Pricing Groups

How to create price groups for payers and price options ?

R
Written by Rachel
Updated over a week ago

Pricing groups can be used If you would like to assign a group to payers and price options for the purposes of consolidating your price options.

Benefits of using the Pricing Group

You can create a single price option and associate it to many payers eliminating the need to create payer specific price options.

First Create The Pricing Groups which will be associated with payers and price options.

Go to : Management/Billing/Pricing Group

Here you can create a new pricing group by clicking on the blue + icon on the upper right hand side of the screen.

Once you have created your Pricing Groups;

Go to: Management/Billing/Payers

Here you can assign the Pricing Group to a Payer or plan.

Once you have associated the payer with a pricing group;

Go to: Management/Billing/Pricing


Here you add the pricing group to a price option.

When a pricing group is assigned to a price option this price option will be selected if set to default on a service line of an invoice.

As an example you can create a price option and assign a pricing group called Commercial. If this Commercial pricing group is assigned to one or many payers this price option will be selected when:

  1. The price option is set as default and the patient has one of the payers assigned to the Commercial pricing group.

  2. There are no other default price options available to trigger a multiple price option hold.

When a pricing group is assigned to a price option along with other criteria such as:

  1. Location

  2. Payer

  3. Payer Plan

  4. Product Specific

The system will look for the price option available that matches the price option criteria.

Did this answer your question?