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Adding Payer Plans

How to create additional plans under an existing payer

Updated over 2 weeks ago

Overview

Some Insurance companies have multiple plans associated with them.

For example, Aetna might be the primary insurance carrier for a patient, but the patient may have Aetna Medicare. While this is a Medicare policy, it still falls under the commercial insurance Aetna, so it can be added to the payer as a separate plan.


Creating a Plan for a Payer

To add a Plan to a Payer, navigate to the Payer Settings:

Management > Billing Setup > Payers

Click on the Plans tab.

Click the button for Add new Plan.

Enter the required information on the Plan.

Note: if the Plan's claims mailing address is different than the parent insurance company's address, you can enter the Plan's address.

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