Administration
Payers
The payer list holds the insurers your organisation bills, with the identifiers a claim needs. A payer record is reference data: adding one does not connect ArkCloud to that payer.
Written for: Organisation administrators · Billing leads
How to get there
ArkCloud RCM → Settings → Payers (also Insurance → Payers)
The payer register under Insurance → Payers. It reads and writes the same payer records as Settings → Payers.
/dashboard/insurance/payers
What a payer record holds
| Field or control | What it means |
|---|---|
| Payer ID, payer name | Required. The payer ID is the electronic identifier used on claims. |
| Trading partner ID, EDI submitter ID | Identifiers for electronic exchange, where your clearinghouse needs them. The EDI submitter ID has no field on the form; it is set through CSV import. |
| Claim filing indicator (837 SBR09) | Optional. Left on the default, it follows the payer type; where the payer type implies no code, claims to that payer are refused until one is chosen. |
| Payer type | Commercial, Medicare, Medicaid and so on. |
| Timely filing days, appeal time limit | Filing windows, used to show how long is left. |
| Eligibility vendor, claims vendor | Labels for which service handles that payer. Recording them connects nothing. |
| Address, phone, fax, website, notes | Contact details. |
| Payer is Active | Inactive payers are hidden from the list unless Show Inactive is switched on. |
Considerations
Payers can be uploaded from and exported to CSV; a template is provided on the screen.