Managing insurance plan codes

As an administrator, you can manage insurance plan codes in your Axiom Contract Management systems. Managing codes include creating new codes, searching for existing codes, and adding codes to contracts.

Insurance plan codes are assigned to contract versions to determine which payers and procedures on incoming claims apply to that version. New codes coming in on claims are automatically added to the OrgCode PayerCode library. However, the new code will not cause the claim to trigger a contract until the code is added to a contract version. As an administrator, you can assign a new insurance plan code to a contract as soon as you become aware of it so that incoming claims calculate upon import instead of waiting until the new payer code is assigned. Then, when the new code imports from a claim or an AddPayer file, it is recognized as existing and not duplicated.

On the Insurance Plan Codes page, you can do the following:

• Add a new insurance plan code to the system
• Search for existing insurance plan codes using a variety of criteria