edgeMED Help Center > Practice Management > Billing
Insurance company setup.
The Insurance Companies section is for the payer set-up or the entity, other than the patient, responsible for financing, or reimbursement for the cost of the services rendered. Payers must be set up so that claims can be sent and payment can be rendered.
To set up a Payer, click Utilities icon in the upper right corner.
Click Practice Setup and then Insurance Companies.
By selecting New Payer you are able to allocate the payer or person/entity responsible for the payment of the claim. Select Payer from the edgeMED Master List, which contains information for over 3,000 payers.
New Payer Setup
Select the payers’ name
Payer Electronic ID automatically populate
Primary payers claims will remain electronic while claims from smaller companies and Worker’s Comp will be printed
The secondary claim is typically printed for a hard copy of the HCFA1500
Claims indicator is Commercial unless Medicare, Veterans, and other exclusions apply
Type of insurance must be from the drop-down menu
The default fee schedule is what the practice has set up for the practice
Claims specific rules can be added which apply to the payer when creating the EDI or the HCFA1500 form
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