An effective treatment plan presentation includes clear communication regarding costs. Knowing the maximum fee covered by an insurance plan can provide patients with a transparent estimate of their out-of-pocket expenses. The same is also true when discussing the patient portion from the ledger. Note that the max allowable rate can be posted only when the patient has a max allowable fee schedule attached to his/her primary insurance plan, and that carrier is in network with your Billing Provider (typically your location).
Watch this video to learn how to post the max allowable amount. (Duration: 2:55)
Created January 2026
Additional Information
- Your user role must have the Manage Ins. Est. And Write-off Config right to change the estimates and write-offs option.
- If the insurance carrier is out of network or does not have a max allowable fee schedule, the UCR fee (provider or office fee) will continue to be posted.
- Posting the max allowable amount affects only the display. Your practice UCR will continue to be part of your insurance claims.
- Within the Max Allowable fee schedule is an option called Post UCR Fee, which will allow you to post the full fee for a given procedure.
- Note that if a patient doesn’t have insurance, the UCR fee is always used.