Payer Configuration Overview

Administration > Payer > Configuration

If Standardize Payer Code was selected in Administration > Configuration > Enterprise Configuration, Payers will be created on a separate form and Payer Configuration will be performed at the center level in this form.

If Standardize Payer Code was not selected in Enterprise Configuration, Payers can be created and Configured on the Payer form.

Configuration will be completed following the same instructions regardless of which option was selected. Both Payer and Payer > Configuration forms will include the tabs below:

• Basic Information
• Locations
• Claim Configuration
• Default Transactions Codes
• Other Configurations

To pull a payer from the Enterprise level into a Center database without making any changes to that payer:

• Enter the Payer Code or use the magnifying glass to search by Name or Payer Code.
• Make a single change to that payer to activate the Save function. (This can be as simple as checking and then unchecking a box or vice-versa.)
• Once the Save button is activated and selected, the Payer will then exist in the Center's database.