INTERNAL - Requirements to upload Fee Schedule

The new Fee Schedule has requirements that v1 did not, which if not abided by, will prevent the fee schedule from being uploaded. See below for the details and examples of valid entries.

Swords > SetUp / Enrollment > Import > Fee Schedule

Valid headers and aliases:

Headers:

- Assignee Type:

Required: True

Alias: assignee type

Type: string

Valid choices are:

- INDIVIDUAL

- SPECIALITY

- Assignees:

Required: False

alias: assignees, ASSiigNees

Type: string

Example: doctor_id1|doctor_id2|doctor_id3 = 1|2|3

- Specialties:

Required: False

Alias: specialties

Type: string

Example: Pediatric Registered Nurse|Perinatal Registered Nurse

- Plan Name:

Required: False

Alias: plan name, PLAN NAME, Plan Name, PLAN Name

Type: string

Example: Plan #1, Plan #2

- Offices:

Required: False

alias: offices

Type: string

Example: office_id1|office_id2|office_id3 = 1|2|3

- Insurance Payers:

Required: False

alias: insurance payers or payers or payers id

Type: string

Example: payer_id1|payer_id2|payer_id3|payer_id4| = Payer id1|Payer id2

- Effective Date:

Required: False

Alias: effective, effective date

Type: string

Example: yyyy-mm-dd => 2024-01-21

- Ineffective Date:

Required: False

Alias: ineffective, ineffective date

Type: string

Example: yyyy-mm-dd => 2024-01-21

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# From here on, it's item level

- Procedure:

Required: TRUE

Alias: procedure, code, procedure code

Type: string

Example: CPT123, 1245

- Type:

Required: TRUE

Alias: type, code type

Type: string

Valid choices: CPT, HCPCS, Revenue, Custom, ICD9, ICD10

Example: CPT

- Custom Description:

Required: FALSE

Alias: custom description, description

Type: string

Valid choices: Free Text

Example: Some custom descriptions that make sense to us

- Price:

Required: column required TRUE

Alias: price

Type: string or a number

Example: $10.3 or 10 or 0.3 or 0

- Allowed:

Required: FALSE, and blank is valid value

Alias: allowed amount

Type: string or a number

Example: $10.3 or 10 or 0.3 or 0

- Picklist Category:

Required: FALSE

Alias: picklist, category, picklist category

Type: string

Valid choices: Free Text

Example: Some custom category

- CPT/HCPCS Modifier:

Required: FALSE

Alias: ("cpt hcpcs modifier", "cpt/hcpcs modifier")

Type: string

Valid values: empty (or blank), a:b, a:b:c, a:b:c:d. a|b|c|d|e IS NOT VALID

- NDC Code:

Required: FALSE

Alias: "ndc code"

type: string

Valid values: anything

- NDC Quantity":

Required: FALSE

Alias: "ndc quantity"

type: numeric

Valid value: 3 or 3.3, 0.0001

- NDC Units:

Required: FALSE

Alias: ndc units

type: string

Valid Values: ("F2", "GR", "ME", "ML", "UN"), f2, gr, me, ml, mL, un

- Service Code:

Required: FALSE

Alias: service or service code

type: string

valid values: free text here

Rules:

If you say, Assignee Type = INDIVIDUAL, then Specialties must be null

If you say, Assignee Type = SPECIALTY, then Assignees must be null

If Effective and Ineffective are provided, then ineffective must be after the effective