Setting up insurers/3rd party payers

Setting up insurers/3rd party payers

A 3rd party payer must be added in Blueprint OMS in order to be assigned to a patient's file, to be selected on an order or sale, or to generate a claim form.

Viewing the list of insurers/3rd party payers

  1. Click the Setup button on the main toolbar.

  2. Click Insurers/3rd party payers.

Creating a new insurer/3rd party payer

  1. Click the Setup button on the main toolbar.

  2. Click Insurers/3rd party payers.

  3. Click Create new.

  4. In the Create insurer/3rd party payer dialog box, enter all required information.

  5. Other fields, not marked with an asterisk (*), but which are recommended indicate the following:

    • Revenue group: This will assist in tracking Managed care, Medicare/Medicaid, and private pay invoices. You can view invoice statistics on the Revenue Group Report.

    • Pays full amount: Select this check box to allocate the full amount of a sale or order to the 3rd party payer automatically, but only if the 3rd party payer is present in the patient's Insurers tab. 

    • Payer ID number if your Blueprint OMS is integrated with a clearinghouse. 

  6. Click Create.

Editing an insurer/3rd party payer

  1. Click the Setup button on the main toolbar.

  2. Click Insurers/3rd party payer.

  3. In the Insurer/3rd party payer panel, click on the desired entity, and do one of the following:

    1. Double-click.

    2. Click Edit details.

  4. In the Edit Insurer/3rd party payer dialog box, make adjustments as needed, and click Update.

Deleting an insurer/3rd party payer

  1. Click the Setup button on the main toolbar.

  2. Click Insurers/3rd party payers

  3. In the Insurer/3rd party payer panel, click on the desired entity, and do one of the following:

    1. Double-click and un-check the Active check box and click Update.

    2. Click delete.