Summary
Payor Codes are required for the successful submission of Insurance Claims, through an Insurance Claims Clearinghouse, to the Insurance Provider. To add a payor code, follow the below steps.
Adding a Payor Code to Insurance Billing Center
Step 1. You can check if a payor code is added into the system by navigating to Edit > Setup > Insurance Billing Center.
Step 2. Search the insurance billing center name in the search bar on the right.
Step 3. Click the tick box to select that Insurance Billing Center and then click 'Edit.'
Step 4. Once you have clicked 'Edit', click the magnifying glass on the payor code field at the bottom.
Step 5. Enter the payor code and click enter.
Step 6. If the payor code appears, select it, and click 'Select', then save the changes in the Insurance Billing Center.
Once you have updated the Insurance Billing Center, navigate back to the patient's Insurance Claim Queue, select the affected/rejected claim, and then Click 'Rebuild' and set the status to 'New' so it can be resubmitted. See THIS ARTICLE for information about the Insurance Claim Queue.
What if the Payor Code is not in my Database?
If you search the payor code and it is not currently in your database, you will need to contact Support so we can confirm and add the payor code to your Cloud 9 URL. This process was developed so that we can verify the validity of the Payor Code against the approved lists that are provided by claims processors. Once the Payor Code has been added into your Cloud 9 URL, you can follow the above steps to attach it to the Insurance Billing Center.
How do I Contact Support?
Phone: 1-800-394-6050, Option #2, or
Chat: cloud9support.planetdds.com, (Use the Chat Bubble on the lower right) or
Email: cloud9support@planetdds.com
As always, if you have any further questions please do not hesitate to reach out to Cloud 9 Support by emailing us at cloud9support@planetdds.com, or chatting us online using the chat bubble on the lower right at https://cloud9support.planetdds.com/hc/en-us, or giving us a call during our business hours of 8:00 AM EST to 8:00 PM EST at the 1.800.394.6050 option 2.