Billing Settings: Payer Rules Overview

The Payer Rules tab under Settings > Billing allows you to create billing rules specific to each payer.

Required Permissions: You must be a Super Admin to view or make changes to payer rules.

Creating Payer Rules

Check out the following instructions for creating a payer rule.

Important: If you are creating payer rules for AveaOffice, be sure to select a payer that starts with AO-.

Creating Billing Rules

Once you create a payer rule, you can add a billing rule.

• Add Modifier
• Admit to Discharge
• Case Management (Beta)
• Funding Source - Coming Soon
  • For customers using the Avea Integration, this rule is only required if specifically requested by a payer. To configure Funding Source fields in Avea, please contact Avea Support.
• MAT Dosing
• Office Based MAT
• Per Diem
• Replace Code
• Replace Place of Service
• Unit Billing