Q: What
does it mean to be a Pilot Laboratory or Hospital?
A: PAS is currently in the final phase
of the pre-implementation process. During this period, a
select group of hospitals and laboratories will test the system by
actually adjudicating online health claims in real health care settings
throughout Jamaica.
Q: So
what exactly do I have to do?
A: After PAS is installed at your
location, a member of the PAS Team will train you and your staff to use
the system. You will then have the equipment, software and knowledge
necessary to begin Pilot Testing!
Q: Now
that I’m a Pilot, do I still have to submit paper claims to BCJ?
A: Yes. The success of the Pilot phase
is dependant upon collecting and comparing data from paper and electronic
claims. Therefore, you will be expected to complete and submit paper
claims during the Pilot period. Note that as soon as the Pilot period
is over, you will cease paper claim submission, and only submit electronic
claims!
Q: I
usually submit paper claims once a month (or even less frequently at
times). Do I need to submit my paper claims more often during the Pilot
period?
A: The quicker data is collected during
the Pilot period, the shorter the Pilot period can be. Therefore, you are
asked to submit paper claims at least twice per week. If this increase in
submissions proves to be a significant burden, contact BCJ and make
arrangements to have paper claims picked up from your location. Note that
during the Pilot period, you need to separate the PAS claims from the
non-PAS claims when filling out your regular paper claims. In other words,
you should be submitting 2 sets of paper claims to BCJ: one set that
contains electronically-submitted claims, and one set that contains claims
which were not submitted electronically.
Q: When
will the Pilot period end?
A: The duration of the Pilot period is
determined by BCJ. When BCJ has collected enough satisfactory data, you
will be notified that the Pilot period is over and that you should stop
submitting paper claims.
Q: Do
I get paid within 7 days during the Pilot period?
A: No. The 7-day p
ayment period does not
take effect until after the completion of the Pilot test. During
the Pilot period, you will be paid within the same timeframe that you are
currently paid.
Q: What
about technical support during the Pilot period?
A: You may direct any technical
questions to AIS at 929-7395. Someone from the PAS Help Desk will be happy
to assist you with your queries.
