When using SmartFlow with an integrated PIMS/EMR which has billing parameters, as items are checked off in SmartFlow, charges should transfer across to your integrated patient management system. A sign that this is not happening as intended is a Red Exclamation mark. It appears beside the silhouette icon in the top right-hand corner of the web, as seen below:

This exclamation mark is warning you that there were some items executed in SmartFlow that have failed to come across to your PIMS/EMR and thus were not billed successfully. And it's also true for Vitals parameters that shouldn't be billable but had some issues with transferring to Cornerstone (please read What is SmartFlow - Cornerstone Vitals integration and how it works? for more details).

Once you notice this red exclamation mark, you can easily re-send the item or items over to your PIMS/EMR manually. To do this, simply click Archive under the silhouette icon (same area as illustrated above). 

From the archive menu, find the patient with the red exclamation mark beside their name, see below:

By clicking on the exclamation mark, you can view what information failed to come across. If you hold your mouse on the exclamation mark in the red circle you may also see the reason why the item wasn't synced (on the example below, it failed to be accepted by PIMS/EMR due to the doctor not assigned, so there is nothing to connect the data with. In this case, please return to the patient's Flowsheet and assign the doctor first):

And then have the option to resend by clicking on Sync Again:

NOTE: If you have already solved the issues and no longer need to sync items with your PIMS/EMR, please click the Clean button to reset the alert. 

We hope you found this information useful!