PES Manual PES Manual, PDF version
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HIPAA Transactions
Equipment Requirements
Installation Types
Autorun CD
Individual PC Installation
Network Installation »
Opening PES
Initial Logon »
Setting Up Options »
Using the Keyboard
Using the Mouse
PES Main Window
Menu Bar
Command Buttons
Screen-Specific Command Buttons »
Correcting Errors
Exiting from Forms
Exiting from PES
Lists to Build »
Preloaded Lists
Working with Lists »
Lists »
Dental »
Professional »
Institutional Inpatient »
Institutional Nursing Home »
Institutional Outpatient »
WI Medicaid & Other Insurance»
WI Medicaid & Medicare »
WI Medicaid & Medicare Managed Care »
Other Insurance & Medicare on the Same Claim
Reporting Other Insurance or Medicare Denials
Copying Batch Forms
Retreiving Batch Responses
Viewing Batch Responses
Viewing Communication Logs
Detail Reports
Summary Reports
List Reports
Archive
Restore Archive
Database Recovery »
Get Upgrades
Passwords »
Security »
Web Password Reset
Forgotten Password
Options
Installation Notes
Password Rules
Setting Your Password
Registration Enrollment
Batch Tab
Web Tab
Retention
Other Insurance Screen Buttons
Service Screen Buttons
Service Adjustment Buttons
List Appendix
Adding Codes to a List
Deleting Codes on a List
Admission Type
Admit Source
Carrier
Client
Condition Code
Diagnosis
Modifier
Occurence
Other Insurance Reason Code
Other Provider
Patient Status
Place of Service
Policyholder
Procedure/HCPCS
Provider
Revenue Code
Trading Partners
Type of Bill
Value Code
Completing New Claims
Correcting Errors on Claims
Submitting New Claims
Resubmitting Claims »
Adjusting Paid Status Claims
Voiding Claims
Completing New Claims
Correcting Errors on Claims
Submitting New Claims
Resubmitting Claims »
Adjusting Paid Status Claims
Voiding Claims
Completing New Claims
Correcting Errors on Claims
Submitting New Claims
Resubmitting Claims »
Adjusting Paid Status Claims
Late Billing for Claims
Voiding Claims
Completing Claims
Correcting Errors on Claims
Edit All Feature
Submitting New Claims
Resubmitting Claims »
Adjusting Paid Status Claims
Late Billing for Claims
Voiding Claims
Completing New Claims
Correcting Errors on Claims
Edit All Feature on Claims
Submitting New Claims
Resubmitting Claims »
Adjusting Paid Status Claims
Late Billing for Claims
Voiding Claims
Compact Database
Repair Database
Unlock Database
Changing Passwords
Security Maintenance
Reporting Other Insurance Payments
Medicare Paid at the Header Level
Medicare Paid at the Detail Level
Medicare Managed Care Paid at the Header Level
Medicare Managed Care Paid at the Detail Level
Resubmitting Single Claim
Resubmitting or Copying Partial or Entire Batch
Resubmitting Single Claim
Resubmitting or Copying Partial or Entire Batch
Resubmitting Single Claim
Resubmitting or Copying Partial or Entire Batch
Resubmitting Single Claim
Resubmitting or Copying Partial or Entire Batch
Resubmitting Single Claim
Resubmitting or Copying Partial or Entire Batch

Basic Skills

PES Main Window

There are two basic windows in PES. The first window has the main menu of all the functions you can choose: File, Forms, Communication, Lists, Reports, Tools, Security, Window, and Help. Some of these options are then repeated in the toolbar directly below the menu bar.

In the upper right-hand corner of the main window there is a set of three little boxes you can use to hide, re-size, or close the window. You can also hide, re-size, and close the active window inside of the main window. Be careful with the X. You can close the program by clicking it. PES will always prompt you to save any changes before you close.

Main Menu Window

Image of a screen from Provider Electronic Solutions

Button examples for Minimize, Full Screen, and Close    Button example for Small Screen

Another way to resize the main window is to grab the lower right hand corner of the window with your pointer and drag it until you have the size you want.

Example of enlarging screen

Tip

Use the Minimize feature to minimize PES during periods of non-use. This allows you to have access to the application throughout the day.

PES Window with 837 Professional Form Open
Example fo PES Window with 837 Professional Form Open

Menu Bar
The menu bar appears at the top of the PES window. It is a list of basic commands. There are two menu bars: one for the main window, and a second that opens once you select an option.

Toolbar
The toolbar contains shortcuts for frequently used commands that reduce the time and steps needed to activate a function. The toolbar consists of icons that represent different menu commands. To execute a command using the toolbar, simply click the button. To see a name or brief description of each button, hover the pointer over the button but do not click. The description will appear just below the button.

Find: You may use this command to locate a specific form. If you have set up a filter on the forms, you will only be able to find forms that match the filter. In other words, the find command will not search forms that do not appear in the detail window.

Filter: You may limit or filter the forms that are displayed in the detail window. This feature allows you to see only the forms you are interested in while keeping the forms you do not want to see available for future use.

Sort: You may use the sort command to control the detail window display. You may display the forms in sorted order based upon the column headings in the detail window.

Charges and Services

Total Billed Amount: The total charges to be billed to ForwardHealth.

Services: The number of service details associated with the claim.

Tabs
Information on the claim forms is organized into tabs with related boxes in separate Header or Service tabs. Additional tabs also are added to some forms, such as when other insurance is indicated.

Drop-Down Lists
Click the down arrow to display a list of values. If there is a scroll bar on the right, use it to see all the options on the list. If you double-click in the box, you will be able to create or add to the list.

Drop-Down List
Example of A Drop-Down List

Detail
A detail lists all claims entered for the transaction.

Status Bar
The status bar indicates the state of the software, such as Ready or New Record Added. When you hover over comments, a description will be displayed in the status bar.

Active Window
You can open up to three separate forms, lists, and/or reports at one time. Select Window on the menu bar to display screens in a cascade, tiled, or layered view.

Command Buttons
The command buttons are located along the right side of each screen. These buttons will vary from screen to screen. See Command Buttons in this chapter for more information.

Next — Menu Bar
Previous — Using the Mouse