An allowable schedule is a table of procedure codes and the corresponding amounts that you expect to receive in payment from a particular payer. You can create allowable schedules manually or provide athenahealth with a spreadsheet of procedure codes and amounts so that athenahealth can import the schedule for you.
For a procedure code to be valid at the time of charge entry, it must have an entry in this schedule. If it does not, an "unknown procedure code" error message appears.
What are local allowable categories?
Local allowable categories allow you to define groups of payers, their products, and plans and assign them to an allowable schedule. You can use the Local Allowable Categories page for setup and maintenance of your local allowable categories.
Create and maintain local allowable categories
The Local Allowable Categories page allows you to create and maintain the payers, products, and plans covered by an allowable schedule. Local allowable categories are created by combining any of the following insurance package attributes: Insurance Reporting Category, Product Type, and Insurance Package. Local allowable categories are then linked to a practice-defined allowable schedule.