Define the percentage of the cost the company will pay for each service, the remaining percentage is billed to the patient. The options for benefit maxima percentage rules are:
- Name - Set the name of the rule
- Benefit Maxima Apply When…
- Primary Doctor is - Rule only applies if a specific doctor is attending
- Site is - Rule only applies if the appointment is at a specific site
- Location is - Rule only applies if the appointment is in a specific location
- Tag is - Rule only applies if the ‘Billing Tag’ for a session is equal to the text field
- Benefit Maxima - Define the benefit maxima percentage for each service