Skip to main content

Split Billing Rules window

  1. Last updated
  2. Save as PDF

Path: Patient>General>Split Billing Rules

Prerequisites:

  • You must have full access to this window assigned to you in Administration>Configuration>Operators, and the Allow Split Billing check box must be selected in Administration>Financial>Insurance Codes for the necessary payer.
  • The patient must have a primary insurance and at least one eligible insurance for you to be able to create split billing rules.

The Split Billing Rules window enables you to assign split billing rules for a specific patient in order to automatically split a visit or a visit's hours between a primary and eligible secondary insurance companies.

There is no limit to how many insurances a visit can be split between on the Split Billing Rules window.

  • As long as the Allow Split Billing check box is selected for the insurance, an hourly visit can be split among multiple insurances.
  • Whatever insurance is selected from the grid on the left side of the window for defining the rule, the number of hours entered in the Billed (Hrs) field will be the hours that are billed to the payer selected, and any visit duration in excess of that number will be billed to the payer in the Eligible Payer field.

For more information about split billing rules for services payed by insurances with the X billing rate basis, see X Billing Basis Considerations.