Insurers Setup 

Overview

 

The Insurers screen in the ClinicSource Setup section displays a list of all of the insurance the practice takes including Medicare and Medicaid. For each insurer, you complete the contact information, rates and any modifiers required by the insurer. The parts of the screen include the following:



Icons in the Header


Save, New Insurer, Delete, Print and Hide Inactive

Insurers List


Displays the list of all insurance companies accepted by your practice.

Insurer Name and Type


Identifies the insurance company name and type of insurance.  Also indicates that the insurance is active and that the practice accepts the payment assignment.

Insurer Address


The insurers address, phone number, provider information and more.  Also includes the preferred EDI (Electronic Data Interchange) gateway.  ClinicSource supports the following EDI Gateway companies:

1500 Form


Indicates how to print the form and whether to use custom fields for the HCFA-1500 form. 



ERA


If the check box to the left of Ignore Patient Copay, when an ERA comes into ClinicSource, the patient copay will not be assigned as patient level responsibility in the payment and will be passed through to the secondary if assigned.

Default Rates


Allows you to assign the rate per unit the insurance company pays for each treatment.  You have the ability to copy rates from another insurer as well as marking a CPT code as an encounter for the insurer.

Modifiers


An place to establish rules by dicipline for the extra charge required by an insurance company for certain services.

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