Payer Ranking
This feature is activated by HHAeXchange System Administration. Contact HHAeXchange Support Team for details, setup, and guidance.
Some Providers need to organize Contracts and Authorizations by Payer ranking. The system allows Providers to rank Payers (from 1-9) on the Payer Ranking functionality. This feature is seen via the Patient Contract page under Patient > Contract where users can view and edit Payer Ranking as needed.
Payer Ranking values are created and maintained via the Reference Management Table functionality under Admin > Reference Table Management. To access, select Payer Rank under the Patient category.
On the Payer Rank Reference Table, click the Payer Rank Value link to view or edit the ranking information. To add a Payer Rank, click the Add button. The allowed Payer Rank values are between 1-9. Ensure the ActiveStatus is selected.
Numbers out of the 1-9 range are not allowed and generate a system error.
Under the Rank column in the Patient Contract page under Patient > Contract, click the Edit link to view or edit a Payer Rank on the respective Contract.
The dropdown menu expands to view the ranking for the selected Contract. Only Active ranks appear on the dropdown. To assign a rank, select the number from the menu.
Once selected, the number appears on the text field. Click the Update link to save. Any Payer Rank updates are noted in the Contract Status History section.
The following rules apply when ranking Contracts (Payers):
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Only one Contract can have a selected ranking; two Contracts cannot have the same ranking.
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The same Contract (Payer) can only have one rank during the same date range.
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Contracts can have the same rank value if the Contract Service Date and Discharge Date(s) are not overlapping.
When attempting to update the same rank for Contracts during the same date range, the system generates a validation error.
If a Payer Rank is made Inactive after assignment, then the Rank loads as Rank Value (Inactive) on the dropdown.
