MA Patient Pay Override

Use this procedure to add or override a previously authorized patient pay segment.

Process Steps:

Note: this process is only enabled if eligibility has already been run and Patient Pay was determined at least once prior to eligibility.

  1. Click Eligibility in the Left Navigation menu, then click Patient Pay Search.

  2. Enter a Case # .

  3. Enter an EDG#.

  4. Select an Eligibility Period.

  5. Click Search.

 

To override Patient Pay for the selected eligibility period:

  1. Enter the Begin Date.

  2. Enter the End Date.

  3. Enter the Patient Pay Amount.

  4. Select an Override Reason.

  5. Click Add.

  6. Click Submit to record the change and trigger a Notice of Obligation. The VaCMS will use the new value for the Patient Pay periods.

 

Workers must enter the Patient Pay details for all segments covered in the Eligibility period. Otherwise the following error message appears: “Enter the Patient Pay details for all segments under the selected Eligibility Period to proceed.”

Note: As Patient Pay override value supersede system generated results, carefully review Patient Pay segments before submitting an override request.

 

Results of the Procedure:

You have successfully overridden the Patient Pay details.

Updated: 10/03/2016