Fee Schedule

The Fee schedule is table of procedure codes and their corresponding fees charged by a practice under a contract with a particular insurance package or allowable category. This feature allows the user to retrieve the fees for a given procedure code. The Fee Schedule Reference allows the user to determine whether a practice has a fee defined in their fee schedule for a particular procedure and to administer the procedures within a fee schedule. This feature allows the user to add and delete the fee schedule for the procedure.

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Endpoints

Get fee-schedule for a procedure
GET
/v1/{practiceid}/feeschedules/checkprocedure

Retrieves fees for a specific procedure code

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Input Parameters

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❙ required

practiceid integer practiceid
insurancepackageid integer The insurance package ID for which you want to find a fee.
servicedate string The date of service for which you want to check if a fee exists. If not passed, defaults to today.
departmentid integer The department ID you are operating in.
procedurecode array The procedure code (including any modifiers) for which you want to find a fee (e.g "99213" or "J12345,TC"). Multiple codes (either as a tab delimited list or multiple POSTed values) are allowed.

Output Parameters

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departmentid integer The department ID that was used in the search.
description string The description for this fee.
fee integer The amount of the fee.
feeexists string If true, a fee is defined in the practice fee schedule for your given parameters.
insurancepackageid integer The insurance package ID that was used in the search.
procedurecode string The procedure code that was searched for.
procedurecodegroupid integer The ID associated with the procedure code group of the fee.
procedurecodegroupname string The name of the procedure code group associated with this fee.
servicedate string The service date that was used in the search.
Example Code
Create fee-schedule for a procedure
POST
/v1/{practiceid}/feeschedules/configuration/procedure

Create a new procedure code record with procedure fees information

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Input Parameters

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❙ required

practiceid integer practiceid
Content-Type string Content type of the payload

❙ Request Body

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amount number The amount to charge for this procedure code.
feescheduleid integer The ID of the fee schedule.
procedurecode string The procedure code to be added or updated.

Output Parameters

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errormessage string An error message if the operation was not successful.
success string Returns true/false if the operation was successful.
Example Code
Delete fee-schedule for a procedure
DELETE
/v1/{practiceid}/feeschedules/configuration/procedure

Remove the existing fee schedule record for a procedure from the system

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Input Parameters

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❙ required

practiceid integer practiceid
feescheduleid integer The ID of the fee schedule.
procedurecode string The procedure code to be removed.

Output Parameters

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errormessage string An error message if the operation was not successful.
success string Returns true/false if the operation was successful.
Example Code