Set a Default Modifier for Insurance Claims
When an insurance company requires a provider’s claims to always include the modifier, TherapyAppointment can enable you to include the modifier on those claims automatically.
Required Role: Owner or Manager
Some of examples of when having a default modifier go on a claim is useful:
- Billing Optum EAP: the Modifier HJ must always be included on the claim
- If you have a practice that is 100% teletherapy: Teletherapy claims typically require a modifier
- Example: 95 or GT depending on the insurance company being billed
Adjust the Insurance Company Settings
To always include a modifier on a claim for a particular insurance company, go to:
- (top right menu)
- Click Billing & Ins. (top tab)
- Find the section Insurance Features
- Click on the far right
- Click the Name of the insurance company, loading the insurance company settings:
Are you a solo provider using our system?
If so, it should bring you to this page: click here to go to that section and pick up there.- Near the bottom, find the section Therapist Claim Options (last section)
- To the right of the provider name, click the button:
- Either or
- Enter the modifier code into the Service Modifiers box (top option) from left to right
- Include both digits in a single box
- Example shown below: HJ
- Scroll to the bottom right and click
check_circle Going forward, whenever a claim is generated for this specific insurance company by said provider,
the modifier will automatically be included on those claims.