Add Additional Payors

1. If appropriate, click Add Additional Payor Records.

• The Financial Details section expands.

2. In the Payer field, select the guarantor.

• Insurance providers assigned to the client in the Cross Episode Financial Eligibility form (Avatar PM) can be selected.

• Payors must be assigned to a client in the Cross Episode Financial Eligibility form (Avatar PM) to be available.

3. Enter the following:

• As amounts are entered, the Billed to (payer) field updates.
• Billed amount — Service charge sent to the additional payer.
• Allowed amount — Amount defined by the payer for the service.
• Paid amount — Amount the payer paid for the service.
• Private pay amount — Amount of client responsibility per date of service.

4. If appropriate, enter the adjustment amounts.

Note: The lowest amount from:

• The billed amount
  any payer allowed amount (from any individual payor)
  and the Avatar MSO service cost (Provider Fee Definition form)
  - minus the paid amount
  - minus the private pay amount
  = equals the amount billed to primary provider.

5. Click Add Treatment.

• The Treatment History screen displays. The new service displays with a billing status of 'Not Reviewed'.