Box 11b - Other Claim ID

What is it?

Box 11b displays the Claim Casualty number and qualifier (Y4) for Workers Compensation claims.

In Application:

Note: To make this change permanent, you must update this information directly in WebPT. Otherwise, the next time you save in WebPT, the information entered there will flow over and overwrite any changes you've made.

To manually change this information:

1. Navigate to Clients > Client List.
2. Edit the desired client using the icon.
3. Edit the corresponding insurance card using the icon.
4. In the Policy Info section, enter the information into the Claim Casualty # field.
5. Select Apply Edits.

In WebPT:

To manually change this information:

1. Navigate to the desired patient's chart.
2. Select Patient Info.
3. Click the  icon for the corresponding insurance entry.
4. Use the Next button until you get to the Worker's Comp Employer Details or Auto Claim Details screen.
5. Enter the claim number into the Claim Number/Auto Claim field.
6. Select OK and click Save Patient.

EDI File

Loop 2010BA, Segment REF01 (Y4 Qualifier) and REF02 (Claim Casualty Number)