Secondary Insurance Billing Enhancement

Some Patients have multiple long-term contracts, each having their own billing rules such as Weekly Maximums and Elimination Periods. To ensure that these billing rules work consecutively when there are two simultaneous long-term contracts, a Secondary Contract option has been added to the Limit Maximum Payer Contribution feature initially only allowing for Private Pay.

To access this setting, go to the Patient’s Contract page under Patient > Contract. Click the Additional Options link for the applicable Contract. Select the Additional Bill Info option from the menu to access the window.

On the Additional Bill Info window, select the Limit Maximum Payer Contribution per period option, and enter the applicable maximums per period. On the When limit is reached, send additional invoice to field, select the applicable Contract from the available options.

Secondary Billing for Linked Contracts

The system supports Secondary Billing for Linked Contract Patients who have additional insurance, aside from Medicaid. Once enabled and configured, Secondary Billing key information is included in the claim sent to Payers.