When to Use Fee Schedule, Create New Fee Schedules, Attach Fee Schedules to Employer or Patient, Edit Existing Fee Schedules, Print Fee Schedule Reportįee schedules are used to charge fees that differ from the practice's standard fees. There are two types of fee schedules - insurance fee schedules and patient fee schedules. code Text PXN NetworX Std Fee Sched G22 Paid at contracted rate Please note that claims with these explanation codes may have paid correctly and that future claims with these explanation should reflect the correct payments based on your Amerigroup agreement. Insurance fee schedules are used when a practice is contracted with an insurance company, often referred to as in network, contracted, or PPO. Patient fee schedules are used when a patient does not have insurance and the practice wants to charge them a different fee than the master fee, often referred to as in-house discount plan for cash patients.Fee Schedules attached to the patient override all other fee schedules/fees.Fees that are not included in a fee schedule will be charged the rate from the Master Standard fee.Fee Schedules attached to the employer override the Master Standard fees. With a fee schedule, the contracted fee will reflect on production. If the practice wants to reflect the full master standard fees on production, a coverage book is recommended.
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