Case Information
- Coverage
The coverage section is where you need to configure the percentages of charges that will be billed to the patient and to the insurance company.
These coverage settings are usually already set up, depending on which case type you chose when you began entering the patient's case information. You can easily change these settings if the patient's own coverage does not correlate with the default setup.
To set up the patient's coverage correctly, follow the steps below.
Note: You may choose to enter in different coverage or co-pay amounts for first visits. For example, if a patient has a $15.00 dollar co-pay their first visit, after which they are fully covered you instead follow the steps below.
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Besides insurance coverage, this section of this Case Information is also where you can set up deductibles on the patient's insurance policy. Although you may force the program not to, entering a deductible amount will generally tell the software to ignore the coverage settings until the deductible amount has been met.
To set up a deductable, follow the steps below.
1. Enter the deductible amount. Example: Enter $1,500 dollars if you do not want the coverage settings to activate until the total patient charges reaches this number.
2. If an amount of the deductible has already been met prior to entering the patient into QuickPractce, input that number here. If this is not the case, simply leave this field blank. When you begin posting charges, you will see this field automatically display the total amount of the patient charges that have been accumulated.
3. Enter an end-date for the deductible. The Already Met field will automatically reset after this date has passed.
Secondary to setting up coverage and deductibles, the coverage section also features some authorized limits that you can set on the patient's account such as a start date and a number of total allowed visits.
If you try to post any charges that fall out side of the parameters created by these limits, the program will warn you with prompts you confirm that you are sure you want to continue posting the charge.
Refer to the explanation below as a reference for determining how each authorized limit affects the way you post charges.
- Start Date - Enter the effective start date of the insurance policy.
- Stop Date - Enter the effective stop date of the insurance polity.
- Total Visits Allowed - Enter the maximum number of visits allowed.
- Visits Already Used - If the patient has already used a number of allowed visits prior to being entered into QuickPractice, input that number here. The software will prompt you to increase the tally of used visits by a specified number, each time you post a charge.
- Total Charges Allowed - Enter the maximum dollar amount of combined charges.
- Charges Already Used - If the patient has already used a portion of their total allowed charges, enter that dollar amount here. The software will prompt you to increase the tally of used charges by a specified number, each time you post a new charge.