Configure Payer Paper Claim Settings

Navigate to Insurances

Click Settings > Insurance > Insurance Companies. The Enrollments dashboard opens.

Configure the Paper Claims Tab

1. Click the insurance company name on the Enrollments dashboard. The Edit Insurance Company window opens to the General tab.

2. Click the Paper Claims tab.
3. Select your settings.
   1. Insured Format: Select one of the following:
      1. Default - Leave at "Default" unless billing for Medicare.
      2. Medicare style - This will prevent information from printing in Boxes 4 and 7, and will print NONE in Box 11.
   2. CMS-1500 field 24g: Select “Units” (standard) or “Minutes” (typically only used for anesthesia related charges).
   3. CMS-1500 field 32b: Some insurance companies require the facility ID associated with a service location to be included on the paper claim. This box is checked by default; the system will automatically pull the facility NPI from the service location record. Uncheck to block this action.
   4. Primary Billing Form: The CMS-1500 format required by this insurance company as the primary payer on a claim.
   5. Secondary Billing Form: The CMS-1500 format required by this insurance company as the secondary or tertiary payer on a claim.
      • Note: In most cases you can use the same form for both primary and secondary. If you are not certain which form to use, contact the insurance company directly for clarification.
   6. Institutional Claim Format Settings: There is currently only one format; leave at the default.