Custom Insurance Overview

Updated by Steven Garand


  1. Payer (Insurance)
  2. Plan
  3. 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.

How did we do?