Applying rules and restrictions to a group of fees

You can define groups of fees for a particular insurer, and then apply rules and restrictions to a group of fees as a whole. You use fee groups if you:

Bill a number of different services to an insurer, but can bill only a certain number of total services to that insurer for any one patient over a defined period of time.

Charge a fee directly to the patient every time you bill a particular fee to an insurer. For example, a chiropractor can bill patients a portion of a service that is also billed to the province.

Want to remind billers to bill additional fee codes when they bill a specific fee code. For example, billers can receive a notification to add a tray fee when they bill a fee code that commonly includes a tray fee.

To apply rules and restrictions to a group of fees, you:

1.

Add a fee group. See Managing fee groups

2.

Link fee codes to the fee group. See Linking fee codes to fee groups.

3.

Apply restrictions to the fee group. See Restricting how often fee codes can be billed (using service limits).