View Payor Mapping by Payor Code

Use the Payor Mapping by Payor Code page to review payor code mapping.

  1. To access the Payor Mapping by Payor Code page, select Go To > Implementation > Payor Code Definitions > Payor Mapping by Payor Code.
  2. Specify display, sort and filter options, then click Display Mapping. The results appear according to the selection criteria. You can choose to view results with minimum details.

    You can also view the product match details.

  3. Review the list.
  4. Optionally, change the options and click Refresh View.
  5. To export the information to Microsoft Excel® or a text file:
    1. Select either Microsoft Excel or Text File from the Export To list.
      • Select Microsoft Excel to open Excel. You can then work with the data in Excel; for example, to move or delete columns, re-sort or re-format the data.
      • Select Text File to save the data as plain text (with no formatting). Typically, you select this option if Excel is unavailable on your computer or you have Excel version’97 or older.
    2. Click Export.

The following table describes the fields on the Payor Mapping by Payor page..

Field

Description

Active

Indicates whether the product is active

Approval Date

Date approved

Bill Type

Bill type

Contract

Contract name

Contract Term Effective Date

Effective date of the rates

Effective Date

Effective date of the product

Financial Class

Financial class code

GL Code

General ledger code; identified the specific account to which a payment or discount is posted

GL Description

Description of a GL code

Group Number

Insurance group number

Hospital SVC Code

Hospital service code

No.

Sequential reference number in the list

Number of Records

Number of records to include

Patient Type

Patient type assigned to the account

Payor Code

Payor code associated with the product

Payor Name

Name of the payor associated with the account

Product

Name of the insurance product

Provider Number/NPI

Provider’s tax ID number or ten-digit National Provider Identification (NPI) number required on all claims

Rank

Level of importance and evaluation

Sort By

How the results are sorted

Sort Order

Whether the results are sorted in ascending or descending order

Stage

Implementation stage

Status

Status of the implementation stage (unless the implementation stage is complete, in which case, the status is “Production”)

Termination Date

Termination date of the product

View From

Source of the view

View Product Match and Contract Details

Option to view all product match and contract details in the results