Adding Charge Rates to a Payer

1. Access the Services Tab

    1. Go to the > Payer section in the left panel.
    2. Select the Payer to which you want to add a service.

2. Add Charge Rates to the Service

    1. Select the Services tab at the top of the page.
    2. Find the service for which you want to add charge rates in the table and click the blue Charge Rates button next to it.


3. Fill Out the Charge Rates

    1. In the [Service Name] Charge Rates pop-up window, click on the blue + Add Charge Rate button at the top right.

    1. Fill in and select the following fields:
      1. Title: Enter the title of the charge rate (e.g., "BCBA," "BI," "CM," etc.).
      2. Modifier Name: Enter the modifier name (e.g., "HM," "HO," "HT," etc.).
      3. Billed Rate ($): Enter the rate you would like to bill the insurance.
      4. Allowed Rate ($): Enter the rate you expect to be paid.
      5. Region: Specify the region (e.g., "Los Angeles").
      6. Credentials: Choose the corresponding credentials from the list of credentials added under System > Credentials.
      7. Type: Choose whether the service is a Direct or Indirect service.
      8. Default Paycode: Choose the corresponding Paycode from the list of Paycodes added under System > Payroll Setup.

4. Save the Charge Rate

    1. Click the Add button to save the charge rate. It will appear in the list for that service.

 


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