Payer List

The eMEDIX Payer List allows the user easy access to our payer list and payer codes for Claims, Claim Status, and Eligibility. The list is searchable and can be downloaded to a .PDF. To access the payer list, click Payer List from the Administration drop-down menu. Customers can also access the Payer List on the login screen without logging into the product or by using the following URL link: https://online.emedixus.com/payer-list.

To search for a payer:

Select a Transaction Type from the drop-down menu. Options are Claims, Claim Status, and Eligibility. The Search options vary by the Transaction Type selected.
When searching the Claims payer list, users may select a Line of Business from the drop-down menu to view any payers by type. Options include Dental, Institutional, and Professional. Payer codes display in the grid for each available Line of Business. (Example: Payer Code 62308 displays three (3) lines, one line for each of the three types.)
Claim Attachments includes drop-down menus for Solicited and Unsolicited Attachments, which allows users to select an option to display payers with the specified type of claim attachments. Options for these menus are Electronic, Not Available or Blank. Once searched, the information displays in the Solicited or Unsolicited Claim Attachment columns.
Enter an eMEDIX Payer Code and/or Payer Name in the respective fields. To view all available payers, do not enter any information in the fields and click Enter.
Users may also select a State and/or Payer Type from the respective drop-down menu.
Users can search for whether enrollment is required for Claims and/or Remits. Select Yes or No from the drop-down menu for Enrollment Required Claims or Enrollment Required Remits. Select Yes to return payers that require enrollment. If no information is available for the payer, the column row is blank. Not Available displays for Enrollment Required Remits if a payer does not offer electronic remits to partners at this time.
The CTMail drop-down field allows users to filter payers based on their claim submission methods. Options include Yes (claims will drop to paper) and No (claims will not drop to paper). The CTMail column in the search results displays a clear indication of which payers will drop claims to paper and which will not.
Click Search. Users may also perform an open search without entering any search criteria; leave the search fields blank and click Search to view all payers. The information displays in the grid under the search box.
When searching by Claim Status or Eligibility, users can enter a Payer Name and/or Payer Code, and/or select Yes or No from the Enrollment Required drop-down menu. The grid displays the available payer(s), along with any alternate payer codes and the enrollment required status.
Users can search for whether enrollment is required for Claim Status or Eligibility. Select Yes or No from the drop-down menu. Select Yes to return payers that require enrollment. If no information is available for the payer, the column row is blank.
Users can download a PDF. Click PDF to download the file into the selected program.
Click Clear to remove any entered search criteria and begin another search.