Healthmanager Admin Department

I want to use insurance specific prices for General/Services billing (Preferences )

Overview

This setting allows you to define and apply specific prices for general services based on the selected insurance or company within the system.

Heads Up!
  • Insurance-specific prices must be configured for each general service before this feature will work.

  • If no insurance-specific price is set, the system will use the default insurance price already configured.

How It Works

  1. Each general service can have:

  2. Cash Price

  3. Default Insurance Price

  4. Insurance/Company-Specific Price

  5. When billing a patient under an insurance or company:

  6. If an insurance-specific price is available, the system will bill using that price.

  7. If no specific price is set, the system will use the default insurance price.

SetupStep 1: Set Insurance-Specific Price for a Service

  1. Go to Setup & Configuration

  2. Navigate to Setup General Bill

  3. Select a service from the list of General/Procedure Bills

  4. Or click New to create a new service

  5. Scroll down and click on Insurance-Specific Pricing

  6. Enter the price (Amount) for each insurance/company

  7. Click Save

Headsup

Once this setting is enabled, you do not need to configure it repeatedly during billing. The system will automatically apply the insurance-specific prices to all general services where they have been set.


Step 2: Enable the Feature

  1. Go to Preferences

  2. Expand and click on General

  3. Scroll down to the Danger Zone

  4. Enable “ i want to Use Insurance-Specific Prices for General/Services Billing”

  5. Click Update

When Enabled

  1. General services are billed using insurance-specific pricing where available.

  2. Ensures accurate billing based on insurance agreements.

When Disabled

  1. All services are billed using the default insurance 

  2. Insurance-specific pricing will not be applied.