The Open Negotiations Form allows users to print an Open Negotiation Form (OMB 1210-0136) directly from the claim screen so that providers who are out-of-network can enter open negotiations with the insurance company to determine the amount that the insurance company will pay for emergency services.
Select Claim > Claim.
Use the Search field to search for your claim.
Place a check in the “Show exact matches only” box to search for exact matches or “Show unpaid claims only” to show claims that may need follow-up.
Place a check in the “Show exact matches only” box to search for exact matches or “Show unpaid claims only” to show claims that may need follow-up.Open the claim.
Click the Print button.
Select Open Negotiations Form.
Enter the Signer's relationship to the office.
Enter the out-of-network rate offer to the desired percentage of the total amount and click Set.
Optional: You can also Enter/Edit the Offer for Total Out-of-Network Rate column for each individual service line.
Click
Click Save. Otherwise, click Close.
