OfficeMate Home Office User's Guide - OfficeMate Software Solutions

Setting Up Plan Detailed Benefits
Chapter 2 Setting Up Insurance Carriers & Plans
Select the Other 1 information if required by the plan benefit as needed:
a. Select an attribute from the Attribute drop-down menu.
b. Select a code from the Replace Code drop-down menu if the insurance
carrier requires a code other than the standard CPT/HCPCS code.
c. Select a modifier from the Modifier drop-down menu. After you record
attributes with modifiers on fee slips, they appear in box 24D in the first
modifier column on the CMS 1500 form.
Note
Enter the Pricing Range information if required by the plan benefit as needed:
a. Type the bottom of the price range in the Low field as a dollar amount.
b. Type the top of the price range in the High field as a dollar amount.
Notes
Select a product group from the Product Group drop-down menu as needed.
Notes
Select the All Attributes Inclusive check box if products included in the
product group with multiple attributes will should have all attributes included in
the schedule of benefits.
Click Save.
If the option to combine attributes for contact lenses is selected on
the plan Preferences tab, the Other 1 drop-down menus will not be
available.
• The Pricing Range radio buttons are not active. To set the price
range to retail or to cost, go to the plan Preference tab. For
information about the plan Preference tab, go to To open the
insurance Plan tab on page 120.
• If the option to combine attributes for contact lenses is selected
on the plan Preferences tab, the Oversize drop-down menus
will not be available.
• If the option to combine attributes for contact lenses is selected
on the plan Preferences tab, the Product Group drop-down
menus will not be available.
• To add detailed benefit groups, go to To add & modify detailed
benefit groups on page 150.
134 OfficeMate Home Office User’s Guide