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Use this task to relate an anesthesia code to a CPT code not normally associated with anesthesia. One or more CPT codes can be mapped to one or more ASA codes with this activity. As codes are mapped, they become available in Back Office. When a mapped code is used during charge entry, the associated ASA code is listed with the CPT code so that anesthesia specifics can be entered on the case.map Payer IDs between TriZetto and other clearinghouses. Connect's Eligibility functionality sends Eligibility requests through the TriZetto clearinghouse, so requires a TriZetto Payer ID for submission. If your organization already uses the TriZetto clearinghouse, this mapping exercise is not necessary. For users of other clearinghouses, this mapping/setup process is required in order to successfully submit Eligibility requests in Connect with TriZetto Payer IDs. 

Step-By-Step Guide

56
Step

Instructions

Additional Information

1

From the Code Mappings page, open the Code Year drop down list and select the relevant year in which the procedure codes were released by the AMA.

From the Eligibility page, click Create. The Create Payer Mapping window opens.

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Info

The steps described here are for accessing the Create Payer Mapping window from the Eligibility page. This window can also be accessed from the Charge Batch Information / Check Eligibility: Missing Mappings tab. 


2Open the Payer/Plan dropdown list and select the plan to be mapped. 


Note

The dropdown list will display all plans that are not already mapped and are tied to non-TriZetto clearinghouses.


Info

Once a Payer/Plan is selected, the relevant Clearinghouse and Clearinghouse Payer ID are displayed.


3Enter either a TriZetto Payer ID or Name to search for the TriZetto Payer to map the payer/plan.


4Click Search. A list of TriZetto payers are displayed that meet the search criteria.


Note

If the payer you are looking for is not displayed in the list, it is not a payer currently supported by TriZetto.


5

Select the relevant item to map from the list of search results.


6

Click Save.


Note

Alternately, you can click Save & Add Next to clear the form and quickly add another mapping.


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Repeat the steps above to add additional payer mappings.


8Click Close and close the page.







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titleRelated Topics

Eligibility

Eligibility / Eligibility / Configuration Tab

Eligibility / Payer Mappings Tab

Eligibility / Excluded Payers Payer List Tab



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titleRelated Training/Support Documentation

Not applicable for this topic


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