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Provider
With certain insurance programs that you participate with you may have conditions wherein certain providers in your practice, possibly specialists, get reimbursed at a different rate than other providers in your practice. Select a provider number to reimburse that provider at a different rate than other providers. You can have only one entry per provider number for a procedure code within each estimator table. The default value of 0 indicates that all providers will be reimbursed at the same rate.
Note: If you select a specific provider, but that provider does not have a fee set up for the selected code, when you bill the service, the program will use the fee associated with the default provider (0). And, if there is no entry for the default provider, the program will use the percentage stored in the profile to perform the estimate or ask you to enter an estimate at the time the transaction is posted.