There may be instances when you want to authorize a single code but allow a provider to have the flexibility to bill several codes against that authorization. This is where the Combo Code feature will be useful.
Setting up Combo Codes
From the Manage Services screen, you will first set up all your service codes as usual. Then, create your combo code - this is the code that will be used when authorizing the services but will not be used by providers when billing the service.
For example, we want to set up a combo code to allow for providers to bill both ADS and Voc Hab at either the 15-min or day rate. To do this, we will create a new code called "CXF" and check the "Use as Combo Code" box. Then, within the Available Codes section, we will select all of the codes that we want to be available to be billed by the provider - CDF, CDS, CVF and CVH.
Now, when authorizing the service, select the combo code in the Code dropdown. The rate that will appear will be the 15-minute rate:
Finally, when attempting to add a claim to an invoice, the user will see all of the codes within the combo code. Regardless of which code the user selects, it will be applied to the CXF authorization.
When tracking utilization, any units billed using the day rate will count as 25 units against the budget. For example, if a provider bills 18 units at the 15-minute rate and 1 unit at the day rate, the system will show you that 43 units have been used:
