EHR › Claims EDI
Clearinghouse Payers
The payer ids a clearinghouse routes to, and which transactions each takes.
Where to find it
- Module: EHR
- Group: Revenue Cycle
- Section: Claims EDI
- Screen: Clearinghouse Payers
Address in the console: /ehr/clearinghouse-payers
List · 8 columns · 10 fields on its form · 3 of them required
What the list shows
These are the columns of the list, in the order they are drawn. Any of them can be sorted on, filtered on, hidden, or exported.
| Column | Kind | Field name |
|---|---|---|
| Clearinghouse | Code | connection_code |
| Payer id | Code | payer_code |
| Payer | Text | payer_name |
| 837P | Yes or no | takes_837p |
| 837I | Yes or no | takes_837i |
| 270 | Yes or no | takes_270 |
| 835 | Yes or no | sends_835 |
| Needs sign-up | Yes or no | needs_payer_signup |
The form
What is asked for when a record is created here. Required fields are marked; a choice drawn from a configuration list is one an administrator can extend without a release.
| Field | Type | Choices | Notes |
|---|---|---|---|
| Clearinghouse required | Choice | Looked up from existing records | |
| Payer id required | Text | ||
| Payer name required | Text | ||
| Payer here | Choice | Looked up from existing records | |
| Takes professional claims | Yes or no | ||
| Takes institutional claims | Yes or no | ||
| Answers eligibility | Yes or no | ||
| Sends remittances | Yes or no | ||
| The payer must sign us up first | Yes or no | ||
| Active | Yes or no |
The rules that apply here
Everything on this screen obeys the platform rules rather than rules of its own. The ones worth knowing before you use it:
- Narrowing a list — search, conditions, sort, totals, export and saved views.
- What may be changed — the five grounds a record may not be edited on.
- Companies and business units — what the switcher above this list is doing to it.
- Creating a record — required fields, where choices come from, and how the number is allocated.
- Importing a spreadsheet — this screen accepts one, and it runs through the same rules as typing.