Payment Options Help

OrthoBanc Credit Recommendation:

If requested, the level rating is located in the upper right-hand side of the screen beside the assigned OB reference number. It is based on OrthoBanc’s state-of-the-art decision system that has analyzed the credit history using a series of modeled matrices.

Payment Calculator Rules:

OrthoBanc Finance Data

· The Total Contract and Contract Period fields are required.

· If you enter Payment Months, it solves for the Monthly Payment.

· If you change the Monthly Payment and press calculate, the calculator solves for the Payment Months.

· If you do not enter either Payment Months or Monthly Payment, the calculator assumes the Payment Months to be equal to the Contract Period, and then solves for the Payment Months and Monthly Payment.

· Final Payments will never be less than 10% of the Monthly Payment. The Payment Months will be reduced by 1 and the Final Payment will be a Monthly Payment plus the small residual amount. This prevents Final Payments of only a few cents.

Payment In Full

· Calculate the Payment In Full discount percentage by entering the percent (i.e., 10%) in the Payment In Full discount field. Choose the calculation you prefer from the drowpdown box and press calculate. This will calculate the discount percentage based on your selection. You must re-enter the Payment In Full discount percentage any time you modify the total contract amount or insurance amount in order for the system to recalculate the percentage based on the new information.

Down Payment

· Calculate the Down Payment percentage by entering the percent (i.e., 10%) in the Down Payment field and press calculate. This will calculate the down payment percentage based on the total contract amount, minus any insurance or discounts, at the percentage entered. You must re-enter the down payment percentage any time you modify the total contract amount; insurance amount or the discount amount in order for the system to recalculate the percentage based on the new information.

Other Finance Data

· From this screen you can also enter information about outside financing options. Enter these values in dollars only.

Click Save when you are finished. You will receive a message “Account information was saved”. Click Okay and the Payment Options screen will display a new dropdown choice with options to:

· View Payment Options Form. This option displays the patient’s payment options in printed form for you to present.

· View Recurring Payment Plan Form (RPP). This option displays the agreement to be signed by the responsible. The form may be fully or partially complete. Completeness of this form is dependant upon information entered in the Payment Selection section of the Payment Options page. This page can be modified to your specifications.

· E-Sign RPP. e-Sign RPP Now In Office; e-Sign RPP Now Via In-Office Table and Request e-Signature by Email for RPP are options available if your office has signed up for OrthoBanc’s eSign service.

For additional information or questions please call (888) 758-0585 Option 2.