Healthcode settings

Article author
James
  • Updated

Please note this is an archived article, the updated version can be found here

Invoice as payee

Some consultants have custom contracts with insurers in order to get paid more if a particular service is performed by them. The invoice may be raised by the clinic, but the insurer needs to know (via Healthcode) that it's being billed on behalf of the specialist, so that they get the better price. If a consultant has one of these custom contracts, then 'invoice as payee' should be ticked on their record.

This setting will appear on clinician records once the Healthcode section has been made visible:

Some insurers demand that the site is entered as the payee provider, in which case the site needs to appear on the invoice as the payee. If this is the case, then 'invoice as payee' should be ticked for that site.

This setting can be found under the site settings (under Common Catalogues):

 

Claim as hospital

Invoices submitted to Healthcode have a 'claim source', which can be either 'Consultant', 'Hospital' or 'Screening Centre'. The default claim source is 'Consultant', but some insurers (specifically Prudential) require billing companies to claim as 'Hospital' for electronic invoicing.

If the creditor needs to claim as a hospital in order to satisfy a particular insurer, then 'claim as hospital' should be ticked. This setting is for internal companies only, not insurance companies - a company should never have both an insurer code and 'Claim as hospital' ticked.

This setting will appear on company records once the Healthcode section has been made visible:

 

Setting

You will find out from the insurance company if you need to use a particular 'setting' to make the invoice valid.

This can be found under the Outstanding Debt work item settings:

The setting can also be overridden per session: