Defining Payer Carve Out
The Payer Carve Out function associated with the Orders module allows you to map payers to performing entities. The default value for new orders is the performing test entity.
When you create a new order, the system looks at the insurance (payer) for that order. From the insurance, it finds the performing entity, which is set up in File Maintenance from the Orders module tab on the Payers window. If the performing entity is set for that insurance, then the order is created for this performing entity. You need to set up different performing entities for Lab orders and Radiology orders.
The next time a new order is created for this payer, the default value for the order is this performing entity. For the NextGen® Enterprise EHR Orders module, the carve out is defined using File Maintenance.