Other Payer Definition

Add other payers to myAvatar MSO.

Avatar MSO > Membership Management > Other Payer Definition

• These payers can be assigned to members using the Member Other Payers form.

1. In the Other Payer Name screen, enter the payer name, click Select Other Payer.

• If a payer is found, select the payer, click Ok.
• If a payer is not found, click New.
• A dialog displays.

2. In the Identification Code Qualifier field, select the code qualifier.

3. In the Primary Identifier field, enter the identifier.

4. In the Claim Processing Rule If Other Payer Is Excluded From COB Information field:

• Select Approved, Denied or Pending to determine how a claim will be handled when the other payer information is missing from the coordination of benefits (COB).
• This selection populates the Claim Processing Rule if Other Payer is Excluded form COB Information field (Member Other Payers form), when the other payer is selected.

5. In the Allow User Over-Ride field:

• Select Yes to allow the user to change the claim processing rule that populates the Member Other Payers form.
• Select No to prevent changing the claim processing rule in the Member Other Payers form.

6. When finished, click Submit.