Surgery planning charging ruleset: Difference between revisions

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Created page with "Base-Pricing         --> Depends on Surgery-Type + Insurance       --> Prepayment depends on Surgery-Type + Insurance       --> IsTriggering Flatrate (Depends on Surgery-Type + Insurance)       --> IfFlatrate, Permit Price Adaption? Option: Allow manual pricing by which the doctor can define a variable cost Each Service or product       --> If Flatrate applies, included in Flatrate (Depends on Surgery-Type + Insurance)       --> If Flatrate appl..."
 
Stefanseiler (talk | contribs)
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Base-Pricing  
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.


      --> Depends on Surgery-Type + Insurance
=== 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:


      --> Prepayment depends on Surgery-Type + Insurance
* '''Permit manual price adoption''' - this will allow the admin/doctor to provide a defined price in the documentation or surgery planning mask.


      --> IsTriggering Flatrate (Depends on Surgery-Type + Insurance)
=== Special rule results ===
These special flags may be defined at surgery base price definition:


      --> IfFlatrate, Permit Price Adaption? Option: Allow manual pricing by which the doctor can define a variable cost
* ''IsTriggeringServiceFlatrate''
 
* ''IsTriggeringProductFlatrate''.
Each Service or product
* Allows manual price entry
 
      --> If Flatrate applies, included in Flatrate (Depends on Surgery-Type + Insurance)
 
      --> If Flatrate applies, allow Price override by doctor
 
Surcharge Multifocal Lens
 
      --> Depends on Surgery-Type + Insurance, Prepayment fraction
 
If multiple surgeries are pending,there should only be one prepayment


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


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Example 3: Patiet C (king of Saudi Arabia). 2 eyes. 1 ey FEMTOKatarakt Multi,2 eye FEMTOKatarakt Multi.Superflat 80'000 CHF
Example 3: Patiet C (king of Saudi Arabia). 2 eyes. 1 ey FEMTOKatarakt Multi,2 eye FEMTOKatarakt Multi.Superflat 80'000 CHF
== Related articles ==
* [[Kordeus.SURGERY]]

Latest revision as of 12:02, 7 August 2024

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


Related articles