How to Set a Custom Copay and Coinsurance by Code
If the client's insurance payer requires a different copay an coinsurance amount by CPT code, you can now define those on the client's profile.
- From the client profile, scroll down to the Insurance Section. You'll notice an ≡ icon next to the Copay Section:
- Clicking the 'Custom CPT' link will provide a screen where you can set the copay and coinsurance specific to a CPT code:
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- Hovering over the link will show you the code and value that is currently "in-effect". This is what will be used to determine the patient responsibility: