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Insurance Payers and Plans

This feature will allow the users to assign the Insurance Company to the patient under the Insurance Plans that are available in the Study Info. The user can assign many Insurance Plans for each Insurance Payer.

Create a New Insurance Payer​

  1. Click RIS Settings > Insurance Payers. Insurance Payers screen appears as shown below.

Insurance Payers

  1. Click New. Upon click, Insurance Company Information screen appears as shown below.

Insurance Company Information

  1. Fill in all the fields found in Insurance Company Information screen.
  2. Ensure Active checkbox remains checked. Only then, the insurance company information will be available while choosing an insurance payer for the patient.
  3. Click Save.
Edit an existing Insurance Payer
  1. Select the name of the insurance payer from the existing list.
  2. Click Edit. Upon click, the Insurance Company Information screen opens in edit mode displaying the selected insurance payer information.
  3. Do the necessary modifications and click Save.
note

The Active check mark is used to activate or deactivate features. This section focuses only on the RIS-enabled features in the Patient Registration form. Please see the section Patient Registration for information on the universal features.

The Active check mark is used to activate or deactivate a particular insurance payer. Upon deactivation, the insurance payer information will not be available while choosing an Insurance payer for the patient.

Insurance Payer Information​

The Insurance Payer Information is required to submit electronic claims to an insurance carrier (if and when there is an interface to a billing software/clearing house). Payer ID is used by CMS1500 (USA only) to identify the payer/insurance companies for electronic claim remittances. The Carrier ID is utilized to identify the insurance payer within your organization. It can also be utilized for field mappings when submitting data via HL7 protocol to a billing software.

Insurance Company Information

Delete an existing Insurance Payer

Limitation:

Insurance payer information/company cannot be deleted even if one patient is associated it.

  1. Select the name of the insurance payer to be deleted from the existing list.
  2. Click Delete. Upon click, the application pops-up a confirmation screen.
  3. Click Yes.