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Standard and Negotiated Fee Schedules

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Standard and Negotiated Fee Schedules

Use separate price books to maintain standard agency rates and rates negotiated through provider contracts or other agreements.

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Fee schedules give agencies a consistent source for service rates. Catalog & Pricing represents each fee schedule as a price book and each service rate as a price book entry.

Standard Fee Schedules

A standard fee schedule contains the default rates established by an agency or governing authority. Use a standard fee schedule when the same rate generally applies regardless of the provider.

For example, an agency can publish an annual schedule that sets the maximum reimbursable amount for each covered service. The corresponding price book contains a price book entry for each service and rate.

Negotiated Fee Schedules

A negotiated fee schedule contains rates established through a provider contract or another agreement. Use a separate price book so that negotiated rates don't overwrite or obscure standard rates.

Give each negotiated fee schedule a name that identifies its business context. Include the provider, contract, region, or effective period according to your agency's naming standard. Associate the applicable price book with the provider contract according to your contract-management process, and keep the agency's standard fee schedule separate.

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