Insurance Plan Updates or Additions
When requesting Edits or New Plan additions from the Insurance Validation Department, you will receive an email response with one of two replies in the subject field:
Insurance Changes Succeeded for "XXXX Ins Plan"
Insurance Changes Failed for "XXXX Ins Plan"
Please open the email for Action taken and Validation Comments, giving further details or instructions for completing the actions.
As part of maintaining your Practice Insurance List, after any successful Edits or Additions of New Plans, please Refresh your Plan drop-down by clicking on the green refresh arrows:
Edit Insurance Plan Payer ID
1. Here are the steps to research payer ID numbers and payer information: Go To the Claims Tab > EDI Portal Click on the Resources Tab Select Payer list Now click the Blue link "Professional Payer" or "Institutional Payer" if applicable Scroll down ...
Insurance Plan Maintenance
You can perform Insurance Maintenance under Settings > Insurance with Account Manager privileges. Under Settings > Insurance > Show Insurance Plans > Edit > Insurance Type > Insurance Plan > Phone > Fax > Payor ID > Address 1 > Address 2 > City > ...
How to add payer to Practice Insurance list from Master Insurance List
If you received the response below for an insurance validation request OR you are adding a payer by searching the Master Insurance List Lookup tool, please see steps below. “This plan is currently available in our master plan list. Please search ...
Add New Insurance in Settings
To add a new insurance payer to your practice insurance list: From the Settings tab > Insurance tab: 1. Click on Settings > Insurance tab. 2. Click on the Add Insurance hyperlink. 3. In the Insurance Plan Lookup tool, search by PO Box (number only) ...
Add New Insurance
Add New Insurance Plan First, research the payer ID numbers and payer information in Trizetto: 1. Go To the Claims Tab > EDI Portal. 2. Click on the Resources Tab. 3. Select the Payer list. 4. Now click the Blue link "Professional Payer" or ...