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Set up Outside Organization Pay Rates

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Release Consideration: As of myEvolv version 9.0.8185 and later, you can configure pay rates for outside organizations. Previously, you configured outside organizations as vendors in the system. 

Create an Outside Organization Pay Rate

  1. Navigate to the following path: Finance Setup > Payment Rates (A/P) > Outside Org > Rates Setup.
  2. In the toolbar, click Select a Rate. Select a payor.
  3. Under Rate Information, enter the appropriate header information.
    • Payor
    • Rate Name
    • Rate Code
    • Rate Type
  4. Click Save.

Link to Plans

  1. To add a history record, click the History formset member.
  2. Click New > Payment Rate - Outside Org.
  3. Under Associated Plans, click the ellipses and select a plan to link to.
  4. Click Save.

Set Up Services

To add the outside organization to the appropriate services to the organization, complete the following steps:

  1. Navigate to: Agency Setup > Services Setup > By Program > Individual Services.
  2. Select a service and click Edit.
  3. Add the appropriate service events for the Service Facility Type, Outside Organization.
  4. Click Save.

Add the Services to Billing Schemes

  1. Navigate to: Finance Setup > Payer/Contract Setup > Payers > Schemes.
  2. In the toolbar, click Select Payer. Select the payer.
  3. Select a billing scheme and click Edit.
  4. In the Billing Scheme dialog, select a program and select the Manual Services tab.
  5. Select the appropriate services. 
  6. Click Save.

Add the Services to a Plan

  1. Navigate to:  Finance Setup > Payer/Contract Setup > Payers > Plan/Contract Rates.
  2. In the toolbar, click Select Payer. Select the payer.
  3. Select a contract and click Edit.
  4. In the Expense Setup tab, select a program. 
  5. Add the service.
  6. Enter the setup that will produce invoices.

Associate the Rate to an Outside Organization

You can add the rate that you created to an outside organization in the agency. Ensure the organization operates the program for which you set up payment.

  1. Navigate to the following path: Agency > Service Locations > Outside Organizations > General Information.
  2. In the toolbar, click Select Name. Search for and select an organization.
  3. In the Contract Based Rates tab, enter the Effective Date.
  4. In the Rate column, click the ellipses and select the rate you configured.
  5. Click Save.

 

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