Set Allowed Amounts by Payer

    Allowed amounts must be entered for PracticeQ's coinsurance feature to work. If no allowed amount is entered and a coinsurance is defined, the coinsurance will not be applied.

    Enter Allowed Amounts

    1. Click Lists → Claims → Claim Settings → Payers.
    2. Locate the Insurance Payer and click Edit. 
    3. Scroll down and click Add Allowed Amount.

    4. Enter allowed amounts by code for the payer. 
    5. Set the CPT code and the allowed amount. This must be completed for each code you will use for this payer.

    Invoices and Coinsurance

    • The invoice will reflect the resulting amount of taking the coinsurance percentage from the allowed amount for the CPT code.
    • You will receive a notification in the appointment dialog if an allowed amount has not been entered for the code.

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