Set Up Staff-Level Modifiers for an Insurance Payer or Activity Code

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Path: Maintenance and Setup > Employees > Staff > Staff

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You can set up the Billing Engine to add a modifier at the staff member level for a specific Insurance Payer, which is oftentimes seen with billing for Medicaid. Additionally, you can also set up the system to add a modifier for a staff member when billing for a certain Activity Code. It is important to note that modifiers are additive within the Billing Engine, meaning if you add them here, they will be in addition to any other modifiers you may have set.

Table of Contents

Add a Modifier for a Staff Member for an Insurance Payer

1. Navigate to the Staff List by following the path above.
2. Select a Staff Name.
3. Click the Enrollment List button.
4. Select the Party Type.
5. Click the Override By Ins List button.

1. In the Staff Enrollment Override By Insurance List, click the Ok button.

1. Click the Add button.
2. Select the Staff member from the drop-down menu that you want to add the modifier for.
3. Select the Enrollment Party Type from the drop-down menu that contains the Insurance Payer you want to set this up for.
4. Select the Insurance from the drop-down menu that the modifier is applicable to.
5. Enter the staff's credentials into the Provider Type field.
6. Select a Modifier from the drop-down menu.
7. Click the Save button.

Add a Modifier for a Staff Member for Specific Activity Code

1. Navigate to the Staff List: Maintenance and Setup > Employees > Staff > Staff.
2. Select a Staff Name.
3. Click the Enrollment List button.
4. Select the Party Type.
5. Click the Override By Act Code List button.
6. Click the Ok button.
7. Click the Add button.
8. Select the Staff member from the drop-down menu.
9. Select the Enrollment Party Type from the drop-down menu.
10. Select the Activity Code from the drop-down menu that the staff Modifier will be associated with.
11. Select the Modifier from the drop-down menu.
12. Click the Save button.