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OfficeMate Home Office User's Guide - OfficeMate Software Solutions

OfficeMate Home Office User's Guide - OfficeMate Software Solutions

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Setting Up Plan Detailed Benefits<br />

Chapter 2 Setting Up Insurance Carriers & Plans<br />

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Select the Oversize information if required by the plan benefit as needed:<br />

a. Select an attribute from the Attribute drop-down menu.<br />

b. Select a code from the Replace Code drop-down menu if the insurance<br />

carrier requires a code other than the standard CPT/HCPCS code.<br />

c. Select a modifier from the Modifier drop-down menu. After you record<br />

attributes with modifiers on fee slips, they appear in box 24D in the first<br />

modifier column on the CMS 1500 form.<br />

Select a product group from the Product Group drop-down menu as needed.<br />

Note<br />

Select the All Attributes Inclusive check box if products included in the<br />

product group with multiple attributes will should have all attributes included in<br />

the schedule of benefits.<br />

Click Save.<br />

To add detailed benefit groups, go to To add & modify detailed<br />

benefit groups on page 150.<br />

Repeat steps 3–16 for each of the detailed benefits covered in the plan.<br />

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To set up other detailed benefits<br />

Open the Detail Benefits window. For information on opening the Detail<br />

Benefits window, go to To open the Detail Benefits window on page 130.<br />

Select Other from the Product Type drop-down menu.<br />

142 <strong><strong>Office</strong>Mate</strong> <strong>Home</strong> <strong>Office</strong> User’s <strong>Guide</strong>

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