Please note, the fee schedule for each payor’s contract will need to be available for reference in order to enter a contract.
Once a billing source has been created, a "Contract" will need to be added to enter rates.
To enter contracts:
- Navigate to the Admin module and select Contracts under the “Billing” section.
- Click +New on the left-hand side and select the “Billing Source” from the drop-down list and enter the start and end dates for the contract.
- Click the “Fee Schedule” tab and select +Add to assign all of the bill codes to be used for this Billing Source. Codes can be added from either the “Bill Code” or “Base Fee Schedule,” if one has been created.
- Click the “Details” tab and choose the bill bode from the drop-down. In the “Name” field, it is recommended to add a “friendly name” after the code number.
- Choose Professional from the “Insurance Type” drop-down field and add any modifiers, as defined in the payor’s fee schedule.
- Click the “Credentials” tab and select +Add. Choose the credential from the drop-down and enter the Rate and Adjustment from the payor’s fee schedule.
- The “Adjustment” is the difference between the rate being billed and the contracted rate.
- For example, if users are billing $15.00 and the contracted rate for payment is $13.00, the adjustment would be $2.00.
6. Click Add and continue to add applicable credentials.
7. Click Add again and then Save
If users are creating another contract with similar data, an existing contract can be copied and modifications can be made.
To copy a contract:
- Navigate to the Admin module and select Contracts under the “Billing” section.
- From the Contract list, select the checkbox on the left-hand side of the contract name to copy.
- Once selected, click the ellipses (…) next to “+New” and select Copy. A new Contract screen will open for users to make changes.
- Repeat the steps above and click Save
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