Split an Invoice (Co-Billing)

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.

You must first identify the two parties who will share payment responsibilities. (By default, the client is already listed as a Possible Payer for himself.)

1. Add/Edit the Authorization for the service to be performed for the Client. In the Primary Payer field, select the insurance company or other third party payer from the dropdown list.

Don’t see the third party payer that you’re looking for? You may need to add the third party payer to the system:

• From the ribbon of the Main Module, open the Payer Module.                            
• Click the Add button in the left-hand column to add the demographic information for the insurance company or third party payer.
• Add other information as necessary:
  
  • Billing Rates: The rates you enter here will be applicable to ALL schedules for ALL clients invoiced to this payer.
  • Billing Options: The options you choose here will be applicable to ALL schedules for ALL clients invoiced to this payer.
• Now you can go back to the Client’s Authorization and choose this company as the Primary Payer for the Authorization.

2.  Then click on the Co-Billing panel on the right side of the screen. Select the appropriate co-bill option in the drop-down field:

• • Primary Payer Billed Full Amount
  • Deduct Hours from Primary Payer
  • Primary Payer Billed for Maximum Hours
  • Deduct Percentage from Primary Payer
  • Primary Payer Billed Full Amount. Co-Payer Billed Percentage
  • Primary Payer Billed Maximum Dollars
  • Deduct Dollars from Primary Payer

For Detailed descriptions of the co-bill options see below.

3.  Populate any additional fields that appear in the Co-Billing panel. Click Save.

Primary Payer Billed Full Amount: (default) The primary payer is the only payer for the authorization, there is no co-billing scenario.

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:                                                                                                                    

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:                                                                                                                    

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:  

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:   

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:  

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: