OfficeMate Home Office User's Guide - OfficeMate Software Solutions

Setting Up Plan Detailed Benefits
Chapter 2 Setting Up Insurance Carriers & Plans
Select the Cat./Base information if required by the plan benefit:
a. Select an attribute from the Attributes drop-down menu.
b. Select a procedure code from the CPT/HCPCS Code drop-down
menu.
Note If you selected Yes from the Power ranges radio buttons in step 4,
the CPT/HCPCS Code drop-down menu will not be available.
c. Select a code from the Replace Code drop-down menu if the insurance
carrier requires a code other than the standard CPT/HCPCS code.
d. 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 Single Vision, Multifocal, or None radio button as needed.
Note
Select the Lens Type 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
The Single Vision, Multifocal, and Name radio buttons are only
available if the Lens Cat./Base field is blank. If you selected the
Lens Cat./Base information in step 5, these radio buttons will not
be available.
If the option to combine attributes for ophthalmic lenses is
selected on the plan Preferences tab, the Lens Type drop-down
menus will not be available.
Select the Material 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
If the option to combine attributes for ophthalmic lenses is
selected on the plan Preferences tab, the Material drop-down
menus will not be available.
140 OfficeMate Home Office User’s Guide