The BHPN report includes all the information the BHPN wants in their spreadsheet, including a way to identify Direct and Indirect time in a claim form. To do this, CentralReach uses POS codes or modifiers from the billing entries. Be sure to update authorizations if making two separate codes, one with the DI modifier for Direct time and IN modifier for Indirect time.
If using modifiers, DI and IN will populate the words Direct or Indirect, respectively, in column Z of the report. POS codes, such as H and O, will provide an independent setting for the vendor information. These are based on the Home Place of Service, where _H_ is designated as Home being the Place of Service. All other codes, including missing ones, will use _O_.
If only using POS, no modifiers will be used to provide an independent setting for the vendor information. POS Codes are based on the Office Place of Service, indicated by Indirect and _O_. All other codes, including missing ones, will use _H_.
To set up the BHPN/ESBA report:
- In the organization account’s Dashboard, click My Profile and select Settings.
- Or, in the Dashboard of the contact that is used for billing settings and billing information for timesheets and claims.
- Click Claim settings and scroll down to the Custom Identifiers section.
- Input the following four qualifiers in the drop-down under Qualifier, exactly as the BHPN has provided:
- the BHPN – Vendor ID (Direct) – the BHPN – Vendor ID (Direct)
- the BHPN – Vendor ID (Indirect) – the BHPN – Vendor ID (Indirect)
- the BHPN – Vendor Name (Direct) – the BHPN – Vendor Name (Direct)
- the BHPN – Vendor Name (Indirect) – the BHPN – Vendor Name (Indirect)
- the BHPN – Vendor ID (Telehealth) – the BHPN – Vendor ID (Telehealth)
- the BHPN – Vendor Name (Telehealth) – the BHPN – Vendor Name (Telehealth)
- Please note, the “Vendor ID” and “Vendor Name” should have been provided by the BHPN. If not, please contact the BHPN to acquire the vendor information.
- Add the IDs and Names under the Value and Notes columns, if any.
- Click Save new after each Qualifier.
- Repeat steps 2-5 for Employees and Clients.
- For employees:
- Input the BHPN – Rendering Provider ID – the BHPN – Rendering Provider ID
- Add the ID under Value and Notes, if any
- Click Save new
- For clients:
- Input Record Number – the BHPN Client Id
- Add the ID under Value and Notes, if any
- Click Save new
To download the BHPN/ESBA report:
- Navigate to the Billing module and select Billing.
- Click the Filters tab on the left-hand side.
- Or, click the funnel to expand the Filters panel.
- Click the Status drop-down and select Active Entries Only under the Entry Status drop-down.
- Check the billing entries being sent to BHPN.
- Click the cloud icon on the right-hand side and select CSV or Text next to the BHPN.
- Click Go to Files in the “Export” pop-up to view the file. The file will be generated and located in the Files module.
- Add missing information, if any, to the file.
- Missing information can be added manually to the file or updated in CentralReach, and re-downloaded.
Once the export report has been downloaded and corrected, the cell data can be copied and pasted directly into the BHPN Input sheet. Once the BHPN Input sheet and the rest of the workbook have been completed, submit via regular channels.
Please note, the BHPN Input spreadsheet does not permit users to input hours. For this reason, it is important that every appointment and its settings are correct and rounded to quarter hours.
