Medical Order Edit, Policy

Payor

The payor to submit the Order/Claim to.

List Order

The order the payors will be billed; Primary, Secondary, Tertiary and/or Customer Invoice. This can be changed by clicking the arrows on the right.

Assignment

Assignment	The primary payor pays the provider.
Non-Assigned	The primary payor pays the patient and the patient pays the provider.
Complimentary	The Customer pays the provider in full and only when the Customer pays in full will the provider submit a non-assigned claim on the Customer’s behalf.

Claim Type

Paper, Electronic, or Crossover

Prior Authorization

Enter the Prior Authorization number for this payor.

PAR Expires

Enter the Prior Authorization Expiration date for this payor.