Provider Claim Settings

Provider Claim Settings

The provider's claim settings are used to configure electronic claim submissions and paper claim printing. Configuring claim settings for each provider at your facility is essential when the provider bills insurance companies individually than through your practice (organization).

1. Login to your account at

2. Click on the third option - Update Info - from the drop-down menu.

3. In the Update Info window, click on the second tab - Provider .

There are two options on the left side of the screen: Provider Details and Business Hours.

Click on the first option -
Provider Details .

4. If you have two providers at your practice and you want to change claim settings for a particular provider, there is dropdown menu at the top to select the provider. Select the provider from the dropdown. The page will refresh with that provider's details.

5. Claim Settings Select the appropriate claim settings for the provider:

NPI : Enter the Individual NPI Number of the provider.
State License Number : Enter the State License Number of the provider.
Provider Tax ID : Enter the tax ID of the provider.
d. Select how the provider is credentialed with payors to send claims in the drop-down menu. Select EIN if the provider is credentialed with payors to send claims using an Employer Identification Number (EIN) assigned by the IRS to the practice. Select SSN if the provider is credentialed with payeors to send claims using the provider's Social Security Number (SSN). This is the case when the practice is a sole proprietorship and has not been assigned an EIN from the IRS.
Billing Provider Entity Type : Select 'Individual' from the drop-down if the provider wants to bill individually to payors. Select 'Organization' if the provider wants to bill payors through the organization tax ID.

6. Additional Identifications
Scroll down to the bottom, there is an option - Additional Identifications. Click on that and a drop-down form will open where you can enter or edit additional claim-related details.

a. Enter
BCBS Michigan Submitter ID if the provider wants to bill Michigan BCBS.
b. Enter
Prompt Submitter ID if the provider wants to bill Prompt individually.
c. Enter Provider's
UPIN Number .
d. Enter Provider's
Commercial Number
e. Enter Provider's Location Number
f. Enter Provider's
State Industrial Accident Provider Number, which is required for billing auto insurance payors.

7. Click ' Update ' to save the provider's claim settings.

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