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Set up a patient coverage

warning

RehabAlpha is still under active development. It is not yet HIPAA compliant and should only be used with dummy data.

Coverage records describe who may be responsible for paying for a patient's therapy services during a specific time period.

Before you start​

Confirm that the payor already exists in your organization's payor list. If it does not, add the payor first.

For patients linked to PointClickCare, a facility or patient refresh can import Medicare Part A, Medicare Part B, Medicaid, and Private Pay coverages. Review existing coverages before creating the same coverage manually. See Review coverages imported from PointClickCare for supported types, refresh behavior, and issues that need review. Importing coverage does not select an admission's primary payor or create a billing episode.

Add a coverage​

  1. Open the patient.
  2. Click Coverages.
  3. Click New coverage.
  4. Select the payor.
  5. Enter the coverage start date.
  6. Enter an end date if the coverage has a known end date.
  7. Add deductible, copay, coinsurance, or authorization details when needed.
  8. Save the coverage.

Why coverage dates matter​

Coverage dates help RehabAlpha decide which policy period applies to a charge. This matters when benefits, deductibles, copays, or authorization limits change over time.