Payers List and Adding Payers

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The Payers page (EHR -> Payers) contains a centralized list of all insurance payers billed within the practice.

View Payers Table

The table displays key details for each payer, including:

  • Active - Current payer is active and can be used in Eligibility checks and Credentialing
  • Payer ID – IMPORTANT. This is the ID of the payer used to send claims to. Typically found on the member ID card
  • Claim Filing Code – Used when submitting claims
  • Network – The provider network offering in-network benefits
  • TPA Indicator – Identifies if the payer is a Third-Party Administrator (TPA)
  • EAP Indicator – Identifies if the payer is an Employee Assistance Program (EAP)
  • Accepts Therapy – Indicates if therapy services are accepted
  • Accepts Psychiatry – Indicates if psychiatry services are accepted
  • Auth Required – Shows if prior authorization is required
  • Self-Pay Allowed – Indicates if clients can self-pay
  • Notes – Additional payer-specific details

View Payer Details

  1. Click on a payer row
  2. Review detailed information, including notes and additional configurations

Add a Payer

  1. Click Add Payer
  2. Enter all available information

Required fields:

  • Name
  • Payer ID
  • Network
  • Claim Filing Code
  • Billing Method

Edit a Payer

  1. Click the pencil icon next to the payer
  2. Update the necessary fields
  3. Save changes

Search for New Payers

  1. Click Search for Payers
  2. Review the list provided by Stedi to identify available payer details
  3. Locate the correct payer and confirm the information provided
  4. Search online to determine the payer’s network
  5. Use this information to verify Overcomers’ in-network status for that payer