> ## Documentation Index
> Fetch the complete documentation index at: https://docs.athelas.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Payer Mapping

**Payer mapping** connects each insurance name in your EHR to the matching payer record in Insights. Your EHR might store a plan as "BCBS of California" while the clearinghouse expects "Blue Cross Blue Shield CA" — the payer map is what bridges that gap, so you set each mapping once per insurance name instead of correcting claims one at a time.

<img src="https://mintcdn.com/air_athelas/t_H8Aw4kICmTlIkd/images/insights_biller/general_billing/payer_mapping/payer_mapping_1.webp?fit=max&auto=format&n=t_H8Aw4kICmTlIkd&q=85&s=26b77783a9edb53bd1c9796a04b7a581" alt="The Payer Mapping page with the Add New Mappings tab selected and four unmapped payers listed" width="1612" height="742" data-path="images/insights_biller/general_billing/payer_mapping/payer_mapping_1.webp" />

## Why payer mapping matters

| **Outcome**                 | **What the mapping does**                                           |
| :-------------------------- | :------------------------------------------------------------------ |
| **Claims route correctly**  | Each claim goes to the clearinghouse destination the payer expects. |
| **Reports stay consistent** | One insurance name appears the same way across every report.        |
| **Payments post properly**  | Remittances match back to the right payer record.                   |

Claims for an unmapped payer may fail to submit or route to the wrong destination, so work the list as new names appear.

## Where to find payer mapping

Go to **Insights → Action Items → Payer Mapping**. The page has two tabs:

* **Add New Mappings** — EHR insurance names with no payer record attached yet.
* **Existing Mappings** — every name you have already mapped, and where you go to correct one.

## Review your unmapped payers

The **Unmapped Payers** list on **Add New Mappings** shows each unrecognized EHR insurance name alongside the volume behind that name: **# Patients**, **# Impacted Encounters**, and **# Impacted Appointments**. Sort by any of those columns to work the highest-impact names first, and use **Delete** to drop a name you do not need mapped.

Names land here when:

* You are setting up your practice for the first time.
* A new insurance plan is added to a patient record.
* An insurance name in your EHR does not match an existing mapping.

## Map a payer

**To map an unmapped payer:**

1. On **Add New Mappings**, click the insurance name in **Unmapped Payers**. The header confirms your choice with **Selected:** and that name.
2. In the right panel, search by **Insurance Name or Payer ID**. Rows tagged **Recommended** are the candidates closest to the selected name, and the **(Autofill)** link above the search box proposes a match for you.
   <img src="https://mintcdn.com/air_athelas/t_H8Aw4kICmTlIkd/images/insights_biller/general_billing/payer_mapping/payer_mapping_2.webp?fit=max&auto=format&n=t_H8Aw4kICmTlIkd&q=85&s=db8ae4b85219c95910ef504172f2f9d7" alt="The right panel listing candidate payer records with Recommended tags, Payer ID, CPID, and a Select button on each row" width="1605" height="286" data-path="images/insights_biller/general_billing/payer_mapping/payer_mapping_2.webp" />
3. **Click** **Select** on the payer record you want. Check the **Payer ID** and **CPID** columns as you choose — those are the identifiers the clearinghouse uses to route the claim.
4. Review the **Confirm mapping** dialog, which shows the EHR insurance name above the payer record that name will map to, then **click** **Confirm**.
   <img src="https://mintcdn.com/air_athelas/t_H8Aw4kICmTlIkd/images/insights_biller/general_billing/payer_mapping/payer_mapping_3.webp?fit=max&auto=format&n=t_H8Aw4kICmTlIkd&q=85&s=8156034086fc0f6d6b467a00a0827e28" alt="The Confirm mapping dialog showing an EHR insurance name mapped to a payer record and its Payer ID, with Back and Confirm buttons" width="496" height="279" data-path="images/insights_biller/general_billing/payer_mapping/payer_mapping_3.webp" />

<Tip>
  ✨**Smart Tip:** Look for state-specific variants ("Medicare California") and plan types (HMO, PPO, Managed Medicaid) when you search. Two payer records with nearly the same name often route to different destinations.
</Tip>

When you are not sure which payer record matches an EHR insurance name, check your contracts or fee schedules before you confirm, or ask your account team. A wrong mapping routes every future claim for that name to the wrong place.

## Correct a mapping

**To change a mapping you have already saved:**

1. Open the **Existing Mappings** tab.
2. Find the mapped insurance name.
3. Edit that row and select the correct payer record.
4. Save your change.

The correction applies to claims from that point forward; it does not rewrite claims that already went out.

## Things to know

* **Map each name once.** A mapping applies to every patient carrying that insurance name in your EHR, so there is nothing to repeat per patient.
* **A missing payer record is not a dead end.** If no record matches, your account team can add the payer or point you at the right existing record.
* **Report names follow the map.** When an insurance name looks wrong on a report or a claim, the mapping is the first thing to check.
* **Charge Master mapping is separate.** Mapping an unrecognized payer value during a charge-file import is a different prompt, covered in [Getting Started with Charge Master](/insights_biller/general_billing/getting_started_with_charge_master).

### FAQ

<Accordion title="What happens if I leave a payer unmapped?">
  Claims for that insurance name may fail to submit, or they may route to the wrong clearinghouse destination. Review the **Unmapped Payers** list regularly rather than letting it build up.
</Accordion>

<Accordion title="Do I have to remap a payer for every patient?">
  No. You map an insurance name once, and the mapping covers every patient who carries that name in your EHR.
</Accordion>

<Accordion title="The payer I need is not in the list. What now?">
  Reach out to your account team. They can add a new payer record or help you identify the correct existing one to use.
</Accordion>

<Accordion title="An insurance name looks wrong on my report. Where do I fix it?">
  Insurance names on reports and claims come from the payer map, so correct the mapping on the **Existing Mappings** tab and later reports will follow.
</Accordion>

<Info>
  Questions about a specific mapping? Reach out to your account team or [support@getathelas.com](mailto:support@getathelas.com).
</Info>
