Billing

Configure Billing Providers

• Billing Provider is either the Individual (Type I) or an Organisation (Type II) already credentialed with the Payer by signing a contract.
• When you submit a Claim, choose the correct Billing Provider in the box #33 who is credentialed with the Payer.
• When you submit a claim to the payer, this Billing Provider detail helps the Payer to identify the Provider/Practice submitting the Claim and to whom the reimbursement should be sent.
• Billing Providers can be added and/or managed under the 'Billing > Billing-Claims > Billing Provider'.
  
  • Add Billing Provider
  • Edit Billing Provider
  • Delete Billing Provider

Add Billing Provider

To add a Billing Provider, follow the steps given below,

1. Go to Settings > Billing-Claims > Billing Providers
   
2. Click the '+ Billing Provider' button to add a Billing Provider.
3. Choose whether the Billing Provider is an Individual or Organization address.
4. Enter the Billing Provider Name, Address, Contact Information, NPI(Type I for Individual and Type II for Organization) along with the other additional identifiers such as Taxonomy Code, State License #, etc. Make sure that the TIN, NPI, and Address matches with the details given to the Payer, as a part of credentialing.
   
5. You can choose whether you need the same 'Billing Provider' for all Facilities or a different Billing Provider for each Facility under the 'Billing-Claims > Claim Settings' section. If a different Billing Provider is chosen for each Facility, when generating a claim, the respective Billing Provider of the Facility gets selected by default.
   
   
6. While generating the Claims, the default Billing Provider gets selected for all the Claims. If you need to change the Billing Provider for a particular Claim, edit the Claim and choose the required Billing Provider from the drop-down menu. You can add new Billing Provider details by clicking on the 'Add' icon.
   

Edit Billing Provider

1. Go to Settings > Billing-Claims > Billing Providers
2. Click the 'More Options' (...) icon against the Provider name to be edited and select the 'Edit' option.
   
3. Edit the details and click the 'Update' button to save the changes.

Delete Billing Provider

1. Go to Settings > Billing-Claims > Billing Providers
2. Click the 'More Options' (...) icon against the Provider name to be deleted and select the 'Delete' option to delete the Billing Provider.
3. Click the 'OK' button to confirm the deletion.