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

# Practice Settings - Setup and Overview

> Learn how to configure practice settings in Elation Billing

This article provides an overview of practice settings configuration in Elation Billing.

## Overview

The Settings section of Elation Billing lets you customize essential data needed for account access and claims submission.

<Note>
  Elation Billing Admins and Managers can access Elation Billing settings.
</Note>

## Workflow Instructions

### Navigating to Settings

1. Go to the toolbar at the top of your Elation Billing account.
2. Click **Settings** → **Practice Settings**.

<img src="https://mintcdn.com/elationhealth/b_VQbpfEoUHjBEuz/images/intercom/8adfd02e7552_Practice_Settings.png?fit=max&auto=format&n=b_VQbpfEoUHjBEuz&q=85&s=1fbf464c47f53e771dcf6d71ef1ed69c" alt="Settings menu open in Elation Billing toolbar, with Practice Settings highlighted under the Settings tab." width="341" height="274" data-path="images/intercom/8adfd02e7552_Practice_Settings.png" />

***

### Practice Info

The Practice Info section stores practice details, manages Practice Entities, and configures Online Payments. Practices that bill under multiple TINs can connect a separate Stripe account for each entity from the Online Payments section; each connected account then becomes available in the **Stripe account** dropdown when configuring an entity (see [Practice Entities](#practice-entities) below).

<img src="https://mintcdn.com/elationhealth/CWM1OVXHaDp9DnEy/images/intercom/627f539dd59d_Elation_Billing_-_Practice_Info.png?fit=max&auto=format&n=CWM1OVXHaDp9DnEy&q=85&s=5b04b1ab3c3eca11e9496e2adc7b6389" alt="Practice Settings page open to the Practice Info tab, showing Practice Information fields including Main Address, Pay To Address, Contact Information, and Billing Information, with a Practice Entities section below." width="1464" height="964" data-path="images/intercom/627f539dd59d_Elation_Billing_-_Practice_Info.png" />

* Click **VERIFY NOW** to validate addresses against the USPS database
* The Billing Phone appears on Patient Statements

#### Practice Entities

Create additional entities if your practice submits claims under multiple TINs or NPIs:

1. Click **+ Create Entity**
2. Fill in entity details and billing information
3. Click **+ Add Provider** to specify providers
4. Click **+ Add service location** to specify locations
5. Configure statement settings for the entity:
   * **Business Name** — the name that appears on patient statements sent from this entity.
   * **Phone Number** — the phone number that appears on statements from this entity.
   * **Payment plan messaging opt-in** — include payment plan messaging on statements sent from this entity. See [Payment Plans](/articles/payment-plans).
   * **Stripe account** — the Stripe account associated with this entity, selected from the accounts connected under Online Payments. This account is used both for payments collected in Elation Billing and for payments made by patients on the patient-facing payment page at ElationPay.com.
6. Click **Create**

These per-entity settings drive the entity-aware statement behavior described in [Sending Statements](/articles/sending-statements#entity-aware-statements). When a patient has an outstanding balance, Elation Billing automatically selects the entity tied to that balance and applies its Business Name, Phone Number, payment plan messaging, and Stripe account to the statement and to the patient-facing payment page. Patients with balances across multiple entities receive one statement per entity.

<Note>
  Entity-level NPI and TIN are also used when routing incoming ERAs to the correct practice. If practice-level settings and claim details on the ERA do not match, Elation falls back to matching against the NPI and TIN on each practice entity. Ensure every entity has accurate NPI and TIN configured to avoid delays in ERA processing. See [How ERAs are matched to a practice](/articles/viewing-eras-and-auto-posting#how-eras-are-matched-to-a-practice).
</Note>

***

### Managing Providers

<img src="https://mintcdn.com/elationhealth/CWM1OVXHaDp9DnEy/images/intercom/290f12595ab2_Provider.png?fit=max&auto=format&n=CWM1OVXHaDp9DnEy&q=85&s=3dd7a64bcfe41751a6f58bde76e0a993" alt="Providers tab in Practice Settings showing provider Doctor Lightning, MD listed as Active, with Edit, message, and Deactivate action buttons visible." width="1167" height="319" data-path="images/intercom/290f12595ab2_Provider.png" />

For **EHR + Billing practices**: You'll be redirected to the EHR to add providers.

For **Billing-only practices**: Enter the provider NPI (usually individual NPI) and click **Add Provider**.

***

### Service Locations

Click **Add Location** to add a service location. Enter the NPI if available, click **Auto Populate** to fill details, then **Validate** the address.

***

### Insurance List

Shows all payers available via ClaimMD. Use the ♡ to favorite commonly used payers.

#### Add a Payer

If a payer isn't found, click **Add Payer** and reference the [ClaimMD Payer List](https://www.claim.md/payer_list.html). You can also adjust the following payer settings as needed using the following buttons:

<img src="https://mintcdn.com/elationhealth/j_nAjAdXcOrzbwQ9/images/Screenshot-2026-04-29-at-10.24.33-AM.png?fit=max&auto=format&n=j_nAjAdXcOrzbwQ9&q=85&s=5e0b8c6e0cc2431f138eaae67e015a14" alt="Insurance payer row showing AKA (blue), address (yellow), NPI/Tax ID rules (purple), and notes (red) action buttons, with payer name, ID 13162, and account name." width="1344" height="116" data-path="images/Screenshot-2026-04-29-at-10.24.33-AM.png" />

* Blue 'AKA' = add/edit payer nicknames (e.g. Blue Cross Blue Shield is also known as BCBS)
* Yellow = edit the payer's address
* Purple = apply special payer rules for NPI/Tax ID used on claims
  * The default rules are the use the group NPI and your entity's Tax ID.
  * Adjust this preference if your contract with the payer has a different NPI or Tax ID.
* Red = add payer notes (e.g. phone #)

#### Paper Claims

For Payers that don't support electronic claims, you can have those claims printed and mailed for an additional fee.

***

### Fee Schedule

Adjust your default fee schedule as a percentage of your selected Medicare region. See [Setting Fee Schedule as a Percentage of Medicare Rates](/articles/add-update-a-fee-schedule#setting-fee-schedule-as-a-percentage-of-medicare-rates).

<Note>
  This setting is the Elation Billing fee schedule. For Elation EHR + Billing practices, charges set in the EHR take precedence — the Elation Billing fee schedule only fills a charge on a claim line that is still empty. Practices with the **Fee Schedules** section in EHR Billing Settings configure rates in the EHR instead, and Elation reads these Elation Billing settings into that fee schedule. See [Fee Schedules Guide — Setting charges in the EHR](/articles/fee-schedules-in-the-ehr).
</Note>

***

### Billing Rules

Toggle rules for claim workflow automation:

| Rule | Description |
| - | - |
| Legacy Payment Workflow | Re-enable manual patient payment posting in Elation Billing |
| Biller & Admin Rule | Apply rules to ALL user roles |
| All Claims Rule | Route ALL new claims to Biller Review |
| Eligibility Rule | Catch claims without eligibility verification |
| New Patients Rule | Catch claims for patients with no prior claims |
| Location Rule | Catch claims with location conflicts |
| Authorization Rule | Catch claims missing required authorizations |
| Track No Response | Tag claims without payer response after X days |
| Zero Dollar Claims | Bill \$0 claims for reporting purposes. This will add an RP code to claims with \$0 charges. |

***

### Users

Add Practice Users who will have access only to this practice. See [Add New User](/articles/add-new-user-legacy-practices) and [User Roles](/articles/user-roles) for details.

***

### Tags

Create, edit, or delete custom tags for Patients and Claims. Press **+** to create a new tag with custom text and color.

## Related Articles

* [Enrolling for Claims Submission, ERA, and Real-Time Eligibility](/articles/enrolling-for-claims-submission-era-and-real-time-eligibility-edi)
* [Add/Update a Fee Schedule](/articles/add-update-a-fee-schedule)
* [Using the Worklist](/articles/using-the-worklist)
