Set Up Paper-Based Insurance Companies
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Updated: 12/13/2024 | Views: 2073
Insurance companies that do not support electronic claims submission can be set up as paper-based payers. Claims for paper-based payers are printed and sent by mail from your practice directly to the insurance company.
Note: For Workers' Compensation or Auto insurance companies that do not support electronic claims, Tebra offers a unique option. For an additional fee, these payers can be set up as an ePaper Payer ("drop-to-paper") that enables your practice to submit claims electronically to Jopari where they will be printed and mailed to the payer.
Configure Insurance Company Settings
- Click Settings > Insurance > Insurance Companies. The Insurance Companies window opens.
- Find and click the insurance company name. The General tab of the Edit Insurance Company window opens by default.
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- Review the General information and make any appropriate changes as necessary.
- Select the Paper Claims tab then review the Paper Claims settings and make any appropriate changes as necessary.
- Select the Practice Settings tab. The practice specific settings display.
- Review the settings and make any appropriate changes when applicable.
Note: These settings are specific to the currently opened practice and do not affect other practices (when there are multiple) within the Tebra account.
- Enrollment Status: Click the drop-down arrow and select Not Enrolled to prevent electronic claims submission to the payer.
- Click to select or clear the selection for the options as necessary.
- "Disable electronic claims for this payer": Disables electronic claims submission to this payer.
- "Use electronic billing when this payer is secondary": Allows secondary electronic claims submission to this payer.
- "Send Coordination of Benefits (COB) information": Includes the COB information on secondary claims.
- "Provider accepts assignment of benefits": Populates Box 27 of the CMS-1500 claim form.
- "Exclude patient payments from claims sent to insurance": Bills the total charge amount to the payer even if patient payments have been applied. This option populates Box 29 of the CMS-1500 claim with $0.00.
- "Allow zero balance transfers on claims": Transfers all line items of the claim including those with zero balances.
- Click Save.
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