Understanding Discounts

Discounts are established for the responsible party (the company, patient, or insurance plan) or for specific procedures. You can use SYSTOC's discounting to create consistent and accurate invoices that reflect your contractual arrangements with individual companies, patients, or insurance carriers.

If Then

No discounts established

Standard fee from fee file (which may be location specific) is used.

Discount table is indicated

Applicable discount table is used if the fee being billed is in the table; otherwise no discount is applied.

Discount % is indicated

Applicable discount % is applied.

Both a % and table are indicated

Table is used if this fee is in the specified table; otherwise discount % is applied.

A discount % or table is indicated, and the procedure specifies a discount

Procedure discount will be applied; discount table or % will be ignored.

On the Patient, Company, and Benefit Plan screens there are two fields to control discounts: Discount % and Disc Table. If you enter data in either or both of these fields, your instructions will be followed when the responsible party for the invoice is this patient, company, or insurance plan.

Note: Discounts are applied based on the Responsible Party when the transaction is created. If you later change the Responsible Party for an invoice, you must manually adjust the discounts.
Discount Result

100%

The charge for the fee will be 0.

>100%

The charge for the fee will be a negative amount.

<100%

The fee is decreased by the percentage.

Negative %

The fee is increased by the percentage.