Skip to main content

Why does the pricing look wrong when I'm adding items to a case? [Rep]

What to do when pricing on an item doesn't look right before you submit — how to identify what's happening and whether to proceed.

Pricing in Helia is locked based on what was verified and agreed upon by both a supplier and the health system before go-live. So if a price looks different from what you expected when adding an item, there's usually a specific reason. Here's how to work through it.

First — confirm you're submitting to the right facility

This is the most common cause of unexpected pricing. Different facilities within the same health system can have different contracts and different pricing. If you typically work across multiple locations, double check that the facility selected on the case matches where the procedure actually took place. Pricing at a main campus location, for example, may differ from a satellite or specialty location within the same health system.

Second — check if the item is flagged as not on contract

If the item shows a not-on-contract flag, see the article "An item says 'not on contract' — what does that mean?" before proceeding. How you handle it depends on your health system's policy.

Third — consider whether something recently changed

Ask yourself honestly:

  • Did your corporate team tell you about a new contract, a local agreement, or a pricing amendment at this facility?

  • Do you have a contract number or amendment reference that supports a different price?

If yes — that's the clearest signal that the pricing in Helia may need to be updated. Submit a ticket by clicking the chat icon in the bottom right corner and include the item number, the facility name, the price showing in Helia, the correct price from your records, and the contract number or amendment reference. Our team will investigate.

If no — the price in Helia reflects what was agreed upon during the contract review process. It may feel different from what you were used to submitting before Helia, but that doesn't mean it's wrong. Check with your corporate team before escalating.

What not to do

  • Do not substitute a different item because the price looks off — substitutions create reconciliation issues

  • Do not submit the case and hope the facility approves it — if you know the price is wrong, address it before submitting

Still need help? Click the chat icon in the bottom right corner to submit a ticket.

Did this answer your question?