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This article explains how to post capitation payments in Elation Billing.

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Overview

This guide covers how to post Capitation payments into the billing software.
This method can also be used to track payments like Prop 56. Use selections you’ll remember and use consistently.

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Handling a Patient’s Capitated Claim

You can Settle the patient’s claim to Capitation for clerical purposes.

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Workflow Instructions

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Posting a Capitation Payment

  1. Create a “[Payer] Capitation” Patient - If posting your first Capitation payment from a payer, create a new Patient:
    • First Name: The Payer name
    • Last Name: Capitation
    DOB and Sex can be whatever you choose (required but not used).
  2. Create a Superbill - Create a new Superbill for the Payer you’re posting for:
    • From and To dates should match the date of the check
    • When adding Claims, use a custom code like “CAP” that you’ll use across all capitation payments
    • Enter the value of the check in the CHG field
  3. Add to Payment - After creating the Payment for the Capitation (see Posting a Payment), add the capitation Superbill to the payment and apply it.