How To Setup and Use Co-pays

Per Visit Co-pay – An amount due by the patient at the time of services rendered. This amount is usually the first “so many” dollars of the service(s) delivered. Often, if there is a “co-pay” due, it will be listed on the patient’s insurance card.

If you have a patient that has a per visit co-pay that must be paid, you will need to do 2 steps. In the patient claim, on the Visit Info/Misc Tab, fill in the amount of the co-pay. TPS2000 will place the first $10.00, or $20.00 or whatever the co-pay amount is, of the day’s charge as the patient’s responsibility. It will then ‘split’ the balance of the services delivered per the policy setup.

You must still select the appropriate policy for this patient. Quite often, the insurance company will pay the remaining balance at 100% of their allowed charges after the co-pay amount. If this is the case, then select the 100% policy for this carrier. However, there will be times where there will be a co-pay amount with the balance “split” at a percentage of the allowed amount. In this case, choose the policy that best describes the “split” after co-pay (i.e. 80% or 70%, etc.).