Requirements

Ensure that you are logged in to Oracle Health Patient Administration (PAS) to view, review, and approve patient bill estimates generated for scheduled appointments.

The following information is required for using Patient Bill Estimates:

• Coverage agent for eligibility check and benefit details.

• Charge agent for creating expected charges for estimation.

• Provider's payer contract data must be set up for contracted payer rates and self-pay discounts.

• Provider's health plan participation must be set up.

If a health plan participation or a payer contract is not set up for an insurance allocated to the patient visit, then the following actions occur:

• Expected insurance payment is calculated at 100% of the price (provider charge).

• Patient responsibility is calculated as $0.