Enforcing Insurance Selection in Case Review

Settings > EHR > Case Review Settings

Patient > Case Review > Insurance Selection > Save Case Review

What’s Newnew_symbol-1

  • Added a new checkbox setting: Case Require Insurance Selection.

  • Introduced validation logic for insurance selection during Case Review save.

  • Added an error message when insurance selection is required but not provided:

    • “Insurance selection is required to proceed with case.”
      – Added warning behavior when insurance selection is optional and not selected.
      – Added a required field indicator (*) on the Primary Insurance field when the setting is enabled.
      – Added audit trail tracking for changes made to the Case Require Insurance Selection setting.
      – Added visibility controls to hide the setting for practices configured as Single Open.

How It Works 

  • Configuration Setup:
  1. Navigate to Settings > EHR > Case Review Settings.
  2. Locate the Case Require Insurance Selection checkbox.
  3. Enable or disable the setting based on practice requirements.
  4. Save the configuration.

casereview1-1

 

  • Case Review Behavior:
    • When the Setting is Enabled:
  1. Open a patient’s Case Review.
  2. Attempt to save the Case Review without selecting a Primary Insurance.
  3. The system displays the following error message: “Insurance selection is required to proceed with case.”
  4. The save action is blocked until a valid Primary Insurance is selected.
  5. A colored asterisk (*) is displayed next to the Primary Insurance field indicating that it is required.
    • When the Setting is Disabled:
  1. Open a patient’s Case Review.
  2. Attempt to save the Case Review without selecting a Primary Insurance.
  3. The system displays a warning message.
  4. Users may acknowledge the warning and continue.
  5. The Case Review is saved successfully without insurance selection.
  6. No required field indicator is displayed.

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  • Additional Behavior:
    • Validation applies only to the Primary Insurance dropdown.
    • No tooltip is displayed on the insurance field.
    • For practices configured as Single Open:
    • Case Review functionality is unavailable.
    • The Case Require Insurance Selection setting is hidden from the user interface.
    • Configuration changes are recorded in: Audit Trail → Settings → EHR

Benefits

  • Prevents saving incomplete Case Reviews when insurance selection is required.

  • Supports different practice workflows by allowing insurance selection to be mandatory or optional.

  • Improves documentation completeness and compliance.

  • Provides a clear visual indicator when insurance information is required.

  • Reduces the likelihood of missing insurance information during Case Review processing.

  • Maintains accountability through existing EHR settings audit trail tracking.