05Provider billing & assignment
Provider details, right on every claim.
Supervising relationships, bill-under rules, group-vs-individual NPI, and taxonomy — set once, applied automatically per payer.
Taxonomy overrides
| Provider | Payer | Taxonomy | Status |
|---|---|---|---|
| A. Rivera, NP | Aetna Better Health | 363L00000X | Active |
| J. Chen, MD | State Medicaid | 207RA0401X | Active |
| A. Rivera, NP | BCBS | 363LF0000X | Active |
| M. Osei, PA | CareSource | 363A00000X | Active |
Billing NPI — group vs individual
| Provider | Payer | NPI mode |
|---|---|---|
| A. Rivera, NP | State Medicaid | Individual |
| J. Chen, MD | BCBS | Group |
Set once
Rules your EHR makes you retype
Custom taxonomies, supervising and bill-under relationships, and facility addresses usually have to be corrected on each claim. Here they're rules — changed in one place, applied to every claim from then on.
Supervising. Default supervising clinician per provider type.
Bill-under. Override who a claim bills under, with the right submission modifier.
NPI mode. Group vs individual NPI, chosen per payer.
Effective dating
Every rule carries a date range
Overrides have effective ranges, so a mid-year payer change or a new credentialing status applies from the right day forward — with no retroactive mess on claims already out the door.