PMP Manual HCAI | Page 58

HCAI - Patient Management Program The amount already posted to the patient’s account (highlighted above in yellow) is deducted from the maximum billable amount for the MIG. For Block 1 this amount is $775.00. Therefore in deducting the amount already billed, $350.00 from the billable amount , $775.00 you end up with an amount of $425.00. This is the amount that is posted at the end of the block that will be billed to the auto insurer. Here is the patient Account Activity screen after posting the Block 1. Hint: If EHC does not pay 100% of the treatment cost, the amount not paid will be billed on the OCF 21 invoice, not in PMP. Here is the completed statement showing the Initial visit and the Block 1 amount for the auto insurer. - 58 -