New Contract
When creating a new contract, be sure to include the following:
Enter general information
Add or import a standard, insurance specific or medicare fee schedule
Add insurance plans (for insurance-specific contracts)
Add providers who will be associated with the contract
Add service locations that will be associated with the contract
To enter general information
Click Settings > Contracts.
Click New to create a new contract or double-click on an existing contract to open and edit.
On the General tab, enter the general contract information. See below.
When finished, choose one of the following:
Select the Insurance Plans tab (visible only for insurance-specific contracts). See Add Insurance Plans to Contract.
Select the Fee Schedule tab. See section Add Fee Schedule.
Click Import Fee Schedule. See section Import Fee Schedule or Import Medicare Fee Schedule.
Click Save to save the contract and exit out of the New Contract window.
General Tab
- Type: Choose the type of contract. Practice Standard: Generally used when billing non-insured patients. Insurance Specific: A contract associated with a specific insurance plan.
- Name: Type a name for this contract.
- Description: Optional.
- Effective Start and End Dates:
- Select a start date. For example, a date that would apply to a previous claims' dates of service (01/01/2012).
- Select an end date. For example, a future date for when the fee schedule will expire (12/31/2012 or 12/31/2099).
- Capitated:For Insurance-Specific contracts. If the contract supports capitated charges, place a check in the Capitated checkbox. By checking this box, all procedures will be treated as covered by the capitated insurance plan. For more information, see Tips. below.
- No Response Triggers: Select the number of days for paper and electronic claims; Kareo recommends 30 days for paper claims and 21 days for electronic claims. See Tips.
- Anesthesia Time Increment: Supports anesthesia billing. Select the default time increment for billing. See Tips.
- Notes: Optional.
- Capitated: When this box is checked, the system will automatically adjust the balance on capitated charges to $0.00 upon approving an encounter where the primary insurance policy is governed by a capitated payer. However, you can also carve out specific procedures as fee-for-service exceptions to the capitated insurance plan by adding the procedures and charge amount to theFee Scheduletab of the capitated contract. You can also set up capitated accounts in the system and apply portions of a payment to a capitated account. For more information about setting up a capitated account, see About Capitated Accounts.
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