Price structure and Contracts within GoodX

9. Linking price lists to billing codes

Version limitations

This feature is available in versions 8.0 and later.

Description of feature:

A pricelist can optionally be linked to a billing code. This function replaces the billing column feature available in the older system.

If no pricelist is linked to a billing group, the system will use the pricelist linked to the medical aid.

The feature is used by some anaesthetist practice, where the tariff to be billed is negotiated with the client during the patient-practioner encounter.

Example:

The anaesthetist wants to charge a standard Discovery Classic rate, even though the patient’s medical aid (Bestmed) is set to charge at 500% tariff.  They will then select the “Standard practice rate” billing group (which points to the Discovery Classic pricelist) , and the system will automatically bill at the Discovery Classic rates.

Setting up the feature

GxPrices -> Advanced -> Billing groups

The system displays a list of billing groups, and indicates which groups have linked pricelists.

The pricelist is linked to the billing group on the editing screen.

Default value for the field is “--- UNLINKED” – which means that no pricelist is linked to the billing code.