Service Codes are required for all payable and billable items, such as Visits and Premiums. The Bill Code and Pay Code configurations on the Service Code will determine how the item is paid or billed.
To continue to deliver an enhanced experience to our users, improvements have been made to the Service Code screen under Accounting>Accounting Settings. Highlights include:
- A two-page dialog screen
- Auto-complete search fields
- Ability to link bill codes per funder to service codes at the point of initial service code creation
Watch this video for an introduction to all the changes and improvements made to our service codes.
The service codes list has been redesigned so that you will be able to attach a bill code at the same time that you are creating a new service code. You will no longer have to save the new service code and then go back and add any bill codes that should be attached to it.
With the Service Code revamp, the new service code page also introduces the concept of rating methodologies. A rating methodology refers to the type of rules used to generate billable items based on one or more bill codes linked to a service. The only rating methodology currently available is funder driven, which represents the current setting requirements in AlayaCare in which bill codes must be linked to a funder, and only one bill code per funder can be linked to a service code. As a result, a single billable item is generated on an invoice/claim per visit for that funder.
We have therefore created a User Guide to introduce and offer step-by-step instructions to this feature. Please note that certain ACLs must be enabled for users in the "employee" role in order to view, add, and edit service codes. Review the user guide attached below for more information.
More rating methodologies will become available later to allow greater flexibility with regards to how billable items are generated based on the bill code configuration linked to a service. You can also refer to the article Billing Item Management for more information.
We also invite users to post their queries at the Rating Methodology Phase 1 Beta's Zendesk Community forum. Please also visit this forum for additional support and assistance.