RevFlow Integration: Required Patient Information

Patient information, including demographics, case details, charge data, and patient payments, flow into RevFlow from the WebPT EMR.

Creating Patient & Case

To ensure that data flows into RevFlow correctly, there are a few key things to remember when initially creating the patient or updating patient information. Patients should always be created using the Add Patient link in WebPT. This method ensures the most complete patient profile and results in the fewest rejection errors.

Follow the instructions on how to add a patient. All required fields and the patient's middle initial will import into RevFlow. If the guarantor is not the patient, the guarantor's required information and middle initial will appear in the patient's RevFlow case under the Subscriber section. In addition to the fields required by the WebPT EMR, we’ve included all the key information required for a successful import of patient information into RevFlow below.

Address

  • The address marked as Primary will be used for mailing patient statements. Only the primary address flows into RevFlow.
  • A 5 or 9-digit Postal Code is required. A 9-digit Postal Code is required for Medicare patients when treating them at Home, for billing supplies, or for treatment provided at Home.

Contact Info

  • Only the Phone Number marked as Primary flows into RevFlow

Identification

  • If you do not include the patient’s Social Security Number, this field will generate as 999999999 in RevFlow

Insurance

  • You must include Policy Dates when adding an insurance to the patient's chart.  
  • If the insurance is Worker’s Compensation, you must enter the claim number in the Subscriber ID field. 
  • In instances where the insurance is Worker’s Comp, and the insured is not the patient, you’ll be required to enter in Employer details including Claim Number, Employer’s Name, Address, and Phone Number.

Case

  • In the Related Cause section, only four reasons directly correlate to selections in RevFlow:
    • Auto Accident (At Fault/No-Fault) - Selected for auto injuries and indicate accident date and state.
    • Employment Injury - Selected for injuries covered by Worker’s Compensation.
    • Other Accident - Select this option for insurances that required the date of injury or onset date.
    • None of the Above - Selected if treatment is not related to an injury and the insurance does not require an injury date.
  • If an Authorization is required, you must include the authorization number to avoid a Pending Authorization rejection in RevFlow. You may use 0000 as a placeholder authorization number if needed.
  • If the KX modifier is needed, you’ll need to select the KX radio button from the Apply Modifier section.

Patient Profile in RevFlow

Once the patient is saved in WebPT, the patient profile imports into RevFlow, including Responsible Party/Guarantor information. If you have trouble locating your patient in RevFlow, double-check your Claims Feed Report and your WebPT Integration Rejection Summary Report.

Patient Case in RevFlow

The patient case will import into RevFlow after a billable note is finalized for the patient by an authorized provider (i.e not an assistant). Note: a placeholder initial evaluation will allow the case to flow into RevFlow, as these notes do not contain charges.

Patient Notes

When patient documentation is finalized, the following information imports into RevFlow:

Key Dates

  • Date of Initial Evaluation will import as Case Effective Date and Assignment Date.
  • Date of Injury

Charge Information

  • Diagnosis codes
  • Treatment diagnosis codes
  • CPT/Procedural codes and their associated units