Specialty Ideas

Allowed amount billed fee to be higher than the UCR when populating the treatment plan

Certain insurance plans - the allowable is much higher than the UCR fee that our practice has established. i.e.; 007953 UCR is $495. The carrier allowable is $1700. Prior to the upgrade, we were able to have those insurance plans setup with the billed amount bullet in the carrier setup. Our practice does NOT want to make the UCR for certain codes to be same or higher than the highest allowable. When treatment planning for those particular plans, the billed would show up but it does not now.

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  • Jun 21 2023
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