Highlight a Payor and Click the Edit button to Edit an existing Payor
Highlight a Payor and Click the Inactivate button to Inactivate an existing Payor
General Tab:
Configure each Payor's (Insurance
Company) demographic information.
Payor Type: Select one. (Medicare, Medicaid, CHAMPUS, CHAMPVA, Group, FECA and Other (W/C & PI). These are fixed and cannot be changed.)
Printing Options Tab:
HCFA Box 30
and Box 29
Print actual balance due (instead of
total charges)
Note:Most offices do not check this option, unless this is for a secondary Payor.
HCFA Box 32
Print complete information if same
as Box 33
in Box 32.Unchecked the word SAME will print in Box 32.
HCFA Box 17 and 17a
Check this Box to Print Billing Provider as
referral source in Box 17 and Box 17a.
Note:This is not the Referring Provider.
HCFA Box 11
Note: Normally Box 11 is left blank and only used if there is a
Secondary Payor, however, some Payors are requiring the Policy Group or FECA
Number be printed in Box 11, even if there is no Secondary.If the Policy Group or FECA Number is
required in Box 11,
even if there is no Secondary for this Payor, check this option.
HCFA Box 11a
HCFA Box 11b
HCFA Box 11c
HCFA Box 24a
Check this box to print the date of service is Box 24a in the "To"
section.
HCFA Box 24k
HCFA Box 25
HCFA Box 32
HCFA Box 33
HCFA Box 30
HCFA Box 31
HCFA Box 4
HCFA Box 7
HCFA Box 24a
HCFA Box 21
HCFA Box 1
If you bill Medicare - select alpha letter to appear in HCFA Box 1 (x, y, etc.)
Clinic Other IDs Tab:
Qualifiers: Leave blank unless directed by Payor to add qualifier.
Provider Other IDs Tab:
Qualifiers: Leave blank unless directed by Payor to add qualifier.
