
Attach, Edit, and Print Documents
You can store many types of documents in INSIGHT. After a document is added, you can view it. See View and Print Attachments for more information about viewing uploaded documents.
To add a document to INSIGHT:
- Attach – Upload a file created outside of INSIGHT. You can attach image files (such as TIFF, JPG, BMP, or PNG) or PDF files.
When you attach documents, INSIGHT prompts you to associate the document with the proper data. For example, a patient's insurance card must be associated with client data, while a referral must be associated with both a patient and a case.
Warning: Multi-page image files (such as JPGs or TIFFs) are not supported. They will be compressed with no page breaks. Attaching the document as a PDF is a better option.
Note: Modern scanner default settings tend to create large files, so Clinicient recommends scanning documents outside of INSIGHT. After you verify that the file is not larger than 1024k (1MB), attach the file to the applicable record.
Note: By default, INSIGHT only displays active patients and payer records. To include inactive records, select the Show All check box, located in the lower right corner of the Manage Attachments window.

Attach any document in the Manage Attachments window
If you have documents to assign to several records, then it might be more efficient to open Manage Attachments by clicking on the main toolbar. This screen allows you to assign any type of document to any record.
This procedure describes the general process for scanning a document in the Manage Attachments window. For specific instructions regarding how to attach a specific document, refer to the topic associated with the document.
- Click
on the main toolbar.
- Select the document type.
- Enter additional information. Requirements vary according to document type. They might include patient account, payer, case, and so on. Some examples are shown below.
- Click
, then browse to the file. You can attach an image file or a PDF smaller than 1MB.

Attach an insurance authorization
This is generally done when entering payer information for a case. See Enter Basic Insurance Information or Enter Basic Insurance Information - INSIGHT Plus and Total INSIGHT for more information.
- Open the Manage Attachments window.
- Click
on the main toolbar.
- Open the patient record to which you want to add the attachment, then click Attach in the Client Editor.
- On the Case Information tab in the Client Editor, click Add or Edit to edit payer information, and then click
.
- Click
- In the Document Type pane, select Authorization. If you opened the window from the Client Editor, then this step was done for you.
- In the Name list, click the name of the patient to whom you want to add an attachment. If you opened the window from the Client Editor, then this step was done for you.
- In the Case list, click the case to which you want to add an attachment.
- In the Payer Mix Information section, click the payer that the authorization is for. If you opened the window from the Client Editor, then this step was done for you.
- In the Insurance Authorizations section, click
and then enter the number of visits, date range, description, authorized dollar amount, and authorization number.
- If you are working in the Client Editor, then click
.
- Click
, then browse to the file. You can attach an image file or a PDF smaller than 1MB.

Attach a case record
- Open the Manage Attachments window.
- Click
on the main toolbar.
- Open the patient record to which you want to add the attachment, then click Attach in the Client Editor.
- Click
- In the Document Type pane, select Case Record.
- In the Name list, click the name of the patient to whom you want to add an attachment. If you opened the window from the Client Editor, then this step was done for you.
- In the Case list, click the case to which you want to add an attachment.
- Click
and then type a description for the document.
-
Click
, then browse to the file. You can attach an image file or a PDF smaller than 1MB.

Attach correspondence
- Open the Manage Attachments window.
- Click
on the main toolbar.
- Open the patient record to which you want to add the attachment, then click Attach in the Client Editor.
- Click
- In the Document Type pane, select Correspondence.
- In the Name list, click the name of the patient to whom you want to add an attachment. If you opened the window from the Client Editor, then this step was done for you.
- In the Payer Mix Information section, click the payer that the correspondence is for. If you opened the window from the Client Editor, then this step was done for you.
- Click
and then type a description for the document.
- Click
, then browse to the file. You can attach an image file or a PDF smaller than 1MB.

Attach insurance credentials
See Insurance Credentialing Setup for more information about adding credentials in payer, staff, or clinic records. The instructions below explain how to add credentials in the Manage Attachments window.
- Click
on the main toolbar.
- In the Document Type pane, select Credential.
- In the Payers list, click the payer with which the credential document is associated.
- Enter information about who the credentials are for:
- Staff
- Click the Staff tab and then click
.
- In the Staff list, click the name of the staff member to whom the credential document applies.
- In the Provider # field, type the provider number on the credential document.
- Click the Staff tab and then click
- Clinic
- Click the Clinic tab and then click
.
- In the Clinic list, click the name of the clinic to which the credential document applies.
- In the Provider # field, type the provider number on the credential document.
- Click the Clinic tab and then click
- Staff and Clinic
- Click the Staff / Clinic tab and then click
.
- In the Staff list, click the name of the staff member to whom the credential document applies.
- In the Clinic list, click the name of the clinic to which the credential document applies.
- In the Provider # field, type the provider number on the credential document.
- Click the Staff / Clinic tab and then click
- Staff
- Click
, then browse to the file. You can attach an image file or a PDF smaller than 1MB.

Attach a driver's license or picture ID
- Open the Manage Attachments window.
- Click
on the main toolbar.
- Open the patient record to which you want to add the attachment, then click Attach in the Client Editor.
- On the Personal Information tab in the Client Editor, click
.
- Click
- In the Document Type pane, select Driver's License / Picture ID. If you opened the window from the Client Editor, then this step was done for you.
- In the Name list, click the name of the patient to whom you want to add an attachment. If you opened the window from the Client Editor, then this step was done for you.
- Click
and then type a description for the document.
- Click
, then browse to the file. You can attach an image file or a PDF smaller than 1MB.

Attach an insurance card
- Open the Manage Attachments window.
- Click
on the main toolbar.
- Open the patient record to which you want to add the attachment, then click Attach in the Client Editor.
- On the Case Information tab in the Client Editor or on the Payer tab in the Claim Editor, click
.
- Click
- In the Document Type pane, select Insurance Card. If you opened the window from the Client Editor, then this step was done for you.
- In the Name list, click the name of the patient to whom you want to add an attachment. If you opened the window from the Client Editor, then this step was done for you.
- In the Case list, click the case to which you want to add an attachment.If you opened the window from the Client Editor, then this step was done for you.
- In the Payer Mix Information section, click the payer that issued the card. If you opened the window from the Client Editor, then this step was done for you.
- Click
and then type a description for the document.
- Click
, then browse to the file. You can attach an image file or a PDF smaller than 1MB.

Attach a medical report
- Open the Manage Attachments window.
- Click
on the main toolbar.
- Open the patient record to which you want to add the attachment, then click Attach in the Client Editor.
- Click
- In the Document Type pane, select Medical Report.
- In the Name list, click the name of the patient to whom you want to add an attachment. If you opened the window from the Client Editor, then this step was done for you.
- Click
and then type a description for the document.
- Click
, then browse to the file. You can attach an image file or a PDF smaller than 1MB.

Attach a Plan of Care (POC) approval or Progress Report
POCs and Progress Reports are required by Medicare. See Plan of Care and Progress Reports for more information.
- Open the Manage Attachments window.
- Click
on the main toolbar.
- Open the patient record to which you want to add the attachment, then click Attach in the Client Editor.
- On the Case Information tab in the Client Editor, click one of the following:
– Add a POC and a Progress Report
– Add just a Progress Report
Note: If you click
, then INSIGHT adds lines for both a POC and a Progress Report, with default values for number of visits and number of days.
- Click
- Manage Attachments window only: In the Document Type pane, select Plan of Care Approval. If you opened the window from the Client Editor, then this step was done for you.
- Manage Attachments window only: In the Name list, click the name of the patient to whom you want to add an attachment. If you opened the window from the Client Editor, then this step was done for you.
- Manage Attachments window only: In the Case list, click the case to which you want to add an attachment.
- Enter Plan of Care information. You can override values if necessary.
– Plan of care
– Progress report
- If you are working in the Client Editor, then click
.
- Click
, then browse to the file. You can attach an image file or a PDF smaller than 1MB.

Attach a physician referral
See Enter Referral Information for more information about adding referrals in the Client Editor. The instructions below explain how to add credentials in the Manage Attachments window.
- Open the Manage Attachments window.
- Click
on the main toolbar.
- Open the patient record to which you want to add the attachment, then click Attach in the Client Editor.
- Click
- In the Document Type pane, select Referral. If you opened the window from the Client Editor, then this step was done for you.
- In the Name list, click the name of the patient to whom you want to add an attachment. If you opened the window from the Client Editor, then this step was done for you.
- In the Case list, click the case to which you want to add an attachment.
- Click
.
- Enter the number of visits, effective date, and expiration date of the referral.
- Click
, then browse to the file. You can attach an image file or a PDF smaller than 1MB.

Replace or append an attached document
Follow these instructions to replace an attachment or add pages from a file to an attachment.

Replace an attachment
Before you begin, make sure that the pages that you need to add are in a file that you can browse to on your computer.
- Open the Client Editor. Click
on the toolbar, press F9, or on the Edit menu, click Clients.
- Open the patient record. See Open a Client Record for instructions.
- On the Attachments tab, double-click the document to which you need to add pages.
- Click
.
- Click Replace.
- Click the replacement file. INSIGHT replaces the old attachment with the file that you choose.

Add pages to (append) an attachment
Before you begin, make sure that the pages that you need to add are in a file that you can browse to on your computer.
- Open the Client Editor. Click
on the toolbar, press F9, or on the Edit menu, click Clients.
- Open the patient record. See Open a Client Record for instructions.
- On the Attachments tab, double-click the document to which you need to add pages.
- Click
.
- Click Append.
- Click the file that contains the pages that you need to add and then click Open. INSIGHT adds the pages to the end of the document. Click
if you need the pages in a different location in the document.

Manage documents
See Delete or Reassign Attachments for full instructions about procedures related to .

Edit an attachment
There are several options in the Manage Attachments window to edit attachments.
Control | Function |
---|---|
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Crop the document. |
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Rotate the document counterclockwise. |
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Add an additional page to the end of the attachment. |
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Delete the page that you are currently viewing. |
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Move the page that you are viewing to another position in the document. |
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Insert an additional page before the page that you are currently viewing. |

Print an attachment
You can print attachments in the Attachments tab or the Manage Attachments window. See View and Print Attachments to learn how to print from the Attachments tab.
- Open an attachment in the Manage Attachments window.
- Click
.
- Adjust any necessary settings and then click OK. Print controls are explained in the table below.
Printing controls
The Preview pane changes to reflect the settings.
Control | Function |
---|---|
![]() |
Change the numbers to adjust the margins. The default is one inch on all sides. |
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Click an option to change the position of the image on the page. The green box represents your image. The default position is the center of the page. |
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Normal – Original size Fit to page – Fits the image height or width to the margins, does not change image proportions Stretch to page – Stretches the image to fit all margins Specified size – You manually enter the width and height, in inches |
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Raise or lower the value to lighten or darken the image. The default value is one. |
![]() |
Opens a dialogue box where you can change printers or adjust printer properties. |