Customer detail

EugeneGI

38
live contracts
4
cannot fire
4
calc types
0
SQL bodies
0
of those blocked
0
map conflicts

Methodology mix

PercentOfFees41
MultipleProcedureAdjustment39
LesserOfAdjustment30
FlatPercentOfCharges1

Contracts

Each is one fee logic. Base terms are first-match-wins; adjustments all apply, in order. Expand to see the terms.

Aetna-Facility-20231 base · 2 adj
Aetna
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
EBMS Aetna
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
HealthComp Aetna
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
HealthEZ
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Lucent Benefit Administrators
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Meritain
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Web TPA
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
Aetna-Profee-20231 base · 2 adj
Aetna
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
EBMS Aetna
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
HealthComp Aetna
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
HealthEZ
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Lucent Benefit Administrators
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Meritain
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Web TPA
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
Charges-Facility-20231 base · 0 adj
AARP Medicare OoN
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Charges
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Cigna OoN
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Cow Creek Contract Health OoN
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Healthcomp OoN
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
MODA OoN
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Six Degree Administrations OoN
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
UMR OoN
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
VIM1
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
VIM2
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
VIM3
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Charges-Profee-20231 base · 0 adj
AARP Medicare OoN
Profee · 3 named facilities · 2023-01-01 → 2099-12-31
Charges
Profee · 3 named facilities · 2023-01-01 → 2099-12-31
Cigna OoN
Profee · 3 named facilities · 2023-01-01 → 2099-12-31
Cow Creek Contract Health OoN
Profee · 3 named facilities · 2023-01-01 → 2099-12-31
HealthComp OoN
Profee · 3 named facilities · 2023-01-01 → 2099-12-31
MODA OoN
Profee · 3 named facilities · 2023-01-01 → 2099-12-31
Self-Pay
Profee · 1 named facilities · 2023-01-01 → 2099-12-31
Six Degree Administrations OoN
Profee · 3 named facilities · 2023-01-01 → 2099-12-31
UMR OoN
Profee · 3 named facilities · 2023-01-01 → 2099-12-31
VIM1
Profee · 3 named facilities · 2023-01-01 → 2099-12-31
VIM2
Profee · 3 named facilities · 2023-01-01 → 2099-12-31
VIM3
Profee · 3 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Cigna-Facility-20231 base · 2 adj
Cigna
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
National Association Letter Carriers
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
Cigna-Profee-20231 base · 2 adj
Cigna
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
National Association Letter Carriers
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
FirstChoice-Facility-20231 base · 2 adj
Confederated Tribes of Coos Lower
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
EBMS FHFC
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
First Choice Health
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Kaiser FHFC
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Samaritan Choice
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Samaritan Health Plan
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Shasta Administrative Services
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
FirstHealth-Facility-20231 base · 2 adj
Aetna FHFC
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
APWU FHFC
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
PacificSource FHFC
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
UMR FHFC
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
FirstHealthFirstChoice-Profee-20231 base · 2 adj
Aetna FHFC
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
APWU FHFC
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Confederated Tribes of Coos Lower
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
EBMS FHFC
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
First Choice Health
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Kaiser FHFC
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
PacificSource FHFC
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Samaritan Choice
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Samaritan Health Plan
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Shasta Administrative Services
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
UMR FHFC
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
HealthNetPPO-Facility-20231 base · 2 adj
Health Net
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
HealthNetPPO-Profee-20231 base · 2 adj
Health Net
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
Imagine360-Facility-20231 base · 1 adj
Imagine360
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
Imagine360-Profee-Clinic-20231 base · 1 adj
Imagine360
Profee · 2 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
Imagine360-Profee-Facility-20231 base · 1 adj
Imagine360
Profee · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
KaiserMD-Facility-20231 base · 2 adj
Kaiser
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
KaiserMD-Profee-20231 base · 2 adj
Kaiser
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
MODAPPO-Facility-20231 base · 2 adj
MODA
Facility · 1 named facilities · 2023-01-01 → 2999-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
Medicare Profee-20231 base · 2 adj
Humana Medicare
Profee · 5 named facilities · 2023-01-01 → 2099-12-31
Medicare
Profee · 5 named facilities · 2023-01-01 → 2099-12-31
Railroad Medicare
Profee · 5 named facilities · 2023-01-01 → 2099-12-31
Tricare
Profee · 5 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
Medicare-Facility-20231 base · 2 adj
Humana Medicare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Medicare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Railroad Medicare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Tricare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
MedicareReplacements-Facility-20231 base · 2 adj
AARP Medicare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Aetna Medicare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Atrio Medicare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Cigna Medicare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Kaiser Medicare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
MODA Medicare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
OPTUM Medicare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
PacificSource Medicare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Providence Medicare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Regence Medicare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Tricare Medicare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
UHC Medicare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
US Family Health Plan
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Wellcare
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
MedicareReplacements-Profee-20231 base · 2 adj
AARP Medicare
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Aetna Medicare
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Atrio Medicare
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Cigna Medicare
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Kaiser Medicare
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
MODA Medicare
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
OPTUM Medicare
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
PacificSource Medicare
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Providence Medicare
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Regence Medicare
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Tricare Medicare
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
UHC Medicare
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
US Family Health Plan
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Wellcare
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
MultiplanPHCS-Facility-20231 base · 2 adj
Multiplan/PHCS
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
MultiplanPHCS-Profee-20231 base · 2 adj
Multiplan/PHCS
Profee · 6 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
OON-Fee1 base · 0 adj
Out of Network
Facility · 6 named facilities · 2024-01-01 → 2999-12-31
Out of Network
Profee · 6 named facilities · 2024-01-01 → 2999-12-31
Base terms — first match wins
  1. 100% of billed charges ⚠︎ named “0% of Billed Charges” but configured at 100%
PacificSource-Facility-20231 base · 2 adj
PacificSource
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
PacificSource-Profee-20231 base · 2 adj
PacificSource
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
ProvidenceEPO-Facility-20231 base · 2 adj
Providence
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
ProvidenceEPO-Profee-20231 base · 2 adj
Providence
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
RegencePPP-Facility-20231 base · 2 adj
HMA
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Regence
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Regence Group Administrators
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
RegencePPP-Profee-20231 base · 2 adj
HMA
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Regence
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Regence Group Administrators
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
Self-Pay-Facility-20231 base · 1 adj
Self-Pay
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 60% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
Self-Pay-Profee-Clinic-20231 base · 1 adj
Self-Pay
Profee · 2 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 60% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
Self-Pay-Profee-Facility-20231 base · 1 adj
Self-Pay
Profee · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 60% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
Trustmark OON-Facility-20231 base · 1 adj
Trustmark OON
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
Trustmark OON-Profee-Clinic-20231 base · 1 adj
Trustmark OON
Profee · 2 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
Trustmark OON-Profee-Facility-20231 base · 1 adj
Trustmark OON
Profee · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
UHC-Facility-20231 base · 2 adj
All Savers UHC
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Surest
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
UHC
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
UMR UHC
Facility · 1 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
UHC-Profee-20231 base · 2 adj
All Savers UHC
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Surest
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
UHC
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
UMR UHC
Profee · 12 named facilities · 2023-01-01 → 2099-12-31
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges

Cannot fire (4)

These have no contract map, or one whose insurance / bill-type / facility selection is empty, so nothing can ever resolve to them.

MODAPPO-Profee-2023 · no contract map1 base · 2 adj
no contract map — cannot be resolved
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
Medicare-Profee-2023 · no contract map1 base · 2 adj
no contract map — cannot be resolved
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
Noridian-Facility-2023 · no contract map1 base · 2 adj
no contract map — cannot be resolved
Base terms — first match wins
  1. 100% of the Fixed-Fees-Facility fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges
Noridian-Profee-2023 · no contract map1 base · 2 adj
no contract map — cannot be resolved
Base terms — first match wins
  1. 100% of the Fixed-Fees-Profee fee schedule
Adjustments — all apply, in order
  1. multiple-procedure reduction (contract rules) — base codes 2, 3; pays 100/50%
  2. cap each charge and the account total at 100% of billed charges