What’s changing?
We are updating payer management settings in the Enterprise portal to make payers easier to view and edit. As part of this change, each payer plan will now include two new fields PCC Payer Code and PCC Payer Code 2. These fields allow facilities that use PointClickCare (PCC) for billing to specify the payer codes to include in PCC billing exports.
Medicare B change
We will no longer default Medicare B payer plans to the code MCB on export files. If you want the code MCB to appear on your export file, you must add it to the payer record in your Enterprise settings.
Why this matters!
A valid payer code is required for PCC to associate charges with the correct payer. Without it:
PCC cannot associate charges with a payer
A/R Bill Setup does not auto-generate
Occurrence codes do not have a destination on the claim file that PCC generates
How to set up payer codes (PCC users)
To configure payer mapping, start by identifying your payer codes in PCC.
In the Payer settings of your RI Enterprise portal, open each payer plan and enter the Payer Code exactly as it appears in PCC, adding Payer Code 2 only if needed for further distinction.
Before moving forward, confirm that all active PCC payers are represented and that codes match exactly (no extra spaces or inconsistencies).
Once complete, run a test export to verify that payers map correctly and billing output looks as expected.
🆕 Additional March End-of-Month Updates!
Effective Date update
The Effective Date update is planned for the upcoming March end-of-month release.
ICD code ordering and cutoff enforcement
We are also updating ICD handling in the upcoming March end-of-month release.
To align with PCC requirements, ICDs will be ordered as follows:
Primary medical code
Other medical codes
Treatment codes
We will also ensure ICD codes are not partially displayed if the character limit is reached.