Bill with contracted rates per payer and service with automatic write-offs

Yes please- there is a duplicate suggestion for this that also has about 70 votes so that's almost 140 votes. This will help so much with AR and patient EOBs since every service will be accurately billed per contract. Many other EHRS have this functionality please implement!

This functionality would be amazing so as to have a more accurate understanding of our AR. Currently we have to bill a flate rate for every insurance since we have different service types and contracts. Our AR is completely inaccurate. Thank you!

Yes!! This would be so helpful! This request is over 7 years old - I’m shocked that it hasn’t been done yet!

It looks like they have added "Contracted Rates" by Service Type in each Insurer detail tab -- but I can't figure out the purpose of entering these rates because they don't seem to be reflected in the invoices/amount due.

It looks like they have added "Contracted Rates" by Service Type in each Insurer detail tab -- but I can't figure out the purpose of entering these rates because they don't seem to be reflected in the invoices/amount due.

This would make life sooooo much easier

Yes, this would be incredibly helpful. With our previous EMR, we created a template rate schedule and then had the ability to overwrite rates based on payers. This allowed us to use one set of service type codes, but with unique rates for each payer.

I've never understood this. We can enter our contract rates, but nothing is done with them through Theranest. Very frustrating.

I completely agree. It is very time consuming to manually write-off difference between contracted insurance rate and service type rate.

It would be greatly helpful to be able to input CPT codes into the contracted rates under insurance companies instead of searching for service names

I need to be able to check a box for a Write of for the Contracted rate difference with insurance company. This way when we run a report those would not be included as a company loss.

In the clients chart when you create a Leger to bill, make a function that auto populates the contracted rate in the amount owed section.

In the clients chart when you create a Leger to bill, make a function that auto populates the contracted rate in the amount owed section.

Hi there! It would be WONDERFUL if when you input the contracted rate into "bill to and insurance" that that rate populate in your invoice under "amount". So that the Invoice shows your "rate", then the "amount' (or contracted rate, instead of manually inputting the contracted rate each time.

Please add the ability to load to load the contract rate to each insurance provider. For example lets say Peachstate pays $120 for 90837 but BCBS pays $60. I would like to be able to load for different codes per insurance company.

Every other billing program that I have subscribed to has had a "rate card" feature so that I can assign different fees for the same CPT code to my employees. For example, for CPT code 90834 (individual therapy), I may want to charge $150 for Therapist A, $125 for Therapist B, and $250 for Therapist C. In previous software programs, there was a very simple table under each staff member's proflie where the CPT code was listed on the left and that staff member's specific rate was listed on the right. Every time and invoice was created for that staff member for that CPT code, the invoice autopopulated their customized rate. I do not see anything in this sofware that allows this. This is a MAJOR flaw in this sofware, one of the worst in my opinion, and should be fixed immediately.

I have many different clinicians in my practice with varying levels of experience and expertise so they have different rates for services. If there could be a way to customize the service types and rates for each individual clinician in my practice without having to scroll through 50 or more service types to find "individual psychotherapy, 45 min, for Dr. So and So" . Ideally we could have the ability to either have the practice service types/cpt codes populate or click a box to have only the clinician specific service types/cpt codes populate the list. This would be fantastic!

Yes, it would definitely be helpful if the contracted rate were automatically applied to the invoices and then written off.

I agree there should not be a mandate to write-off the remaining balance; however, I would like the option to have the amount automatically written off for me as my CPA has recommended this for tax purposes.

I agree. Currently I accept 4 insurance plans (Blue Cross, Aetna, Tufts, and Medicare), and each one has its own rate schedule for initial visit (90791) and follow up visit (90834). I found an awkward way around this problem by creating a separate Service Type for each insurance provider. For example, if I am seeing a BCBS member for a follow up visit, I pick "Ind tx 45' (BCBS)" from my menu of service types.