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Payer Rules

What are Payer Rules?

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Written by Rachel
Updated over 5 years ago

Creating Payer Rules

There are several different types of rules you are able to create for each payer; Prescription, Authorization, Resupply, CMN, Compliance, Combine Line Items, Split Line Items, Rental, & Rendering Provider.

To access Rules, you’ll need to find the management tab.

Find the billing option and select Payers from the drop down.  

Once you are able to see your payers, select the appropriate one .

You will be able to see different choices at the top of the insurance; you’ll want to select “Rules” 

All the different rule options will appear

Rule Types

Select each rule to see its function and how to create that rule for the payer


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