OfficeMate Home Office User's Guide - OfficeMate Software Solutions

Chapter 2 Setting Up Insurance Carriers & Plans
Setting Up Plan Detailed Benefits
To set up service detailed benefits
Open the Detail Benefits window. For information on opening the Detail
Benefits window, go to To open the Detail Benefits window on page 130.
Select Services from the Product Type drop-down menu.
Click New to add a new detailed benefit group.
OR
Select a detailed benefit group from the list to modify it.
Note
Select the Exam Cat./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 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
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 other is selected on the plan
Preferences tab, the Other 1 drop-down menus will not be
available.
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
If the option to combine attributes for other is selected on the plan
Preferences tab, the Other 1 drop-down menus will not be
available.
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