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Journeys

The journeys an accounts payable (A/P) user walks, step by step. Each step opens the screen it happens on.

For everyone

Sign in

Get in safely. After sign in the wireframes ask who you are; the real portal opens the home of your own role.

First sign in

Replace the temporary password, then enroll.

First time with two-step sign in

Enroll before you continue.

Lost your phone

Get in without the Authenticator app.

Forgot the password

Recover without calling anyone.

Your password expired

Replace it when the policy says so.

Ask for an account or for access

No account yet, or the wrong role.

Look after your own account

Password, sessions, history and notifications.

Time out and sign out

What happens when you step away.

When you cannot open something

A clear reason and a way forward.

When the portal or NPHIES is down

Know what is saved and what is not.

Find help

Get an answer without leaving the portal.

Hospital flows, end to end

Flows that cross roles. Each step names the role that does it. A step you can open in your own menu is a link. A step that only another role can open is shown as text with that role named.

Patient arrives to cash collected

The revenue cycle, from the front desk to the bank.
1ReceptionistPurpose

Check eligibility before the visit.

Opens in the Receptionist menu
2ReceptionistEligibility result

Read the answer, print it for the file, hand the case to the approval desk.

Opens in the Receptionist menu
3Approval officerPrior authorization setup

Ask for prior authorization.

Opens in the Insurance approval officer menu
4Approval officerAuthorization result

Read the approval. It now shows in Ready to bill.

Opens in the Insurance approval officer menu
5Claims officerWork queues

Take it from the Ready to bill queue.

Open screen
6Claims officerReview and submit

Review and submit the claim.

Opens in the Claims officer menu
7Claims officerClaim batch

Send it in a batch.

Opens in the Claims officer menu
8A/RReconciliation detail

Match the payment.

Open screen
9A/P (you)New payment notice

Record the payment notice.

Open screen
10A/P (you)Payment notice

Read the notice.

Open screen

When NPHIES is down

Nothing is lost and nothing is sent twice.
1EveryoneHome

A banner says NPHIES is not answering.

Open screen
2ReceptionistReview and submit

Save and send later.

Opens in the Receptionist menu
3Approval officerReview and submit

Save and send later.

Opens in the Insurance approval officer menu
4Claims officerReview and submit

Save and send later.

Opens in the Claims officer menu
5EveryoneNPHIES is not answering

See what is saved.

Open screen
6AdministratorNPHIES outbox

See what was sent after the recovery (second release option).

Opens in the Administrator menu

When the hospital system is down

Desks keep working where the fallback allows, and nothing is lost.
1Everyone who reads sourcesHome

A banner says the hospital system is not answering.

Open screen
2ReceptionistPatient identity

Lookup is unavailable. Enter the patient by hand if the fallback allows.

Opens in the Receptionist menu
3Approval officerCare team

Practitioners come from the last known copy, marked as not refreshed.

Opens in the Insurance approval officer menu
4Claims officerServices

The service catalogue is read only until the source is back.

Opens in the Claims officer menu
5Super adminSource health

Read the status and the fallback per entity.

Opens in the Super admin menu
6Super adminQuarantined rows

After recovery, fix the rows that failed.

Opens in the Super admin menu

Month-end

Hand finance the numbers with CSV exports in the first release.