Dentrix Ideas

Automatically downgrade insurance coverage (e.g. composite to amalgam)

It is very time consuming to downgrade each treatment plan option that is not covered by insurance— for example, if patients have a cavity on their back molar teeth, we have to offer both the amalgam and composite as options— however, we must manually override their insurance coverage for the composite to what the insurance would cover for an amalgam. It would save A LOT of time if Dentrix could automate this feature.

  • Ashley Watkins
  • Apr 11 2019
  • Planning to Implement
  • Attach files
  • dexter b commented
    31 May 03:58pm

    We waste some much time manually calculating this for fillings, crowns, bridges, Open Dental is already doing this. Original post is from 2019 ....Come on Team Schein!

  • Guest commented
    23 Nov, 2020 05:23pm

    The last comment is directed at Dentrix, not Ashley. We just want this to work seamlessly, please!

  • Guest commented
    23 Nov, 2020 05:15pm

    An automatic downgrade means taking the code D2391 and letting the computer downgrade it to the right percentage for the D2140 after we put 80% for the one-surf composite insurance estimate. What's happening is that this software cannot downgrade per tooth/code (the 2 surf would calculate the D2393 and D2150 codes, etc...). We have to calculate our own downgrades and plug them in to each code (perm/primary - which we've had to re-invent as D2391.1 to make these estimates work correctly). I've offered so many times to send you the downgrade calculation tables so you would understand what is actually meant by "downgrading".