Add and Configure Insurance Companies
Families bring in new insurance cards all the time, particularly if you are a new client or if it is January. While taking time to add and configure a new plan in Partner is important, many new insurances can be added quickly and easily.
This article is a reference to the Insurance Companies table and the Insurance Groups table, both of which are in the Table Editor (
ted). They contain information about the insurance policies in your system, and they effect billing and reporting.
hedfeprogram is a HCFA/CMS 1500 form editor. It can configure both the layout and the content of claim forms. You can use the program to move form data around or change how it is filled out. Simple errors on claim forms can delay payment and cost your practice both time and money. Therefore it is important to understand how Partner fills out HCFA forms and how to make changes to your forms when necessary.
Do you need to replace all of a provider's identifiers with a different provider's values? Can Partner change a provider's name or Taxonomy code on some claims, or include a custom insurance eligibility ID#? How do you configure the legacy PIN and Group numbers required by some carriers? Partner's Provider IDs (
provids) program allows you to override any claim identifier information. Use
providsto set an alternate provider, or to enter custom values for the name, Taxonomy code, NPI, Tax ID, eligibility, or legacy ID numbers.
Tricare North and Tricare South are merging into a new entity: Tricare East. If your practice wishes to submit claims to military families who were on Tricare North or Tricare South, you must become credentialed and enroll for electronic claim services, eligibility, ERAs, and optionally electronic funds transfer.