Some insurance plans don't apply the max towards preventive procedures. We need away to mark this, that way it won't say the patient is maxed when they really aren't.
I think even a box in the insurance payment window of how much int he insurance payment applies towards the annual max. Maybe default it w/ the entire payment amount and then be able to change it if a procedure doesn't apply toward the max.
Lisa commented
9 Jul, 2019 04:17am
This is becoming more common with the increase in variety of insurance benefits/plans being offered. It would also be handy to be able to track the separate maximums for orthodontic benefit or other lifetime type maximums.
Guest commented
9 Jul, 2019 04:17am
Might also need to take into account "Rollover" policies. I think you may actually need a computer to build the software we need in order to keep up with all the insurance policy shenanigans going on right now...or just stop taking THIRD-PARTY PAYMENTS (insurance companies are NOT part of the healthcare industry and never have been!). Patients pay the same in the end no matter what - they just don't realize it.
Guest commented
9 Jul, 2019 04:17am
I think this could be as simple as adding a click box to each category in the coverage table that if selected, the procedures under that category do not accumulate towards max.
Guest commented
9 Jul, 2019 04:17am
I have several plan this year that we found out have this and we have been informed of 3 more that will be adding this feature to their plans next year. This is going to be more common I believe and needs to have this! Also the rollover policies would be nice as well.
Guest
I think even a box in the insurance payment window of how much int he insurance payment applies towards the annual max. Maybe default it w/ the entire payment amount and then be able to change it if a procedure doesn't apply toward the max.