Create an Alternate Payer Carve-Out Criteria

• Select an alternate payer from the list.

  You can also create a new alternate payer by selecting the open menu in the Alt Payer Criteria section.

• Select the effective and expiration date.
• Enter the description for the alternate payer carve-out criteria.

• Select the taxonomy code.
• Enter the provide number, national provider ID, and In-Line Edits payer ID.

When you add the billing provider details, the claim generates with these details for the carve-out criteria. If you use two carve-out criteria while creating a claim for an alternate payer, the claim considers billing provider details from the criteria that was entered first.