How do we handle multiple locations or EINs? How do I list these on the RFC?

There are times when an employer group has multiple locations where billing must be handled in a manner relative to the group's setup.

Click on the scenario below that is most conducive to the setup of your company to learn how billing will be administered.  

Billing Scenario 1: Multiple Locations | Same EIN | Same Bank Account | Same Owner 

Billing Scenario 2: Multiple Locations | Same EIN | Different Bank Account | Different Owner 

Billing Scenario 3: Multiple Locations | Different EIN | Different Bank Account | Same Owner 

Billing Scenario 4: Multiple Locations | Different EIN | Different Bank Account | Different Owners (Franchise) 

Billing Scenario 1

There are multiple locations, all operating under the same EIN, bank account, and owner. 

We attain the location breakdown on the RFC to document each location. Typically, we will upload different eligibility files for each location.

We need each location to be listed so that our enrollment team can include each site in the Plan Documents. As far as whether separate group numbers or eligibility files are needed, it depends on whether or not the group wants claims, reports, billing, etc. separate per each location and if each location is sending their money separately to us.

For employer groups that wish to remit one check and need one billing invoice per month, the plan can be set up under one group number.

Billing Scenario 2

There are multiple locations, all operating under the same EIN but having different bank accounts and the same owner.

We attain the location breakdown on the RFC to capture this information. Our team will then upload different eligibility files for each location.

For employer groups that request separate billing invoices for separate payments, this will require each location to have their own group number and eligibility files.

Billing Scenario 3

There are multiple locations, all operating under different EINs, different bank accounts, under the same owner.

Separate billing invoices for separate payments will require each employer group to have their own group number and eligibility files. Champion Health will manage these situations with one RFC and lists the affiliates with their own group numbers. 

Billing Scenario 4

There are multiple locations, all operating under different EINs, different bank accounts, under the same owner.

Separate billing invoices for separate payments will require each employer group to have their own group number and eligibility files. Champion Health will manage these situations with one RFC and lists the affiliates with their own group numbers.