| Normal Claim | Paper, if the payor will normally be billed with a paper claim form.
Electronic, if the payor will normally be billed with an electronically submitted claim form. Crossover, if the payor will normally be billed as secondary insurance and the claim form will automatically crossover from the primary payor |
| Taxonomy | Enter the taxonomy number for this payor. |
| Claim Form | The name of the claim form that should be printed for this payor. This is normally the CMS1500(02-12)PrePrinted form if the payor accepts the CMS1500 version 02-12.
TIP: Use the CMS1500(02-12)PrePrinted to print a 1500 form using Medicare’s format. |
| Appeal Form | Choose the appeal form you want to print for this payor. |
| Delivery Form | Choose the name of the form that you want to use when printing delivery tickets. |