This article explains how to edit and analyze contract rates based on each service and its details - modifiers, billed rate, and the rate per minute or session. 


How to Manage Contract Rates Effectively?

  1. Navigate to Billing > Contract Rates. 
  2. Select the insurance and treatment using the filters. You can also upload file(s) from your computer. 
  3. The table is editable, which allows you to add/edit the following information:
    1. Treatment Type (Tx): Select the treatment type from the drop-down.
    2. Service: Select the service from the drop-down. 
    3. Service Sub-Type: Select the sub-type from the drop-down. 
    4. CPT Code: Select the CPT code from the drop-down. 
    5. M1/M2/M3/M4: Enter the modifiers.
    6. Rate Per: Select the minutes from the drop-down. 
    7. Contract Rate: Enter the contract rate set by the insurance payer. 
    8. Billing Rate: Enter the billing rate set by the provider. 
    9. Start/End Date: Select the start and end date using the calendar. 
    10. Active: Toggle Yes or No to denote whether the contract rate billing is active or not.
    11. Actions: Click here to delete the selected contract rate.
  4. You can also add more rows using the "Add Rows" button (Fig. 1). Select how many rows you want to add for the contract rate (Fig. 2). (Fig. 1)                                                                                (Fig. 2)



Other Actions: 

For further actions, select the contract rates using the checkboxes and use the drop-down below:

  1. Save: Save changes made to the selected contract rates. 
  2. Clone Selected Rate to: Select the insurance from the second drop-down to clone the selected rate to. 
  3. Bulk Delete: Delete multiple rows of contract rates at once. 








Video Walkthrough

View the walkthrough video below to learn about Managing Insurance Contract Rates