HomeTrak Companion allows you to split an invoice between two different parties for co-billing purposes. Co-Billing scenarios are set up on a "per authorization" basis because a client may have multiple authorizations and each one may have different payment requirements.
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Deduct Hours From Primary Payer: Bill the Co-Payer for the first 'x' hours of care received on a per day/per week/per month basis. Bill the Primary Payer for any time exceeding the hours entered. The Primary Payer's invoice will show the credited deductible hours. The Co-Payer is billed for the hours deducted from the Primary Payer's invoice.
Example: The client has 5 schedules per week, each 2 hours long. An insurance company is the Primary Payer, the client is the Co-Payer. The Co-Payer has a deductible of 6 hours/week.
Sample Invoices for Primary Payer and Co-Payer:
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Primary Payer Billed For Maximum Hours: Bill the Primary Payer for up to a maximum number of hours of care received on a per day/per week/per month basis. The Co-Payer is billed for any hours exceeding the maximum for the remainder of the applicable period (day, week or month).
Example: The client has 5 schedules per week, each 2 hours long. An insurance company is the Primary Payer, the client is the Co-Payer. The Primary Payer is billed a maximum of 8 hours/week.
Sample Invoices for Primary Payer and Co-Payer:
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Deduct Percentage From Primary Payer: Bill the Primary Payer for the total amount less the percentage identified. The Primary Payer's invoice shows a new billing rate (the original billing rate less the percentage identified). The Co-Payer is billed for the difference. The Co-Payer's rate is the remainder of the original rate.
Example: The client has 5 schedules per week, each 2 hours long at a rate of $21.00/hour. Deduct 75% from the Primary Payer. An insurance company is the Primary Payer, the client is the Co-Payer.
Sample Invoices for Primary Payer and Co-Payer:
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Primary Payer Billed Full Amount. Co-Payer Billed Percentage: The Primary Payer is billed for the full amount of their billing rate and the Co-Payer is billed a percentage of the billing rate as well. Use this option if an insurance company is the Primary Payer and they pay a maximum dollar amount that is less than your company bills for the care. The Primary Payer's invoice shows no indication of co-billing. The Co-Payer is billed for the dollar amount of the applicable percentage of the primary payer's rate.
Example: The client has 5 schedules per week, each 2 hours long at a rate of $21.00/hour. The Primary Payer is billed the full billing rate. The Co-Payer is billed 75% of the billing rate. An insurance company is the Primary Payer, the client is the Co-Payer.
Sample Invoices for Primary Payer and Co-Payer:
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Primary Payer Billed Maximum Dollars Bill the Primary Payer for up to a maximum dollar amount on a per day/per week/per month basis. The Co-Payer is billed for any amount exceeding the maximum for the remainder of the applicable period (day, week or month).
Example: The client has 5 schedules per week, each 2 hours long at a rate of $21.00/hour. The Primary Payer is billed a maximum of $100. An insurance company is the Primary Payer, the client is the Co-Payer.
Sample Invoices for Primary Payer and Co-Payer:
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Deduct Dollars From Primary Payer Bill the Primary Payer for the total less the deductible amount. The Co-Payer is billed for the deductible amount for the applicable period (day, week or month).
Example: The client has 5 schedules per week, each 2 hours long at a rate of $21.00/hour. Deduct $100 from the Primary Payer. An insurance company is the Primary Payer, the client is the Co-Payer.
Sample Invoices for Primary Payer and Co-Payer: