Skip to main content

Payors

warning

RehabAlpha is still under active development. It is not yet HIPAA compliant and should only be used with dummy data.

A payor is the person or company responsible for reimbursing therapy services. In other words, a payor is the entity that pays for all or part of a patient’s care.

Data model​

RehabAlpha stores payors under an organization:

Payor types​

Every payor must have a payor type. Payor type must be one of

  • Commercial Insurance
  • Managed Care Part A
  • Managed Care Part B
  • Medicaid
  • Medicare Part A
  • Medicare Part B
  • Private Pay
  • Workers' Compensation

Payor type can used to design a contract with a facility. Additionally, RehabAlpha uses the payor type to enforce some rules. For example, if a payor with type Medicare A exists in a billing period, it must be the ONLY payor in that billing period.