choosing the browse button and navigating to the folder that holds the form you just printed in Lytec. Please call 516-747-2362 if you have difficulty with this step.)
  5. To choose that new insurance, choose settings and then "select insurance" and then double click the insurance. You should see the name of your insurance at the top of the screen.
• To process that insurance claim:
  1. Choose File / Select Lytec Billing File and then double click on the medicaid or medicare.inp file.
  2. Choose Run / and then Process. If process is not an option, you may not have properly set your insurance type in Lytec. Choose ok to process and then see whether your claim was invalid. Choose ok again.
  3. Choose View / Valid (or invalid) claims and then press enter. It will launch Internet Explorer to view the report.
  4. If you were continuing, you would package the claim for transmission into an easy to find spot on the computer using the Send/Receive menu. (The demo creates a transmission file with some missing segments.)
     

This is just a small view of the ClaimMaster functions. There are many more options and ways of customizing this product for all situations for all insurances. You can view the user manual.

ClaimMaster will also pre-process 835 ERAs returned from the insurance companies, so that Lytec can read them.

Contact:
516-747-2362 or krpepper@octagonsys.com
28 Charles Street * Williston Park, NY 11596