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Set up payors

Add a payor before you attach that payor to a patient coverage or use it in billing setup.

Add a payor​

  1. Open Payors.
  2. Click New payor.
  3. Enter the payor name.
  4. Choose the payor type.
  5. Choose the Payment model.
  6. Save the payor.

The payment model type cannot be changed after the payor is created. If one carrier offers both case-mix per-diem and procedure-code reimbursement, create a separate payor for each benefit lane. RehabAlpha initially selects PDPM case-mix per diem for Medicare Part A and Managed Care Part A, Medicare Part B MPFS for Medicare Part B and Managed Care Part B, and Custom fee schedule for all other payor types. You can change the selection before saving. Every payor type supports every payment model; choose the combination that matches the payor's actual reimbursement terms.

Choose the right payor type​

The payor type helps RehabAlpha apply billing rules and group reporting. Common types include Medicare Part A, Medicare Part B, Medicaid, commercial insurance, managed care, workers' compensation, and private pay.