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Create Medicare Provider Override

When adding a new Medicare payer, an override must be created for each provider whose name will appear on claims. An override must be created for each Medicare payer individually. 

Create Medicare Provider Override

  1. Click Settings on the top menu and select Providers. The Find Provider window opens.
  2. Enter all or part of the provider's name in the Look For search bar.
  3. Click Find Now.
  4. Find and double click on the provider's name. The Edit Provider window opens. 
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  1. Click the Claim Settings tab at the top of the window.
  2. Click Add on the right of the window. The Override Claim Settings window opens.

 

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  1. Click the Insurance Company Button. The Select Insurance Company window opens.
  2. Type Medicare in the Look For field.
  3. Click Find Now.
  4. Click the name of the correct Medicare payer in the list to select it and click OK. The Override Claim Settings window reopens.
  5. Check the "Show advanced settings" box at the bottom of the window.  Practice Settings display below.
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  1. Scroll down to Advanced Electronic Claim Settings.
  2. Enter individual provider PTAN numbers in the top table.
  3. Click the Type drop-down arrow and select 1c Medicare Provider Number from the list.
  4. Enter the provider PTAN number in the Value field.
  5. Enter any additional group PTAN numbers in the bottom table.
  6. Click the Type drop-down arrow and select 1c Medicare Provider Number from the list.
  7. Enter the group PTAN number in the Value field.
  8. Click Save in the bottom left of each window until no longer available.
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