Contents - Index

6- Insurance FIle



Option [6] in the Maintenance Menu. 

1- FIND BY Payer ID
2- FUZZY SEARCH by Name
3- ADD NEW Insurance Company
4- New Way to View Insurance Files
5- FIND BY Selection Option


Note: This option is mainly used to add commercial insurance companies not already on our list. Be sure to check with your clearinghouse for correct payer id numbers. 

Payer ID 
Enter the NEIC or Clearinghouse assigned payer ID number for the insurance company. 

Claim Office # 
Enter the insurance company office number, if applicable. Otherwise, enter "NOCD". 

Group # 
Enter the insurance company group number. If not required, enter "999999". 

Company Name and Lookup Name 
Enter the insurance company name. 

Address, City, State, & Zip Code 
Enter mailing address of the insurance company. Only need to fill in for Sub Type P or Q. 

OCNA # - Companies are already in the System 

Contact Name and Phone Number 
Enter the names and phone numbers of the contacts. This is not a required field. 

Description - Not a required field 

Stop Date for Legacy Prov ID #s 
(New for 8.04) As of May 23, 2008, Medicare requires claims with the National Provider Identifier (NPI) only, so submitters must stop using legacy provider numbers such as the UPIN. However, because other payers may still require or allow legacy numbers, you must set the stop date for each payer separately. 

Sub Type
[E] Electronic (True Electronic Payer) - Send this claim electronically. 
[P] Electronic Paper (Print & Mail Payer) - Send this claim electronically and it will be forwarded to the insurance company on paper. 
[Q] Paper only (Internally printed within FASTEMC only). The user is responsible for printing. 

INS Type 
Enter the type of insurance this company represents. [F6] for valid codes 

Carrier Type 
Enter the type of carrier for this insurance company. 
[CARD] Policy Number and Office Number are required. 
[BNC] Both numbers are optional. 
[SKIP] Skip the office number field when entering a claim. Most often used. 
[NC] Policy number is required, Office number is optional. 

Source of Pay Code 
Enter the source of payment code for this insurance company. [F6] for valid codes 

Press [ESC] to record information.