Who this is for: Any Barti user who creates or submits claims through TriZetto/RCM.
Before you start, you'll need:
Access to the patient's profile in Barti
The patient's insurance card or the name of their insurance plan
Steps
Open the patient's profile in Barti and navigate to their Insurance on the Personal Info tab.
Confirm that the correct insurance plan is selected. If the wrong plan is listed, update it before returning to the claim.
If you're not sure which plan to select, go to the TriZetto payer search and search by payer ID or payer name to find the correct match.
In Barti's insurance dropdown, search for the payer name you identified in step 3 and select it.
Return to the claim. The payer ID should now reflect the correct plan. Note: In the newer claims workflow, payer IDs are not auto-populated at the time of claim creation but are pulled from the patient's insurance profile when the claim is submitted. Pending claims may appear without a payer ID before submission, which is expected behavior.
What you'll see when it works
The payer ID on the claim matches the payer ID shown for that plan in the TriZetto payer list. This can be found by following Organization Settings > General Settings > Accepted Insurances.
Troubleshooting
The correct insurance plan is already selected, but the payer ID is still wrong.
The payer ID in Barti's insurance record should update automatically when the claim is submitted, but it's possible it may be outdated or entered incorrectly. If so, reach out to [email protected].
I can't find the payer in Barti's insurance dropdown.
Search the TriZetto payer list to confirm the payer's exact name, then try searching that name in Barti's dropdown. If the payer still doesn't appear, then the Insurance is not cleared by TriZetto and must be added manually.
The payer ID looks correct but the claim is still being rejected.
A correct payer ID doesn't guarantee the claim will be accepted — rejections can also result from eligibility issues, missing information, or payer-specific requirements. If the payer ID is missing or incorrect, verify that the selected plan corresponds to the professional version of the payer ID and update it if necessary. For example, selecting a facility plan instead of a professional plan can lead to rejections even if the payer ID appears correct.
My claim shows "Missing Insurance Payer ID."
Your location may be missing a Group NPI. To fix it:
Click your profile icon in the top-right corner and select Organization Settings.
Go to Locations and click the pencil icon to edit the relevant location.
Set NPI Type to Type 2 and enter your Group NPI in the NPI field.
Click Save Changes.
Resubmit the claim and confirm it reaches TriZetto.