Verifying Important Billing Details

To ensure that your billing is set up correctly, your Billing Champions can revisit some key billing inputs for the Buildings, Insurances and Services.


Verifying Your Billing Configurations

Depending on the NM109 Priority settings for each insurer, claims will include various pieces of information collected in other areas of the system. For example, if the Billing Provider is set to Appointment Location NPI, the building NPI (ClinicTracker -> Utilities -> Maintenance -> Building/Billing Location Input). It is necessary to ensure that all NM109 source information has been configured

If any NM109 Priority Settings are set to:

  •  Provider
    • Go to ClinicTracker > Staff > Staff Info > [select staff].
    • Ensure the NPI number has been entered on the Basic Info tab. 
  •  Appointment Location NPI.
    • Go to ClinicTracker > Utilities > Maintenance > Building/Billing Location Input.
    • Ensure the NPI number has been entered for each location.
  • Appointment Location Tax ID
    • Go to ClinicTracker > Utilities > Maintenance > Building/Billing Location Input.
    • Ensure the Tax ID number has been entered for each location.
  •  Main Building NPI
    • Go to: ClinicTracker > Utilities > Maintenance > Building/Billing Location Input.
    • Ensure the NPI number has been entered for the building that has been identified as the Main Building for Billing.
  • Main Building Tax ID
    • Go to ClinicTracker > Utilities > Maintenance > Building/Billing Location Input.
    • Ensure the Tax ID number has been entered for the building that has been identified as the Main Building for Billing.

Verifying Your Building Details

  • Go to ClinicTracker > Utilities > Maintenance > Building/Billing Location Input > Business/Billing Tab.

    • Ensure ZIP field has a 9-digit zip code entered.

    • Enter a Tax ID.

    • Enter an NPI for each module (CD/MH) that you bill to insurance.

    • Enter a Taxonomy Code, in case a payor requires it.

  • Go to ClinicTracker > Utilities > Maintenance > Building/Billing Location Input > Service Loc Tab.

    • Enter an address for Service Location matching the NPI of the credentialed location.

    • Select Main Building NPI if you want to use a single main address, regardless of the NPI  listed on the Insurer Plan.

Verifying Your Service Details 

  • Go to ClinicTracker Utilities > Maintenance > Service Input.

  • Enter CPT Codes for Professional/CMS-1500 electronic claims.

  • Enter Revenue Codes for Institutional/UB-04 electronic claims.

  • Enter a dollar amount in the price field.

Verifying Your Insurance Details

  • Go to ClinicTracker > Utilities > Maintenance > Insurance Input.
  • Enter payor name.
  • Enter the payor address or use the Master Insurer Icon search TriZetto payer ID.
More About  Billing Details

Entering Your Buildings

Entering Your Services

Entering Your Insurance

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