Practices that use at least one Billing Type have the option to configure copay exceptions for patients. This allows different copay values for different levels of service or exceptions for specific transaction codes. Sometimes patients have different copay or coinsurance coverage based on types of services or level or provider who renders those services.

To access the copay exceptions, navigate to Persons & Institutions | Patients and select a patient. The Copay Exceptions button is on the Demographics tab. 

The “Copay Exceptions Schedule” window will appear and allow users to add, edit, and delete exceptions. Each active billing type will have a column to allow for edit the copay or coinsurance percentage. A value can be changed by selecting the number and typing the new value. Clicking Save when finished will change the default copay for those codes when used going forward.