Fee Schedules for Insurance Plans and Carriers
- How do Hybrid Insurance Plans work?
- How can we quickly assign our fee schedules?
- How do I know whether to attach a fee schedule to a plan or to a carrier?
- How does the program calculate the insurance estimation and patient estimation portions?
- The Patient Overview screen lets me select an “Office” fee schedule. I’ve got a patient that needs to use a fee schedule from an insurance carrier. How does that work?
- There are multiples types of fee schedules. Sometimes, our patient has more than one fee schedule to consider. That is, the patient is attached to the office UCR default, but has insurance. What is the hierarchy of fee schedule calculation?
- I’ve entered an insurance plan that has a PPO carrier. This carrier has a fee schedule. How do I enter the PPO fee schedule and how do I attach it to the carrier?
- How do I attach a fee schedule to an insurance plan?
- How do I set up a PPO Plan with a PPO fee schedule. It's not calculating correctly and I'm not sure why. What are the key things I need to know?
- Our office participates with various PPO plans. I’ve entered the PPO fee schedules but when I enter services for my patients with these plans, the insurance coverages aren’t calculating properly. Why?
- One of the insurance carriers to which our office is a preferred provider has two schedules. We notice that there is only one listing for the carrier. How do we attach the schedules to the carrier so the correct numbers are used for patients?
- When I set up an insurance plan, there’s a field indicated as “Fees to print on claims”. What’s the difference between the choices – Office UCR fees and Actual Charges?