The Contract Fee Schedule is your agreement with a particular insurance company on the reimbursement rate for your practice if you are in-network. Uploading a Contract Fee Schedule enables the platform to notify you when your insurance claims are not in compliance with your contracted rates, ensuring you collect your maximum revenues.
In this article, you'll learn:
- How the Contract Fee Schedule maximizes your claim payments
- How to upload the Contract Fee Schedule
- Add or edit pricing
Maximizing Claim Payments Using the Contract Fee Schedule
If an insurance company underpays your practice based on your contracted rates, the Remittance tab will show the payment discrepancy so you can decide whether or not to appeal the remittance.
How to Upload the Contract Fee Schedule
1. Under the Contract Fee Schedule tab, click +Add Fee Schedule.
2. Fill in the required fields and click Save.
3. Click on Import Fee Schedule. You will have two options:
- If your spreadsheet is properly prepped for upload, click Select File >Import.
- If you need a template to develop your spreadsheet, click Download Import Template, complete all columns with the required data, then click Select File >Import.
Note:
- the uploaded file will replace all existing data
- accepted file formats are .xlsx, .xls, .csv
- maximum file size is 10 MB
- required fields in the file are CODE and CHARGE AMOUNT only, CUSTOM DESCRIPTION is optional.
The uploaded Contract Fee Schedule will display in your list.
How to Add or Edit Pricing
You can update a Contract Fee Schedule to reflect code or pricing changes using the following steps:
1. In the Contract Fee Schedule tab, click on the schedule to be edited.
2. Click on Export to File to download the desired Contract Fee Schedule.
3. Edit the data fields or add a new row of data.
4. Import the file back: Import Fee Schedule > Select File >Import.
Note: there can only be one fee per code. If the file contains duplicates, you will receive an error message when uploading the file. Be sure to edit and correct the duplicates in the file before uploading the file again.