Multiple Procedure Rule

Article author
Colin Rixom
  • Updated

This rule allows you to provide discounts for patients receiving multiple services. This can be calculated in one of two ways:

Highest value

Services added are subject to a 'Highest Value Service Percentage' rule. The value of the invoice will be based purely on the highest priced service, with a percentage supplement applied. The supplement is decided by the number of services on the invoice. If one service is invoiced, it will be charged as normal; a 0% supplement. If two services are invoiced, the supplement will increase. If three or more services are invoiced the supplement will increase once more.

Note that services with an original price of zero will not be considered.

In this example the insurer specifies a 10% supplement for two services and a 20% supplement for three or more services.

Services Total Amount
Explanation
£1000  £1000  0% Supplement on £1000
£1000, £500 £1100 10% Supplement on £1000
£1000, £500, £10 £1200  20% Supplement on £1000
£1000, £500, £10, £5 £1200 20% Supplement on £1000

Service Price %

Services added are subject to a 'Service Price Percentage' rule. The total value of the invoice will be calculated based on a percentage of each service price. The highest value service will be charged at 100%. The next highest value service will be charged at a reduced percentage then all lower value services will be charged at a further reduced rate.

Note that services with an original price of zero will not be considered.

 In this example, the insurer specifies 80% for the second service and 50% for further

Service Number

Original Price

Price With Rule

1

£1000

£1000

2

£100

£80

3

£50

£25

4

£10

£5

1 - 4

£1160

£1110

The options for multiple procedure rules are:

  • Name - Set the name of the rule
  • Rule - Switch between ‘Highest Price’ and ‘Service Price %’
  • Two Services - Set the percentage reduction for two services
  • Three or More -  Set the percentage reduction for three or more services