This article is meant to be used as a reference to assist you in looking up CPID’s by Payor ID. It is also useful in resolving the Unbilled Tab edit you may see called “Carrier CPID must be 4 Digits and cannot start with a 0.” Understanding Payor ID’s and CPID’s:
What is a CPID? A cpid is a unique, four-digit number that only Relay Health uses internally to identify payors. This number needs to be entered into your carrier master file if you plan on billing carriers electronically.
What is a Payor ID: A payor ID is a universal 5-digit number each carrier in the United States has been assigned. They can often be found on the patient’s ID card, or by calling the customer service line at the carrier. This number is not typically used in the AdvancedMD Software.
How to Look Up Carrier Four Digit CPID’s Using the 5-Digit Payor ID on the Relay Health Website
- First obtain the 5-digit payor ID by either calling the carrier, or looking on the patient ID card if the carrier has printed the number there.
- After obtaining the 5-digit payor ID, you can then access the Relay Health website by logging into Advanced MD, and going to Master Files, Carriers, Carriers, and pulling up the carrier you wish to add the CPID to. In the lower right-hand side of the carrier master file, click on the Clearinghouse Website hyperlink as shown in the example:
This will open the Relay Health Website. Once the screen opens, click on Payor Connections located on the upper left hand side:
Next, click on the first report listed: Institutional and Professional-Commercial and State:
Next, the following trick will help you easily locate your payor by using the 5 digit payor ID. On your keyboard, hit the CTRL key and hold it down while pressing the F key. A find dialog box will open on your Internet Explorer screen, in the upper left hand corner.
Begin typing in the 5 digit payor ID into the Find box. In this example, we will use the five digit payor ID for Utah Medicaid, which is SKUTO. Notice after you type in the 5-digit payor ID, it will automatically be highlighted where it appears on the payor Report:
The CPID is the 4-digit number found at the beginning of the carrier name. So, for our example, the CPID would be 1486 for Professional claims, and 1528 for Institutional claims. Be sure to always select the CPID that has a “P” (for Professional) or “I” for Institutional found on the right hand side of the column:
***Note: If you see a “Y” in the first column as shown above, this means this carrier requires an EDI agreement in order to submit claims through Relay Health. If you send claims electronically to the carrier without an EDI agreement in place, Relay Health will drop the claims to paper and mail them for you. There is a charge for each claim that gets mailed out. Please contact our Enrollments team for instructions on obtaining an EDI agreement if the carrier requires it. ***
You are now ready to enter in your 4-digit carrier CPID into your carrier master file. Don’t forget to save your changes.