Custom Insurance Overview
Updated
by
Steven Garand
Levels:
- Payer (Insurance)
- Plan
- Fee Schedule
Medicare is maintained by ARTSCO. All other payers (insurances) must be entered and maintained by the user.
Payers are organizations with a specific address for example BCBS PA.
Plans are the different ways to get paid by a particular payer for example POS.
Each payer needs at least one plan.
A plan can have an optional fee schedule. A fee schedule need at least one fee.
Plans with common fee schedules (or a common percent of a fee schedule) should reference a single fee schedule and not reproduce these fees in each plan.
