OfficeMate Home Office User's Guide - OfficeMate Software Solutions

Setting Up Plan Detailed Benefits
Chapter 2 Setting Up Insurance Carriers & Plans
Click New to add a new detailed benefit group.
OR
Select a detailed benefit group from the list to modify it.
Note
Select the Base information if required by the plan benefit:
a. Select an attribute from the Attributes 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.
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
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 you are creating a detailed benefit that is similar to one that you
have already created, click Copy to duplicate the plan, and adjust
the details as needed. For information on copying maximum
allotments, go to To copy detailed benefits on page 152.
If the option to combine attributes for lens treatments is selected
on the plan Preferences tab, the Other 1 drop-down menus will not
be available.
• If the option to combine attributes for lens treatments 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.
138 OfficeMate Home Office User’s Guide