Payment Authorizations
You can enter authorizations/overriding rates for the Expense Setup in a contract that will be used for paying Vendors who provided services (Outsourced services and Foster Parents for example). This area can also be used to override any billing setups to produce rates and billing on a per client basis.
Client > Client Information > Payment Authorization or Finance > Client Information > Payment Authorization
Edit a Payment Authorization
Clicking the Authorization button will bring up a list of all authorizations headers on file for a client and funder for which you can select. The same information that was entered on the previous Benefits Authorization area is contained in the Information Form Set Member.
- Service Details - Here you select the appropriate program + service rate line defined for this funder that you previously setup in the plan/contract setups in the expense area.
- Approved -If a invoice is produced (See Authorization setup on the contracts for rules of producing the claims with the plan/contract authorization flags), it will not include this invoice on a check until this is checked.
- Date From and To -The date range this service authorization covers
- Units -Total units covered in this period for this service in this program. See unit’s explanation in rate setups for what represents a unit. I.e. monthly, daily, bi-monthly, time chart based.
- Capitated Amount - If there is up to a total amount that can be paid for that service in that program.
- Override Information - As you learned in the Payments rate setups that were applied to plans/contracts, within the history contained the plans that use a rate, the logic/rate methodology being used and the procedure codes being used. In this area you can choose to override that logic with any procedure code and amounts you so choose. As long as the rate methodology defined on the rate will be the same. I.e.: the rate methodology in the history was a monthly rate; the override must be a monthly rate.