At the present time, there is no direct option to bill the claim electronically to a tertiary insurance. The 2 options to bill to a tertiary insurance are:
- You can update the information in the secondary insurance section with the tertiary information and bill as a secondary to the tertiary payer.
- Drop the claim to paper and bill through postal mail.
For payments from tertiary payers, the system will post any ERAs as a secondary payment. Likewise, if you need to post a manual payment, the system will only show the first 2 insurance payers as options. The recommendation is to select  N/A as the payer and add comments to the billing note section to identify the source of the payment.