Payer-Defined Multi-Rate Feature

The Payer-defined District Rates functionality applies to Providers who service in various regions. This functionality allows Payers and Providers (with Payer permission) to set and bill for the appropriate amount (according to regional rates assigned by the Payer).

In the Contract Setup Billing Rates tab, any Discipline denoted with a +/- indicates multiple rates.

The District Rates appear in the Contract Rate window accessed by clicking on the Edit link. Providers can change District Rates based on Payer permissions. The system determines which rate to use based on the Billing Address as defined by the Payer.