09/28/2026
Plenty of vendors will hand you a worksheet for building a sliding fee grid. Here's how ProsperityEHR handles it differently:
💵 For insured patients, a responsibility estimator pulls from your fee schedules, the eligibility response, and payment history to produce a number before the visit, with a confidence level attached so your staff knows how firm it is.
⚖️ For self-pay patients, Federal Poverty Guideline tiers are built into the system. Discount by percentage, dollar amount, or flat rate, set a minimum fee so nothing bills at zero, and carve out the CPT or custom codes you won't discount. The adjusted amount applies when the charge is entered, not as a correction after the statement goes out.