Billable vs Non-billable payors

Within your Payors database, you can indicate certain payors as billable or non-billable, depending on whether you will send claims out to the payor. This is most applicable to organizations such as CHUSA. 


Here's how to indicate a payor as Billable or Non-Billable: 

1) When adding a payor to  your Payors database, you can check or un-check the Billable setting. 

 


What does it mean to be a billable or non-billable payor? 

Purchases with billable payor policies attached will generate a claim as normal, allocating patient and payor responsibility as expected— based on given billed amounts, allowed amounts, and benefit information. 

Purchases with a non-billable payor policy attached will not generate a claim. The patient responsibility will be calculated using  the allowed amounts saved to the services for the selected non-billable payor. 

 

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