For practices that are contracted with an insurance carrier, it is important to have the Ledger calculate the insurance portion, the estimated write-off, and the patient portion. This allows the office to collect up front from the patient and avoid having to send out unnecessary billing statements after insurance has paid in the future. Without adding the contracted fees to Ascend, the coverage percentage is calculated based on the office's standard or UCR fee schedule and no write-offs are considered. This would result in a patient portion that does not reflect what the patient does indeed owe.
Watch this video to learn how to set up a fee schedule for in-network insurance plans. Duration: 2:48
- If you use the Location Name as the billing provider, the boxes for contracted insurance must be checked in the Location Information page.
- If you bill insurance under the provider name you must go to user accounts and select the provider who is set up as the billing provider, and check the boxes for contracted insurance under the Fees tab.
- To see your current insurance billing configuration, go to Settings and then Insurance Defaults.
- For more information read Creating Fee Schedules in the Help Center.