# Insurance **Insurance** tab allows staff to enter important insurance information, including the primary insurance plan, which is the main coverage for most costs, and top-up insurance, which provides additional coverage beyond the primary plan. It also captures details such as the Co-Pay, which is the fixed amount the patient must pay for certain services and Co-Insurance, which represents the percentage of costs the patient must cover after meeting the deductible. Finally, staff can record any applicable deductions. This ensures that all necessary insurance details are accurately recorded for billing and coverage purposes. {% hint style="warning" %} The details for each section in the **Insurance** and **Deductions** tabs are provided below. It is not mandatory to complete every section (top-up card, co-pay, co-insurance, and deductions); please only fill out the relevant sections for the patient. {% endhint %} *** ### Steps to Add Insurance details * Navigate to **Insurance** tab. * Click the Plus ![](/files/CaYWH4IWds9Zyd9PTgz0) icon. This action opens a pop-up screen that allows entry and management of insurance details. The pop-up screen features two main tabs: **Insurance Details** and **Deductions**.
* **Insurance Details Tab**\ This tab is where all relevant information about the insurance is captured, including **Card Details**, **Top-up card Details**, **Co-pay details**, and **Co-Insurance Details**.
* **Card Details**\ This section is intended to gather essential insurance information for the patient. * Select the appropriate options from the **Insurance & Price Group**, **Sub Insurance**, and **Network** dropdown menus to specify the relevant insurance coverage. * Enter the **Card Number** in the designated text field to identify the insurance policy.\ **Example Format:** \ 1\. Nas Administration Services Limited-1BE6-044F-G5DE-3454\ 2\. Oman Insurance Company P.S.C.-BI-6746-1232-3343 * Choose the **Expiry Date** using the date picker to indicate when the insurance policy will expire. * Select the **Post Office Type** from the dropdown menu to specify the relevant postal service (eg. DHA, Riayati )associated with the insurance policy. * Upload images of the front and back of the insurance card. * **Top-Up Card Details** This section captures information about any additional coverage the patient has through a top-up insurance plan. * Select an option from the **Top-Up Card** dropdown menu to specify the type of top-up coverage the patient is using. * Enter the **Top-Up Card Number**. This data is essential for managing claims related to the top-up insurance. * Choose the **Expiry Date** using the date picker to indicate when the additional coverage will end. * **Co-Pay Details**\ A co-pay is a fixed amount that a patient pays for a specific medical service, such as a doctor’s consultation, while the insurance covers the remaining cost. This section applies only to specific Service Items (e.g., Certain Consultation Services).\ **Example**\ An individual has health insurance that includes a co-pay structure. When visiting their primary care doctor, they pay a co-pay of 30. The total cost of the visit is 150, but their insurance covers the remaining 120. * Input the **Deductible Amount** in this field. This represents the expense that the patient must incur for healthcare services. * If required, enter data in the **Authorization Limit** field. * **Co-Insurance Details**\ Co-Insurance means the insured pays a part of the costs for services after they have met their deductible. This section is applicable to All Item Types (e.g., Service, Procedure etc).\ **Example**\ An individual has health insurance that requires a payment of 20% of medical bills after meeting the deductible. When going to the hospital, the total bill amount is 1,000. Since the deductible has already been met, 20% of the bill is paid, which amounts to 200. The insurance then covers the remaining 80%, which amounts to 800. * Input the co-insurance **Percentage** in the designated field. This percentage represents the portion of the costs that the insured will pay after meeting their deductible. * Enter the **Deduct Amount** in their designated field. This is the total amount that must be paid out-of-pocket before insurance coverage begins. * Select an option from the **Condition** dropdown menu: None, Greater, or Lesser. This condition will determine how the above fields are compared. * **Deductions Tab**\ In this tab, you can capture details about deductions related to insurance, including percentages, amounts, and other relevant conditions for Item Types (e.g., Ayurveda Procedures, Consumables, etc.). This section is similar to the Co-Insurance section, with the key difference being that here you can define inputs for one or more Item Types.
* The information is displayed in a table with fields to enter deduction details. For the required item type, enter the details as follows: * Input the percentage in the **Deduct %** text field. * Enter the amount in the **Deduct Amount** text field. * Select an option from the **Condition** dropdown menu: None, Greater, or Lesser. This condition will determine how the above fields are compared. * Select from the **Deduct Type** dropdown menu: None, For Each, or For All. This indicates whether the deduction applies to individual items or at an overall level. * Input the authorization amount in the **Auth. Limit** text field. * The items in the table can be sorted using the sort option. Click on the individual column header to sort by that column once the sort arrow appears. Toggle the arrow to switch between ascending and descending order. * If the patient have multiple insurance policies, select the **Set as Default** radio button. * Click **SAVE** to add the insurance details. The pop-up will close, and the insurance details will be displayed in the **Insurance** tab.
* To add another insurance policy, repeat the same steps. *** --- # Agent Instructions: Querying This Documentation If you need additional information that is not directly available in this page, you can query the documentation dynamically by asking a question. Perform an HTTP GET request on the current page URL with the `ask` query parameter: ``` GET https://unitecare.gitbook.io/uniteemr/application-modules/patient-register/register-a-new-patient/insurance.md?ask= ``` The question should be specific, self-contained, and written in natural language. The response will contain a direct answer to the question and relevant excerpts and sources from the documentation. Use this mechanism when the answer is not explicitly present in the current page, you need clarification or additional context, or you want to retrieve related documentation sections.