We are currently updating the OP Help Center content for the release of OP 14.19 or "OP 19". OP 19 is a member of the certified OP 14 family of products (official version is 14.19.1), which you may see in your software (such as in Help > About) and in the Help Center tabs labeled 14.19. You may also notice that the version number in content and videos may not match the version of your software, and some procedural content may not match the workflow in your software. We appreciate your patience and understanding as we make these enhancements.

Insurance Contracts

Version 14.19

About Insurance Contracts

Path: Billing tab > Contracts button 

The insurance contracts window adds, edits, and copies insurance contracts based on CPT codes for selected payers. 

Benefits to Insurance contracts:

  • There are no limits to the number of contracts you can create.
  • Contracts retain the history of how payment schedules change over time.
  • Contracts can be applied to specific locations and providers.
  • Contracts allow you to indicate no covered and capitated services.

Insurance Contracts Map

Number
SectionDescription

1

Contract listThe Contract list displays all the insurance provider contracts in OP.  Highlighting a provider contract displays the related insurance contract details in the Contract Details grid.

2

Function buttonsThe function buttons in the Contracts list create a new insurance contract, delete, modify, save changes to, and cancel recent unsaved changes to an insurance contract.

3

Clone buttonThe Clone button opens the Insurance Contract Clone Confirmation window.  The Clone Contract function allows you to clone (make an exact copy of) an existing contract, to enter a date upon which the new dates are to take effect, and to assign the cloned contract to every payer who is associated with the existing contract.

4

Contract Details gridThe Contract Details grid displays the contract details for the highlighted provider contract in the Insurance Contract list.  If necessary, edit the CPT Code, Mod, Effective Date, Amount and Method fields by clicking in any of these fields and entering new data.

5

Function buttonsThe Contract Details function buttons create a new insurance contract detail, delete an insurance contract detail, edit an existing insurance contract detail, save changes to an insurance contract, cancel recent changes to an insurance contract, and print data shown in the grid. 
Version 14.10

About Insurance Contracts

Path: Utilities Menu > Manage Practice > Insurance Contracts (Keyboard Shortcut keys: [Alt][U][P][C])

In Office Practicum version 11.4, Insurance Contracts replaced the Reimbursement Schedules that were previously tied to CPT codes in the CPT table. Insurance contracts offer four significant improvements over the reimbursement schedules.

Benefits to Insurance contracts:

  • There are no limits to the number of contracts you can create.
  • Contracts retain the history of how payment schedules change over time.
  • Contracts can be applied to specific locations and providers.
  • Contracts allow you to indicate no covered and capitated services.

The insurance contracts window adds, edits, and copies insurance contracts based on CPT codes for selected payers.

Insurance Contracts Map

Number
SectionDescription

1

Contract listThe Contract list displays all the insurance provider contracts in OP.  Highlighting a provider contract displays the related insurance contract details in the Contract Details grid.

2

Function buttonsThe function buttons in the Contracts list create a new insurance contract, delete, modify, save changes to, and cancel recent unsaved changes to an insurance contract.

3

Clone buttonThe Clone button opens the Insurance Contract Clone Confirmation window.  The Clone Contract function allows you to clone (make an exact copy of) an existing contract, to enter a date upon which the new dates are to take effect, and to assign the cloned contract to every payer who is associated with the existing contract.

4

Contract Details gridThe Contract Details grid displays the contract details for the highlighted provider contract in the Insurance Contract list.  If necessary, edit the CPT Code, Mod, Effective Date, Amount and Method fields by clicking in any of these fields and entering new data.

5

Function buttonsThe Contract Details function buttons create a new insurance contract detail, delete an insurance contract detail, edit an existing insurance contract detail, save changes to an insurance contract, cancel recent changes to an insurance contract, and print data shown in the grid.