Add Codes & Rates for Payers

This article will cover common ways to enter rates.

Rates Options

• Rates are added to in the Payers module > Rates tab, under a chosen sub-tab.
• The sub-tabs provide different options for assigning charge rates for procedure codes.
• The order of these tabs is very important; Procentive will move through these sub-tabs from left to right to find a rate for a specific code.

Codes Sub-tab

• This option should be used when the charge rate for a given code is the same regardless of the staff providing service.
• This is the most common option. 

1. Click on the picklist button.
   
   
    
2. Select each code that you the payer will allow.
   
   
    
3. Click Ok.
4. Enter a charge rate (per unit) for each code.
   
   
    
5. Click Save.

Program/Codes Sub-tab

• This option can be used if your agency has established programs in Procentive; it is required for Residential programs.
• When using this option to set up codes, if the service that was provided was for a specific program and code, then Procentive will use this rate.  

1. Click on the picklist button to the right of Program.
2. Choose the program.
3. Click on the picklist button to the right of Code.
4. Choose the code.
5. Click OK.
6. Enter a charge rate (per unit) for each code.
7. Click Save.