Your billing profile in ChiroUp controls what populates Box 33 on the CMS 1500 paper claim form. Because this information must match how you are enrolled with each payor, it is important to configure your Billing Profile settings correctly.

Some clinics only need one Billing Profile for all claims. Others, such as clinics enrolled under an organizational NPI for certain payors and an individual NPI for others, will need multiple Billing Profiles.

This article explains how to set up and assign Billing Profile defaults based on the appropriate payor and/or provider, so your claims populate accurately every time. This is applicable to clinics who bill using multiple billing profiles. 

Here's how to set Provider and Payor-specific default Billing Profiles:

1. Navigate to Clinic Settings and then to Users. 

2. Click Billing for the provider whose default billing profiles you would like to set. 

3. In the Default billing profile field, select the billing profile you bill most often. This will be your default billing profile on all purchases, unless you have overrides set. 

(We will set up overrides in the next step). 

4. To assign a default billing profile per payor for this provider, click + Add Override. 

5. Enter the billing profile and payor for which you'd like to create a payor-specific billing profile rule. 

In this example, ChiroUp will by default use the Premier Billing Clinic billing profile, unless you are billing to Blue Cross Blue Shield or Highmark Group. In those cases, ChiroUp will use the Test Billing Profile instead. 

6. Remember to click Submit at the bottom of your screen!