As indicated in the table, the amount determined for payment may match that of the account; however, a lesser amount may be paid.

Example

A claim for physiotherapy payment is received.  The amount claimed is $250.00.  This figure includes $50.00 for accounting costs and a surcharge for payments made after 30 days.

The standard fee recorded on PRACSYS is $230.00.

The amount determined for payment to the provider is $200.00, deleting accounting costs and the surcharge, which are not payable as medical treatment.