Surgery planning charging ruleset

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A charging ruleset, alows to select results depending on Insurance of the Patient. Charging rulesets apply to surgery base price, used products or deliveres services as part of a surgery.

Regular rule results

Typically the primary result of a rule is the price and prepayment fraction (0-100%). Still also these flags maiy be raised:

  • Permit manual price adoption - this will allow the admin/doctor to provide a defined price in the documentation or surgery planning mask.

Special rule results

These special flags may be defined at surgery base price definition:

  • IsTriggeringServiceFlatrate
  • IsTriggeringProductFlatrate.
  • Allows manual price entry

Examples

Example 1: Patient A, Ensurance CSS. 2 eyes. 1st eye FEMTOKatarakt+Multifocal,2nd eye Katarakt (std) Monofocal + Femto + full anaethesia

Eye 1:

--> Baseprice 1900 CHF (0 CHF prepayment)

--> Additional Product Multifocal 3400 CHF (3400 prepayment)

Eye 2:

--> Baseprice 1900 CHF (0 CHF prepayment)

--> Monofocal 0 CHF (0 CHF prepayment)

--> Femto 1800 CHF (1800 CHF prepayment)

--> Anaästhesie 1000 CHF (1000 CHF prepayment)

Example 2: Patient B, Russian citicen. 2 eyes. 1 eye FEMTOKataract Multifocal, 2 eye regular Toric len + full anaethesia

Eye 1:

--> baseprice 5200 CHF (5200 CHF prepayment, activates Flatrate)

--> Additional product Multifocal (3400 CHF, covered by Flatrate --> 0 CHF pay, 0 CHF prepayment)

Eye 2:

--> baseprice 5200 CHF (5200 CHF prepayment, activates Flatrate)

--> Additional product Multifocal (3400 CHF, covered by Flatrate --> 0 CHF prepayment)

--> Additional Service Anaethesia (1000 CHF, 1000 CHF prepayment, not covered by Flatrate)

Example 3: Patiet C (king of Saudi Arabia). 2 eyes. 1 ey FEMTOKatarakt Multi,2 eye FEMTOKatarakt Multi.Superflat 80'000 CHF


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