Use the following information to estimate insurance payments and track how much each insurance plan pays for charges submitted by your practice:
Insurance plan
Plan bluebook entry
When you post a transaction, the default amount is the insurance payment amount entered in the plan’s bluebook entry and the procedural code. The patient portion is then calculated as the difference between the insurance payment and your fee or the plan’s allowed amount.
Set up your insurance and enter insurance company and insurance plan information before setting up any bluebook entries. For more information, see Setting Insurance Defaults.
If you know a plan’s bluebook amounts, enter them in the bluebook database. You can also automatically update bluebook entry files every time you post an insurance payment.
Bluebook entries:
Are used only for patients using fee schedule 0.
Displayed in the Bluebook Entries for List and Bluebook Entries for windows are specific to an estimation type.
All bluebook entries include:
Procedural codes and descriptions
Insurance payment amounts
Fees
Date the insurance payment was last updated
Updating the Bluebook After an Insurance Payment