This article elaborates on setting up insurance company information for the practice.

Select Setup from the main menu and click on Insurance/Plan. A window to search insurance opens up where existing insurances can be searched.

Image 1

Add a new Insurance Company

There are two ways to add insurance company information.

A. Click on button. From the Search Claim Payers screen, select a Claims Receiver from the dropdown; Claim receiver is a mandatory field. Click on search. This opens the repository of insurance companies; see Image 2. Select the checkbox corresponding to the insurances to be added to the practice. This way the insurance companies get added to the practice in one go.

Image 2

B. The other way is to click on button A new window will open up for entering new insurance details.

Image 3

Table 1 displays some of the important fields in the Insurance Information screen, also called the Insurance master.

Field Description
Name Insurance company Name
Payer ID Payer IDs are provided by the clearinghouse
Payer Type Select the appropriate type from the drop-down. The default value is Commercial Insurance Co
End Date Effective End Date is provided in case when the insurance info is no longer to be used.
Contact Information Enter Address, Zip code, City, State, Country, etc.
Submission Method Select Clearing House, Primary, and Secondary Billing Method (EDI/Paper) for the insurance
Additional Information This includes Eligibility Payer ID, Claim Type, Response Limit Threshold, etc.

3. Click on Save after entering all the required details. A Default plan is created automatically upon saving New Insurance.

Image 4

3a. If the default plan needs to be edited, Click on the icon.

3b. To add a new plan click on button. Once the details are entered, click on button to save the plan; see Image 4a.

Image 4a

Note: The plans should be linked with Patient Insurance while adding insurance to the patient demographic page.

Image 5

Editing Insurance Company Information

1. To search for an insurance company, type in the full/partial name and click on search. You can also search for an insurance company by the payer ID. A list of insurances matching the search criteria will be displayed; see Image 6.

Image 6

2. Check the box ‘Include Inactive’ to include end dated insurance in the search result.

3. Click on the button (highlighted in Image 6) to open the Insurance Information. Perform the necessary edits and click on .