--- title: How to set up an insurer's claim settings description: Set an insurer's program, Claim.MD payer, provider ID, user fee and card-on-file rules for shortfalls from its Settings tab in Setup. --- [Skip to content](https://support.pabau.com/en/pabau2/how-to-set-up-an-insurers-claim-settings#main-content) [![pabau logo white](https://support.pabau.com/hubfs/pabau%20logo%20white.svg)](https://support.pabau.com/en/pabau2?hsLang=en) Open main navigation Close main navigation - [Get Support](https://pabau.com/support-center/) [Get Support](https://pabau.com/support-center/) Pabau Knowledge Base - There are no suggestions because the search field is empty. 1. [Pabau Knowledge Base](https://support.pabau.com/en/pabau2?hsLang=en) 2. [Insurance Billing](https://support.pabau.com/en/pabau2/insurance-billing?hsLang=en) 3. [Insurance Billing (US)](https://support.pabau.com/en/pabau2/insurance-billing?hsLang=en#insurance-billing-us) # How to set up an insurer's claim settings Each insurer you bill has its own settings that control how its claims are sent and what the client pays. In this article, you will learn what each setting on an insurer’s **Settings** tab does and when to change it. **NOTE:** Insurance billing is currently available for practices in the United States. You need administrator access to change insurer settings. **Step 1: Set What the Client Pays** Go to **Setup → Third Parties** and click the insurer. Then: 1. Select the **Settings** tab. 2. **Collect card details for shortfalls**: keep this on to ask clients billed to this insurer to keep a card on file for anything the insurer does not cover. When you book an appointment billed to this insurer, the client is emailed a link to add a card, reminded 48 hours before the appointment if they still have none, and you are prompted at checkout. 3. **Charge shortfalls**: with **Manual**, your team charges the saved card from the shortfall invoice. With **Automatic**, Pabau charges the saved card when an invoice is reissued to the client. 4. **User Fee**: the amount the client pays by default when an invoice is issued to this insurer, such as a fixed co-pay. Leave it at 0.00 if there is none. ![Card-on-file and user fee settings for an insurer](https://support.pabau.com/hubfs/Pabau%202%20Knowledge%20Base/kb/obc-2026/489460318410-01-shortfalls.png) *Card-on-file and user fee settings for an insurer* **TIP:** Turn off **Collect card details for shortfalls** for payers where the client never owes anything, such as workers’ compensation, so clients are not asked for a card they do not need. **Step 2: Set How Claims Are Sent** Scroll down the same tab. Then: 1. **Insurance program**: the type of plan, such as **Medicaid**, **Medicare Part B**, **Group Health Plan** or **Workers Compensation Health Claim**. It sets the insurance type (box 1) on printed CMS-1500 forms and the claim type in exported 837P files. 2. **Find a Claim.MD payer**: type the insurer’s name and click **Search**, then pick the payer to link this insurer for electronic claims. The **Payer ID** fills in. You can also type the ID from the Claim.MD payer list. Clear it to unlink the insurer. 3. **Billing provider ID for this insurer** (box 33b): enter it only if this payer gave your practice its own provider number. It is sent on this payer’s claims instead of the **Billing payer-assigned ID** from your Claim.MD billing profile. ![Insurance program, payer link and the payer’s provider ID](https://support.pabau.com/hubfs/Pabau%202%20Knowledge%20Base/kb/obc-2026/489460318410-02-claims.png) *Insurance program, payer link and the payer’s provider ID* Click **Save**. **IMPORTANT:** **Provider No.** on the **General** tab is not sent to Claim.MD. Use **Billing provider ID for this insurer** for the number a payer asks for on claims. **Manage Claim.MD connection and payer enrollments** at the end of the tab takes you to the Claim.MD setup, where you can enroll with the payer. See [Electronic enrollments with insurance payers](https://support.pabau.com/en/pabau2/electronic-enrollments-with-insurance-payers?hsLang=en). **What's next?** - [How to bill workers’ compensation, FECA and Black Lung claims](https://support.pabau.com/en/pabau2/how-to-bill-workers-compensation-feca-and-black-lung-claims?hsLang=en) - [Electronic enrollments with insurance payers](https://support.pabau.com/en/pabau2/electronic-enrollments-with-insurance-payers?hsLang=en) - [Box 1 – Insurance Coverage Type](https://support.pabau.com/en/pabau2/box-1-insurance-coverage-type?hsLang=en) - [Box 33 – Billing Provider Info & Phone](https://support.pabau.com/en/pabau2/box-33-billing-provider-info-and-phone?hsLang=en) --- Was this guide helpful? Let us know by voting below - your feedback helps us write clearer articles. For **[more guides](https://support.pabau.com/en/pabau2?hsLang=en)**, browse the related articles below or use the search bar at the top of the page. 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