Member Other Payers

Assign other payers to a member, contracting provider, and funding source.

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Prerequisites:

• An other payer must be defined in the Other Payer Definition form.

1. In the Select Client screen search for and select the client by name or ID.

2. In the Funding Source field, select the funding source.

3. In the Contracting Provider field, select the contracting provider.

4. In the Other Payer 1 field, enter the other payer name, and select.

5. In the Other Payer 1 Effective Date field, enter the other payer assignment start date.

6. In the Other Payer 1 Expiration Date field, enter the other payer assignment end date.

7. In the Other Payer 1 Policy Number field, enter the policy number.

8. In the Other Payer 1 Member Relationship to Subscriber field, select the relationship to the subscriber.

9. In the Claim Processing Rule If Other Payer Is Excluded From Cob Information field, select Approved, Denied or Pending to determine how a claim is handled when the other payer information is missing from the coordination of benefits (COB).

• This selection is populated from the Claim Processing Rule if Other Payer is Excluded form COB Information field (Other Payer Definition form).

10. In the remaining 'Other Payer' fields, enter information as appropriate.

11. When finished, click Submit.