Provider Billing Options Tab

The provider billing options allow you to customize certain configuration settings for one or more providers specific to this payer. Providers not listed below will bill claims based on their general settings/configuration in the provider screen.

  1. Select Customer Setup > Payers.

  2. Use the Show All button to view all payers. Or use the Search field to further drill down your search.

  3. Select the Payer.

  4. Click the Billing Options tab from the side panel. 

  5. Make your selections by referencing the Billing Option Descriptions below. 

  6. Use the Provider(s) drop-down menu find the provider you would like to find.

  7. Use the Status drop-down menu to select whether or not this provider is active with this particular payer.

  8. Use the Bill Mode drop-down menu to select whether this provider should bill to this payer as an individual or as a group. 

  9. Add the ID to use if the Bill Mode is set as Individual in the Individual ID field. 

  10. Add the ID to use if the Bill Mode is set as Group in the Group ID field. 

  11. Use the Accept this Insurance checkbox to select whether or not this provider accepts this insurance. This indicates if the Provider accepts assignment.

  12. Use the Override Billing Provider checkbox to send claims under a different Billing Provider. This allows you to send a different Tax ID, Taxonomy Code, or NPI based on a specific payer and provider combination.

  13. Click Add once you are satisfied with your changes. These settings can be edited after saving by clicking on the field you wish to edit.

  14. Click the icon to copy these settings to all providers added to this payer.

  15. Check the Show separate configurations for each office location if you would like to configure these settings differently for each office associated to your account.   

  16. Click  to copy a provider’s configuration to other payers.

    1. Use the Provider Configurations drop-down menu to select the source provider.

    2. Use the Select payer(s) to copy provider configuration(s) to drop-down menu to copy configuration to other payers.

  17. Click Save. Or proceed to the General tab of Billing Options