Overview
Billing Providers in NikoHealth represent the entities responsible for submitting claims and receiving payment for services and products. Properly setting up and managing billing providers ensures accurate claim processing, compliance, and smooth billing workflows.
Note: Before you start adding Billing Providers to NikoHealth, you need to have your Organization Details setup under Corporate Setup. For more information on this step, see our help article on Setting up your Organization Details.
Locate Billing Providers Queue
To locate your Billing Providers, navigate to:
Management > Corporate Setup > Billing Providers
This is a list of your current Billing Providers. You can sort and filter this list using the column headers at the top.
Add a New Billing Provider
While in the Billing Providers queue, click the Blue NikoHealth plus sign 
in the top right of the screen. This will bring you to the New Billing Provider screen.
Billing Provider Details
Under the Details tab, enter all the required information (fields noted with an asterisk*).
Billing Provider Electronic Claim Options
Under the Options tab, you can configure payer-specific electronic claim settings, particularly managing how the Billing Provider is identified on claims.
Payer and Plan Name
These fields let you define settings specific to a payer or plan, rather than applying one rule to all claims.
Provider Numbers Option/Value
Different payers often require different provider identifiers on claims. This setting allows you to choose which identifier is used on the claim for this Billing Provider when submitting to a specific Payer. With this feature in NikoHealth, you can customize claim requirements per payer/plan, ensure compliance with payer-specific rules, and avoid claim rejections due to incorrect provider identifiers.
Provider Numbers options include:
Provider Commercial Number
Location Number
Provider UPIN Number
State License Number
Once you select the provider number type, you define the actual value that will be used on the claim.
When you've entered all your information, click Save in the bottom right.
Note: When this Billing Provider is used, this information will populate in Box 33, 33a and 33b of the CMS 1500 and transmitted electronically via EDI on the 837 claims.