Review Your Payers

Overview

This article helps you review the payers your organization already uses. You may need this when you want to confirm mappings, usage, or enrollment status before running eligibility checks.

Before you begin

• You need access to Config > Payers.

Steps

1. Click Config.
2. Click Eligibility.
3. Review Client Payer Name.
4. Review Payer ID.
5. Review Calvient Payer Name.
6. Review Stedi ID.
7. Review Usage.
8. Review Enrollment Status.
9. Click Edit on a row if you want to change the mapping.

Troubleshooting

• If a row shows Not Mapped, then that client payer is not yet mapped to a payer record.
• If a row shows Not Supported, then that payer does not support eligibility checks.
• If a row shows Enrollment Required, then your organization must complete enrollment with the clearinghouse before eligibility checks can run.
• If a row shows Pending, then enrollment is still in progress and eligibility checks cannot run yet.
• If a row shows Ready or Enrolled, then eligibility checks can run for that mapping.