Step | Instructions | |
---|
1 | From the Payers & Plans page, click Create Payer. The Payer: New page opens with the General tab displayed. | |
2 | In the General section, enter the name of the payer in the Payer Name field. | |
3 | Enter additional information to describe the payer in the Description field. | |
4 | Open the Coverage Type drop down list and select the number format that you want to use for claim generation. | |
5 | Open the Insurance Type drop down list and select the option for the type of insurance the payer provides. | |
6 | In the Linked Plans section: | |
7 | Click Apply. | |
8 | Click the Provider IDs tab to record the general provider identification numbers issued by the payer. | |
9 | Open the Provider ID Type drop down list and select General Provider ID. | |
10 | Open the Practice drop down list and select the practice. | |
11 | If adding a PAR provider: - Select the PAR checkbox to indicate the provider participates with the payer.
- Enter or select the effective date in the Effective column.
- Enter the identification number issued to the provider by the payer in the Provider ID column.
If adding a non-PAR provider: - Enter or select the effective date in the Effective column.
- Enter the identification number issued to the provider by the payer in the Provider ID column.
| |
12 | Select the Suspend Claims checkbox to stop generating claims for the selected provider. | |
13 | Enter the contract code for the selected payer in the Contract Code field. | |
14 | Repeat the above steps for each provider you want to add identification numbers. | |
15 | Click Apply. | |
16 | Click the Referring Physician IDs tab to record referring physician identification numbers issued by the payer. | |
17 | Select the Payer issues referring physician IDs checkbox to indicate this payer issues identification numbers to referring physicians. | |
18 | Enter the identification number of the referring physician in the ID Number field of the selected provider. | |
19 | Repeat the above steps for each referring physician you want to add identification numbers. | |
20 | Click Apply. | |
21 | Click the Facility IDs tab to record the general facility identification numbers issued by the payer. | |
22 | Open the Facility ID Type drop down list and select General Facility ID. The table refreshes with Facility Name and ID Number. | |
23 | Enter the identification number issued to the provider by the payer in the ID Number column. | |
24 | Repeat the above steps for each facility or place of service you want to add identification numbers. | |
25 | Click Apply. | |
26 | Click the Group IDs tab to record or modify the general or facility-specific group identification numbers issued by the payer. | |
27 | Open the Group ID Type drop down list and select General Group ID. The table refreshes with Practice Name, Physician Group, PA Group, CRNA Group, and AA Group. | |
28 | Enter the identification numbers for the following provider groups in the respective column: - Physician Group
- PA Group
- CRNA Group
- AA Group
| |
29 | Repeat the above steps for each practice or facility you want to record group provider identification numbers. | |
30 | Click Save to save and close the page. | |