Dental Insurance Benefits and Coverage

Allowing out of network coverage table benefits to reflect in the ledger & on tx plans

Our current coverage tables allow for entering out-of-network information, but this data doesn't get posted to the ledgers or reflect on estimates. As many offices are transitioning to out-of-network, we need our coverage tables to accurately refl...

Created 15 Jun 04:34pm by Guest

Dental Insurance Benefits and Coverage

1 Needs review

20 Vote

Applying maximum to certain services. For example, for preventive and diagnostic, some insurance will say these services will not count towards the yearly max. Just like deductibles are waived on certain procedures.

Applying maximum to certain services. For example, for preventive and diagnostic, some insurance will say these services will not count towards the yearly max. Just like deductibles are waived on certain procedures.

Created 11 Jan 02:37am by Tania Sari

Dental Insurance Benefits and Coverage

0 Needs review

12 Vote

Being able to have separate accounts for patients that have the same insurance account.

When an older child or divorced spouse have the same insurance account due to subscriber...you have to have the same family account. Need to be able to have the option to separate these patients and still have account with the subscriber/insurance...

Created 8 Mar 12:18pm by Stephen Recupero

Dental Insurance Benefits and Coverage

1 Needs review

8 Vote

Diag/Prev Maxium

Some insurance companies don't apply diag/preventive procedures to the maximum. We need to be able to create a different table that allows us to check a box or something so the payments for those services do not apply when the payment is posted.

Created 31 Jul 04:09pm by Michelle S

Dental Insurance Benefits and Coverage

0 Needs review

8 Vote

DO NOT estimate an "IN-NETWORK Adjustment" if office is "Out of Network"

After the latest update Sept/Oct 2023, the ledger and Treatment planner now show and/or reflect and "in network adjustment" based on the Allowable fees entered into the Payment table. However, we are NOT in-network with any insurance. So, my treat...

Created 27 Oct 08:55pm by Lindsey

Dental Insurance Benefits and Coverage

2 Needs review

8 Vote

Prev/Diag excluded from annual maximum with Insurance plans

It would be nice to have the option to exclude prev/diag (D0100 - D1999) from coming out of the annual maximum on the insurances that require this. At this point we have to manually take out any preventative or diagnostic coverage used if the pati...

Created 10 Jul 08:53pm by Guest

Dental Insurance Benefits and Coverage

0 Needs review

7 Vote

ATTACH WAITING PERIODS TO COVERAGE TABLE

The system allows us to enter benefit begin date and waiting periods. Can you attach the waiting periods to procedure categories/codes to reflect the WP so the system will calculate Tx plans in accordance to the waiting periods entered. This way w...

Created 20 Oct 08:11pm by Guest

Dental Insurance Benefits and Coverage

1 Needs review

Dentrix Ideas

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Allowing out of network coverage table benefits to reflect in the ledger & on tx plans

Applying maximum to certain services. For example, for preventive and diagnostic, some insurance will say these services will not count towards the yearly max. Just like deductibles are waived on certain procedures.

ORTHO, Entering Separate Maximum For Orthodontic Work

Insurance Holder

Automatically Calculate Filling Downgrades

Being able to have separate accounts for patients that have the same insurance account.

Diag/Prev Maxium

DO NOT estimate an "IN-NETWORK Adjustment" if office is "Out of Network"

Prev/Diag excluded from annual maximum with Insurance plans

ATTACH WAITING PERIODS TO COVERAGE TABLE

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Allowing out of network coverage table benefits to reflect in the ledger & on tx plans

Applying maximum to certain services. For example, for preventive and diagnostic, some insurance will say these services will not count towards the yearly max. Just like deductibles are waived on certain procedures.

ORTHO, Entering Separate Maximum For Orthodontic Work

Insurance Holder

Automatically Calculate Filling Downgrades

Being able to have separate accounts for patients that have the same insurance account.

Diag/Prev Maxium

DO NOT estimate an "IN-NETWORK Adjustment" if office is "Out of Network"

Prev/Diag excluded from annual maximum with Insurance plans

ATTACH WAITING PERIODS TO COVERAGE TABLE