Updating Payor Fees
Once you have updated your Service list with all required changes and fees, you should confirm whether these new codes require fees to be entered in any of your Payor fee schedules.
The majority of practices will have Payor files for Payors such as DVA and hospital voucher schemes, and many more will also have health fund Payor files if they are a preferred provider.
Accessing and editing your Payor fees
- Go to File - Payors.
- Use the selection button or up/down arrows to select your Payor.
- Click the Fee Schedule button.
- Locate the required service/s then double-click to edit.
- Update the prices in the Fee and Payor Amount fields.
- If there is only a price in the Fee field, the patient owes the full amount. This is common for health fund Payors, as the patient is paying, but the health fund is dictating what some of those fees are.
- If the Fee and Payor amount match, the patient will owe nothing. This is common for payors like DVA and CDBS. (Medicare has not updated its code list yet).
- If there is a difference between Fee and Payor amount, the difference will be the amount the patient has to pay, this will be reflected in the patients account balance. This is less common, but happens when the Payor arrangement includes a patient ‘co-pay’.
Tip: Payor Amount is only relevant for government Payors that cover the treatment cost, such as DVA.
- Click OK to save.
Please Note: It is important you update them with the same approach used for other item codes in the fee schedule. If you are unsure, double-click a code that already has a price, and take note of how it has been set. |
Payor Amount is only relevant for government Payors that cover the treatment cost, such as DVA.
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