Payer Rules: Do Not Bill

The Payer Rules tab allows users to create billing rules specific to each insurance. This rule allows users to select codes that will automatically transmit their billable items to the Do Not Bill tab. Once created, the report will run automatically at 5 AM ET, or when manually run by a user. Before you can add a Do Not Bill rule, you must first create the payer rule. Click here for instructions on creating the payer rule.

Building a Do Not Bill Rule

Once you have your payer rule parameters created, the next step is to create the Do Not Bill payer rule.

1. Click Add Billing Rule.
2. Choose Do Not Bill from the Billing Rule Type drop-down.
3. Next, search for the code (or codes) that should be bundled. You can select one or multiple codes, as needed.
4. Select the Do Not Bill reason from the drop-down.
5. Click Update to save your selections.

Edit an Existing Payer Rule

To edit an existing payer rule, either click on the payer rule name or on the pencil icon.