# Price Group

The **Price Group** screen enables creation and configuration of price groups for a healthcare facility. A price group includes claim submission options and network associations that can be applied to one or more clinics. The price group name and attributes can be defined to control how it interacts with billing, insurance, and claim submission modules.

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### Steps to create a new price group

* Open the **Price Group (Home > Admin > Insurance > Price Group)** screen.
* Click the **Plus** icon to open the sections where you can enter the details.

  <figure><img src="/files/7ITuP3EazNAcZ5ShKbi9" alt="" width="329"><figcaption></figcaption></figure>
* Enter the **Price Group Name** in the input field provided.&#x20;

  <figure><img src="/files/VuN4DAbHsZN1sUyY7rEb" alt="" width="300"><figcaption></figcaption></figure>
* The **Clearance Day** field is optional and can be used to indicate the number of days typically required for claim clearance or payment settlement for this price group.&#x20;
* If applicable, enter the **VAT Registration Number** in the text field.
* Below these fields, there is a series of checkboxes that allow you to enable or disable specific settings for the price group:

  <figure><img src="/files/k0EG0TWYgCbOyjTnRe4J" alt="" width="278"><figcaption></figcaption></figure>

  * **Price group active status**: This option must be selected to activate the price group and make it available.\
    \&#xNAN;***Note:** If this toggle switch is turned off, the price group becomes inactive.*
  * **Display Discount in invoice**: Enable this option to show any discounts applied to the invoice.
  * **Should Submit Eclaim**: Select this if claims under this price group should be submitted electronically to the insurer or third-party administrator.
  * **Correction Mode Resubmission With Full Amount**: If enabled, corrected claims will be submitted with the full invoice amount rather than just the corrected difference.
  * **Enable Monthly Billing**: Activates the option for generating a consolidated monthly invoice instead of billing per visit.
  * **Enable Custom File Naming**: Select this checkbox to define the claim sequencing in the required format. The section appears when the checkbox is selected and hides when it's cleared.
  * **Split Prescription Print**: Select this option to generate separate sections for controlled and non-controlled medicines in prescriptions.
  * **Print Cpt Invoice**: This option allows invoices to include CPT (Current Procedural Terminology) codes.
* Select one or more **Top-up Insurance** options from the dropdown at the bottom of the left panel to link additional coverage to the price group. This is typically used when a secondary insurer is involved.

  <figure><img src="/files/VOczzscvp52BcO5hCZNc" alt=""><figcaption></figcaption></figure>
* On the right side of the screen, a section is available to capture speciality-based claim forms. Select the **Speciality** dropdown and click the **SELECT FILES** button to upload the respective claim form. Use the plus icon to add more specialty-based claim forms.

  <figure><img src="/files/KfZD6MQwx3ju0d7xgytZ" alt=""><figcaption></figcaption></figure>
* Further down, the **Network** dropdown lets you associate the price group with an insurance network. Enter the **Maximum Limit Amount** to set the financial cap the insurer will cover for services billed under this price group. Use the plus icon to add more networks and the delete icon to remove a network.

  <figure><img src="/files/3uilWbRDsljJMdIRTM5g" alt=""><figcaption></figcaption></figure>
* The next section shows a list of clinics associated with your organization. Each clinic has a toggle to activate or deactivate the price group. If applicable, enter a **Provider Facility ID** for each clinic. This ID is used for claim identification and routing when working with multiple facilities or locations.

  <figure><img src="/files/5wb37Ytvi9AWBCgGVkkS" alt=""><figcaption></figcaption></figure>
* At the bottom of the screen, select the **PostOffice Type** from the dropdown (such as **DHA**, **Riayati**, or **Shafafiya**). This value corresponds to the regulatory body or claim submission authority. Enter the **Claim Receiver ID**, which is typically a code representing the Third-Party Administrator (TPA) or insurance company receiving the claims.

  <figure><img src="/files/gjME9kBb2u2coXn31uDo" alt=""><figcaption></figcaption></figure>
* After entering all the required details, select **SAVE** to apply the changes and register the price group. Once saved, the new price group will appear in the list below.

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### Steps to modify details of an existing price group

* Open the **Price Group (Home > Admin > Insurance > Price Group)** screen.
* Use the **Search** field to locate the desired price group. You can enter the full or partial name to filter the list. If the price group appears directly in the list, select it to open its details.

  <figure><img src="/files/HtsJ0qLFOOp6rvuOCPlf" alt=""><figcaption></figcaption></figure>
* Once the price group details are visible, review the available sections and update the relevant information as needed.
* After making the necessary changes, select **SAVE** to apply and store the updated details.

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