Payer Master File
Use the Payer Master to add all insurance plans accepted by the laboratory. For each payer:
- Assign the correct Bill Type to inherit common billing rules.
- Complete all required claim settings to prevent rejections, including:
It is strongly recommended to use assistance for our support team to get started with insurance billing.
đŸ“‹ Related Articles
Related Articles
Toxicology Test Class Master File
In clinical toxicology billing, tests are grouped into drug classes (e.g., amphetamines, benzodiazepines, opiates, cannabinoids). Your LIS maps each analyte/result to one of these classes and uses the class counts and test methodology to select the ...Diagnosis Code Master File
What they are: ICD-10-CM diagnosis codes (not ICD-10-PCS) that describe why a test is medically necessary. Primary use: Paired with CPT/HCPCS on claims to support coverage, drive payer edits (NCD/LCD), frequency limits, and whether a test is ...Adjustment Code Master File
What they do and how to use them Adjustment codes explain why a payer did not pay the full billed amount and how to allocate the remaining balance. Your billing/LIS system uses them to auto-post payments, move balances to the right party, and decide ...AOE Master File
Ask at Order Entry (AOE) are structured questions shown during order entry to capture additional clinical information needed for a specific laboratory service. Answers help the laboratory and the ordering provider select the right tests, apply ...Department Master File
Departments — Purpose, scope, and best practices Adding Departments helps organize your laboratory’s catalog and operations by grouping tests, instruments, and activities into logical areas (e.g., Chemistry, Hematology, Microbiology). In this LIS, ...