Capitation Payments

Capitated plans are a different type of insurance plan. This type of plan pays the doctor or group a specific amount of money to see a group of patients each month. This amount is paid regardless of how often these patients are seen. This means that the payments are not related to specific charges.

To enter a capitated payment, take the following steps from within the Deposit List:

  1. Click the New button.

  2. In the Date field, enter the date you received the capitation payment.
  3. Select Capitation in the field labeled Payor Type.
  4. The screen display will change. You will note that the code fields will no longer be available to you.

  5. In the field labeled Payment Amount enter the amount of the capitation payment you received.
  6. The Insurance field should contain the insurance code for the carrier making the payment.
  7. Enter any other fields as necessary.
  8. Click Save.

You will see the capitation payment listed on your deposit list. You will not be able to apply it. Because the payment is not for specific charges, you do not need to apply it. Any charges that were entered into capitated accounts should have been written off at the time of entry.

Neither capitation payments nor charges have any affect on your practices AR. Because you cannot apply the payment, it will never appear on most of your accounting reports. The only report that will show capitation payments is the Deposit List report. The only file affected through this process is the MWDEP.ADT file.


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