Manual Billing Assignment 

Manual Billing Assignment                                                      8% of Final Grade

Assume you work for Dr. Samuel Zinzer (0000-856425-00).  Using Manual Claims Cards provided by your instructor and today’s date as the service date, create claims for the following. (Note:  Some codes may need to be looked up in the Schedule of Benefits):

  1. Ian Leighton (HC: 9987 542 658 DF  DOB: 12-20-1982) comes in for his annual physical.  The doctor performs a urinalysis and takes blood while he is there (3 marks).
  2. Patti Jones brings her daughter Peyton (HC: 8754 654 521  QW  DOB: 05-04-last year) for a periodic checkup. (1 mark)
  3. Yvonne Houston (HC: 5487 326 256  PT  DOB: 07-14-1990) wants to have an IUD inserted.  The doctor does a partial gynaecological exam with pap smear while she is there.  (Hint:  An IUD is a form of Family Planning) (5 marks)
  4. Dr. Zinzer visits Roger Williams (HC:  9578 236 485 TY DOB: 08-22-1930) at his home at 1500hrs  (3pm) to assess his congestive heart failure.  The doctor sacrificed office hours for the visit. (3 marks)
  5. Ken Neilson (HC: 8891 215 652 HT  DOB: 01-01-1975) comes in with foot pain.  The doctor performs a brief exam and quickly diagnoses bunion. (1 mark)
  6. Emma Pignioli (HC: 7854 652 654 QW DOB: 10-04-1962) comes in for her annual flu shot.  The nurse gives her the immunization. (2 marks)
  7. Larry Girard (HC 4814 542 156 RE  DOB: 05-28-1950) is due for his allergy shot.  The nurse performs the service. (1 mark)
  8. Sarah Moukled (HC: 7884 251 845 KL DOB: 07-31-1948) is seen for respiratory problems and fever.  The doctor performs a thorough exam of her respiratory tract and takes vitals.  He diagnoses her with upper respiratory tract infection. (1 mark)
  9. Winifred Brown (HC: 8452 456 547 PO DOB 03-18-1962) is a diabetic patient, who hasn’t been feeling well.  The doctor performs an assessment of her diabetes, and has the nurse complete a dipstick urinalysis and take blood while she is there. (3 marks)
  10. Kyle Conner (HC: 8542 215 362 GH DOB 06-26-2007) comes in for his annual physical. (1 mark)
  11. Lacey Smithers (HC: 8756 325 215 MV DOB: 08-04-1968) comes in for a one-hour counselling session regarding her anxiety. (1 mark)

Total Grade:  _________ / 22