Pricing groups can be a powerful tool when you want to consolidate your price options and simplify your billing process. They allow you to assign a group to both payers and price options, making it easier to manage multiple pricing structures across various accounts.

Using pricing groups enables you to create a single price option and link it to multiple payers, eliminating the need to create separate price options for each individual payer. This consolidation can save time and reduce complexity in managing your pricing.

To begin, you’ll need to create the pricing groups that will be associated with your payers and price options.

After creating your pricing group, you’ll need to assign it to a payer or plan.

Once the payer is linked to a pricing group, it’s time to associate the pricing group with a price option.

Once a pricing group is linked to a price option, that price option will be used for invoicing whenever the assigned payer is relevant.

For example, imagine you create a price option called "Commercial." If the Commercial pricing group is assigned to one or more payers, the system will automatically select this price option under the following conditions:

When a pricing group is linked to a price option, the system evaluates all the attributes in the price option configuration to determine the appropriate option to apply. These attributes include:

The system will search for a price option that aligns with the relevant criteria, ensuring the correct price option is selected according to your predefined rules.

Pricing groups are an essential feature for streamlining your pricing and payer management process. By linking payers and price options under a single pricing group, you can simplify your workflow and avoid creating individual price options for each payer. Once set up, the system will automatically apply the appropriate price option based on the criteria you define, saving time and reducing errors in billing.