Insurance Contracts   

Insurance Contracts allow CPT codes to be configured with an "allowed amount". 

Example: Office Visit is $50.  Insurance Company will pay 80% of the "allowed amount".  If the allowed amount is $40 , Quixote will calculate 80% of $40 for this Payor and this specific CPT code.  This powerful feature keeps the patient balance accurate.  Additionally, posting EOB's is easier and the A/R is accurate, not inflated!

Click the Admin Icon

Click the Insurance Contracts button

Click the Add button to Add a new Contract

Name:  Enter a Name (description) for the Insurance Contract

Select:  Click the Select button and select the Payor for this insurance contract.

Click OK

Click Save

Find the CPT Code to apply the Contract (Allowed) amount to.  It is recommended that you type the code.  Highlight the code and double click or click the Select button.

Enter the Contract (Allowed) Amount for this CPT Code and this specific Payor.

Click OK

Select additional CPT Codes and enter the Contract (Allowed) amount for this Insurance Contract / Payor. Repeat these steps until all allowed amounts have been entered for this Insurance Contract / Payor.

Click the Save button. 

To Edit an Insurance Contract, highlight the Insurance Contract and click the Edit button

To Delete an Insurance Contract, highlight the Insurance Contract and click the Delete button

If you need to Delete a specific Code, highlight the Insurance Contract and click the Edit button.  Locate the CPT Code and click Delete.

Click the Save button.

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Print the Insurance Contracts.pdf for easy reference

Insurance Contracts.pdf