PIP Fee - Help Center

Getting Started

Articles to get you up and running, quick and easy.

  1. Navigate to https://pipfee.com/.
  2. Click Sign Up.
  3. Complete the required user fields.
  4. Review the usage policies, then
    select the I accept the usage policies of this service box.
  5. Click Sign Up.
  6. Check your email to confirm your account.
  7. Once your email is confirmed,
    enter your login details, then
    click Sign In.

  8. If you did not receive a confirmation email, complete the following steps.

  9. Select Click Here to Resend.
  10. Enter your email address, then
    click Resend.
  11. Once your email is confirmed,
    enter your login details, then
    click Sign In.

  1. Click Subscription in the navigation menu.
  2. Administrators use the Organization Users table to administer organization licenses, manage users, and transfer data.
  3. To add licenses, select Manage Licenses and follow the prompts.
    The Administrator automatically occupies the first license, with additional licenses available for assignment to other users.
  4. To grant access to new users, select Invite New Users and follow the prompts.
    Because the Administrator automatically occupies the first license, a minimum of two licenses is required to assign a license to another user.
  5. Invited users receive an email invitation and are directed to create a Standard account using the same email address.
  6. Once a user accepts an invitation, Administrators can enable and disable their access to PIP Fee.
    Disabled users are unable to log in.
  7. Click Access Your Subscription to use your PIP Fee subscription.

  1. Method 1

  2. Click Subscription in the navigation menu.
  3. Under Your Current Subscriptions,
    click Access Your Subscription.

  1. Method 2

  2. Click Profile in the navigation menu.
  3. Click Access [State] Subscription.

  • Required Fields

  • Name
    Enter the provider’s display name (max 20 characters).
  • ZIP Code
    Enter a five-digit ZIP (no dashes or spaces).
  • County
    Choose from the state-specific list (the counties automatically change based on the jurisdiction in use).
  • Facility Type
    Select Facility (e.g., hospitals) or Non-Facility (e.g., physician offices).

  • Under the Medicare Physician Fee Schedule, some procedures have a separate Medicare fee schedule for a physician’s professional services when given in a facility (such as a hospital) or a non-facility.

    Generally, Medicare gives higher payments to physicians and other health care professionals for procedures performed in their offices because they must supply clinical staff, supplies, and equipment.

  • Michigan-Specific Selections

  • For Michigan customers, there are additional selections available.

  • Learn more about 3157 selections ›

  • Optional Selections

  • Provider is subject to the OPPS
    When a provider is subject to the Hospital Outpatient Prospective Payment System (OPPS), PIP Fee determines the Medicare outpatient payment for the date of service and then applies any applicable state adjustments.
    Learn more about the OPPS Fee Schedule ›
  • Provider is an ambulatory surgical center
    When a procedure is performed in an ambulatory surgical center (ASC), PIP Fee determines the Medicare ASC facility payment for the date of service and then applies any applicable state adjustments.
    Learn more about the ASC Fee Schedule ›
  • Provider does not participate in Medicare
    Select this if the provider opts out of full Medicare participation. Some healthcare professionals decide not to participate fully in Medicare. As to such providers, for services under the Physician Fee Schedule, the fee is determined by first reducing the typical fee schedule price by 5% and multiplying the result by 115%.

  • Note: If the user checks more than one optional selection, PIP Fee evaluates the fee schedules in descending order based on the checked selections and applies the first qualifying fee schedule available for the procedure and date of service.

  • Actions

  • Add Provider
    Saves the new provider and makes it immediately available for use.
  • Cancel
    Returns you to the dashboard.

  • Existing Providers (right panel)

  • Use the search box or A–Z filter to locate a provider you’ve already added. Click a name to open Manage Providers for edits.

  1. Click Import Medical Bill in the navigation menu under Projects.
  2. Select the PDF containing the billing information you want to import.
  3. Click Upload and Continue.
  4. PIP Fee will analyze the PDF and automatically identify the individual billable or service lines contained in the document.
  5. Review the extracted information, match each imported provider to the appropriate PIP Fee provider, and choose whether to add the rows to a New Project or an Existing Project.

  • Reviewing Imported Information

  • PIP Fee identifies the provider or organization associated with each imported service line when that information can be determined from the PDF.
  • For each imported provider, select the corresponding provider from the dropdown.
  • If a provider cannot be identified from the PDF, you may still manually select the appropriate PIP Fee provider.
  • When multiple providers are identified, they are displayed according to the order in which they first appear in the PDF.
  • Imported service lines are kept in the same order in which they appear in the PDF.
  • Depending on the information contained in the source document, PIP Fee may identify the Date of Service, Code, Modifiers, Units, Gross Charge, Adjustment, CDM Price, and Insurer Paid.
  • If a Code or Date of Service cannot be identified, or a Date of Service cannot be interpreted, a Review Note will appear for that row.
  • If Units are not identified, the imported row will default to 1 unit.

  • Adding the Imported Rows

  • Select New Project to place the imported rows into a new project.
  • Select Existing Project to add the imported rows to the end of an existing project's Data Entry rows.
  • Imported rows are not automatically saved. You can review, edit, complete, or remove them before using the project's normal save process.

  • For Best Results

  • Upload one medical bill or ledger for one provider at a time whenever possible.
  • PDFs containing multiple providers or separate ledgers may still be processed, but the extracted information may be less reliable.
  • Medical bill import supports PDF files only, with a maximum file size of 20 MB.
  • The uploaded PDF itself is not saved as part of the project.

  • AI Import Usage Limits

  • Each user may process up to 1,000 PDF pages per calendar month using Import Medical Bill.
  • Usage is measured by calendar month using UTC. Unused pages do not roll over to the next month.
  • Your personal AI import allowance does not increase if you subscribe to more than one state.
  • Organizations also have a shared monthly allowance equal to 1,000 pages for each active organization user. For example, an organization with 3 active users has a shared organization allowance of 3,000 pages per calendar month.
  • Each upload must fit within both the uploading user's remaining personal allowance and the organization's remaining shared allowance.
  • Your personal usage is displayed on the Import Medical Bill page. Organization administrators also see the organization's total AI import usage.
  • If either the personal or organization limit is reached, additional AI imports that would exceed the available allowance are blocked.
  • Pages count toward usage when the PDF is successfully processed by the AI service, even if no billable service lines are ultimately identified. If AI processing fails, those pages are not counted.

  • Important

  • Medical bill import is designed to reduce manual data entry. As errors can occur, always compare the imported information with the original medical bill before saving the project and correct or complete any information as needed.

  • Medical bill import extracts billing information from the source document. It does not calculate Medicare amounts, fee schedule prices, PIP reimbursement, statutory reductions, allowed amounts, or other reimbursement results. For calculating fee schedules, run a report.

  1. Project Details

  2. At the top, you’ll see fields for the Project Name and File Number. These are for your own reference but are required. Each is limited to 30 characters.

  3. Data Entry Rows

  4. Rows represent individual services. Fill in the required fields, including Provider, Date of Service, Code, and Units. Additional fields are available for code modifiers, gross charge, adjustments, CDM price (for Michigan subscriptions), and insurer-paid amounts.

    Selecting a provider ›
    Accepted date formats ›
    Some codes require modifiers to work. Learn more ›

  5. Real-Time Alerts and Validation

  6. The system will flag issues as you type. For example, you’ll get alerts if you enter a future date, a non-Medicare modifier, or leave a required field blank.

  7. Row Management

  8. Use the plus (+) icon (or Tab) to add a row, the minus (−) icon to remove a row, and the copy icon to duplicate a row.

    Use the checkboxes to select and delete multiple rows at once.

    Rows can be reordered using the up/down arrows on the right or sorted using the controls at the top.

  9. Saving Changes

  10. Use the Save button at either the top or bottom of the page. If you try to navigate away without saving, you’ll be prompted to confirm.

    The system also auto-saves every five minutes.

  11. Running Reports

  12. Once you’ve finished entering data, click Run Report. Make sure to save your changes first, or you’ll see an alert.

  • Project Information

  • At the top of the page, you will see your project’s key details, including:

  • Project Name – The name you assigned to the project.
  • File Number – Your project’s identifying number.
  • Last Modified – The most recent date changes were made.
  • Project ID – The shortened unique ID for your project.

  • This information is displayed for quick reference when reviewing reports.

  • Report Views

  • The report has two different tabbed views you can switch between. Switch between the tabs to adjust the level of detail you wish to see.

  • All Totals
  • Displays overall totals across all providers included in the project.
  • Useful for high-level review of total charges, insurer payments, and balances.
  • Provider Totals
  • Breaks down totals grouped by provider.
  • Useful for comparing and analyzing performance or billing patterns across different providers, or for settling individual providers.

  • Report Columns

  • The report displays the results of your project entries. To make edits, return to the Edit Project page. Below is an explanation of each column shown.

  • View the Column-by-Column Guide ›

  • Export Options

  • You can export your report for external use in two formats:

  • Excel – For spreadsheet analysis and recordkeeping.
  • PDF – For printing, sharing, or inclusion in case files and exhibits.

  • Export buttons are available at both the top and bottom of the page for convenience.

  • Editing Projects

  • If you need to update your billing data or adjust fields, you can return to the project editor by clicking Edit Project. Once updated, the Fee Schedule Pricing Report will reflect the new data.