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Practitioner Charges
Consultation charges are configured directly on the Healthcare Practitioner record:
| Charge Type | Description |
|---|---|
| OP Consulting Charge | Fee for outpatient consultations |
| Inpatient Visit Charge | Fee for each inpatient round/visit |
| Charge Item | The ERPNext Item linked for billing |
Charges can vary based on:
- Appointment Type — Different fees for first visit vs. follow-up
- Service Unit — Different fees at different locations
- Insurance vs. Self-Pay — Different rate structures

Fee Validity
Biograph supports fee validity periods to allow free follow-up consultations:
- When a patient pays for a consultation, a Fee Validity record is created
- Within the validity period (configurable number of days), the patient can have follow-up visits without being charged again
- Once the validity expires, the next consultation generates a new invoice
- Validity status is automatically updated daily by the system