Axxess Palliative Care now enables users to set up payers that require a unique provider identification number (UPIN) on HCFA-1500 claims and add UPINs to rendering providers through the provider list. This enhancement streamlines claim operations and facilitates compliance by enabling users to meet payers’ requirements to include rendering providers’ UPINs on applicable claims.
To configure and add UPINs to rendering providers, users must have permission to view, add and edit insurance/payers, providers and claims in Axxess Palliative Care.
To give a user permission to view, add and edit providers, edit the user’s profile and navigate to the Permissions tab. In the Administration section, select View, Add and Edit next to the Providers permission.
People tab ➜ People Center ➜ Edit ➜ Permissions tab ➜ Administration section ➜ Providers ➜ View/Add/Edit
To give a user permission to view, add and edit insurance and payers, select View, Add and Edit next to the Insurance/Payers and Authorizations permission in the Administration section.
People tab ➜ People Center ➜ Edit ➜ Permissions tab ➜ Administration section ➜ Insurance/Payer and Authorizations ➜ View/Add/Edit
To give a user permission to view, add and edit claims, select View, Add and Edit next to the Claims permission in the Billing section.
People tab ➜ People Center ➜ Edit ➜ Permissions tab ➜ Billing section ➜ Claims ➜ View/Add/Edit
Click Save to finish granting the permissions to the user.
To configure a payer that requires a UPIN on HCFA-1500 claim forms, navigate to the three-line menu and select Insurance/Payers. Select Edit to edit an existing payer or Add Insurance/Payer to add a new payer.
On the Billing Information tab of the payer’s setup, select Add Rendering under the Provider section.
➜ Insurance/Payers ➜ Add Insurance/Payer or Edit ➜ Billing Information tab ➜ Providers ➜ Add Rendering
When selected, Rendering Provider will appear in the table. Under 17 Value Source, select the provider type. Under 24J Value Source, select Rendering Clinician. Check the box under the UPIN column to enable the rendering provider’s UPIN to flow to the claim form.
To assign the payer-associated UPIN to a provider, navigate to the three-line menu and select Providers. Select Edit to edit an existing provider or Add Provider to add a new provider.
➜ Providers ➜ Add Provider or Edit
Once selected, you will see two new fields, Payer Associated UPIN and Provider UPIN. Under Payer Associated UPIN, select the payer that requires the UPIN from the drop-down list and enter the provider’s UPIN in the Provider UPIN field. If there are multiple payers that require the UPIN, select Add Payer Associated UPIN to add up to five applicable payers.
After setting up the specified payer by checking the box under the UPIN column and updating the rendering provider’s profile with the associated UPIN, navigate to the Billing tab and select Claims. Upon successfully verifying the claim, the UPIN of the rendering provider from the first service line will automatically populate into box 33b on the HCFA-1500 claim form.
Updated on 10/24/2024
