Insurance: Insurance Payers

Add Payer IDs to your payers

For each payer in your account that you would like to submit claims electronically, you must add their Payer ID. To do this, go to Billing Settings > Insurance > Payers. If you have not setup any payers, you will need to do this now. You must enter the Payer ID that the payer uses to accept electronic claims.

Each clearinghouse can be unique in what payer IDs they use. We use Claim.MD as our clearinghouse. They have a payer list that you can search to find the correct payer ID to use.

When you enter the Payer ID, you will see an autocomplete dropdown of options. Select the appropriate option for your payer.

Do you support [a particular payer] for submitting electronic claims?

To ensure accurate processing of claims, it's essential to verify the correct Payer ID. This can be one of the tricky parts of setup because payer IDs can vary between clearinghouses.

We use Claim.MD as our clearinghouse. They have a Payer List that you can search to find the Payer ID. To do this, first navigate to "Payer Search." Next, enter the payer ID or name in the search bar. You may click on the View Payer button to view more details about the payer. You'll want to make sure it shows "Yes" next to a Professional/1500 Claims in order for you to submit claims through Sessions Health.

After you have found the Payer ID in your search, you can cross-reference the Payer ID found on the member's card against the list of "also known as" payer IDs on Claim.MD’s details page for the payer. Because each clearinghouse is unique in what payer IDs they use, it is very possible the payer ID on the member's card will not match the payer ID in Claim.MD. The "also known as" list is a good way to cross-reference.