> ## Documentation Index
> Fetch the complete documentation index at: https://docs.athelas.com/llms.txt
> Use this file to discover all available pages before exploring further.

# PR Settings

> Configure Patient Responsibility settings: card fees, receipts, text customization, pre-visit rules, and more.

### At a Glance

The **PR Settings** page holds the customizable settings that drive PR collection for your practice. Work with your Account Manager on the initial setup, then adjust as you go.

### Accessing PR Settings

There are several ways in. From the [Patient Responsibility](/insights_front_desk/patient_responsibility/patient_responsibility_page) page, open the **Actions** menu and choose **PR Settings**.

### General

* **Card Fees** — set the percentage charged to patients paying by card, or toggle **Use exact Stripe fee** (2.9% + \$0.30 per transaction). Toggle **Auto-Save patient credit cards** on or off. See [Manage Credit Cards](/insights_front_desk/patient_responsibility/manage_credit_cards).
* **Reader Label** — relabel the Athelas card readers registered to your account.
* **Receipt + Patient Statement Settings (facility-specific)** — change how receipts and statements look per facility, including adding a facility logo. See [Patient Statements](/insights_front_desk/patient_statements/manage_patient_statements) and [Print a Patient Statement](/insights_front_desk/patient_statements/print_patient_statements).
* **Text Message Customization** — customize the payment text patients receive. Add dynamic fields (Patient Name, Current Balance, Most Recent Facility, etc.); the **Link to Pay** is required. See [Turn Off Patient Texts](/insights_front_desk/patient_statements/turn_off_patient_texts) and [Request Payment by Text or Email](/insights_front_desk/patient_responsibility/how_to_request_via_text_or_email).
* **Patient Statement Settings** — basic info shown on statements and a custom statement message (detailed statement config lives on the [Patient Statements](/insights_front_desk/patient_statements/manage_patient_statements) page).
* **High Balance Setting** — the amount at which balances are flagged as "high" (shown in red), plus optional follow-up alerts: **Insurance Alert** (last claim denied for invalid/expired insurance), **Credit Card Alert** (payment-plan/subscription charge failed), and **Contact Info Alert** (statement undeliverable).
* **Skip Collection** — manage the reasons staff can select when skipping a collection.
* **Custom Payment Types** — add, edit, or deactivate custom line-item payment types. See [Miscellaneous Line Item Charges](/insights_front_desk/patient_responsibility/how_to_set_up_miscellaneous_line_item_charges).
* **Partial Payments, Payment Modal, and Welcome Message** — allow/disallow partial payments (e.g., via text) and toggle the post-payment welcome message (this toggle syncs everywhere in Insights).

### Pre Visit

Set defaults for pre-visit payment collection: which suggestions to show (copay is required; deductible and coinsurance optional), the suggestion mode (highest PR only, or all relevant PR amounts), default charges by facility, tier 2/3 benefit handling, default Service Type Codes, and the default welcome-message behavior. See [How to Create Suggested PR Rules](/insights_front_desk/front_office_payments/how_to_create_suggested_pr_rules).

### Credits

Set how many days to wait after a claim is approved before overpayment credits (held in reserve in case of resubmission) are automatically released to cover outstanding balances.

### Out of Network Insurances

Map out-of-network insurances so Insights can run eligibility and provide PR suggestions for those patients.

### Other Tabs

Depending on your site and permissions, you may also see:

* **Suggested PR Rules** — see [How to Create Suggested PR Rules](/insights_front_desk/front_office_payments/how_to_create_suggested_pr_rules).
* **Service Charges** — CPT-based service items; see [Post Encounter CPT Based Service Charges](/insights_front_desk/front_office_payments/automatic_service_charges).
* **Self-Pay Fee Schedule** — see [Self-pay Fee Schedule](/insights_front_desk/front_office_payments/self_pay_fee_schedule).
* **Sliding Fee Schedule** — for FQHC sites.

### FAQ

<Accordion title="Where do I turn off automatically saving patient cards?">
  In the **General** tab under **Card Fees**, toggle **Auto-Save patient credit cards** off.
</Accordion>

<Accordion title="What must a custom payment text include?">
  A custom payment text must include the **Link to Pay** dynamic field. Other fields (patient name, balance, facility) are optional.
</Accordion>