Dentrix Ideas

Right now, the treatment planner is still calculating based on an old Traditional method of COB, which almost nobody uses anymore because it resulted in patients getting money back instead of ever paying anything out of pocket...false credits.

Standard secondary coordination of benefits calculates based on what's left after the primary pays. If the fee is $100 and primary pays 50%, they pay $50. If secondary pays 50%, they pay 50% of what's they pay $25. There is more than one way to calculate coordination of benefits, but the one I described is the most common. Is it possible to make it do that?

  • Guest
  • Jun 29 2020
  • Attach files
  • Guest commented
    19 Sep, 2023 09:51pm

    We've resorted to not even listing the secondary anymore on the treatment plan because it's too confusing for the patient who still to this day thinks that they're going to get a double payment from their insurance companies (I think this has always been a low & dirty thing that insurance companies started doing, and it walks a fine line with the illegal activity of collusion. No other business in this country is allowed to do why them? Why do they get to see what another business pays before paying what they truly owe the patient. If the subscriber is paying Cigna to cover 80% on a procedure and also paying Metlife to pay 80% on the same procedure, they both should be paying 80% or reimbursing the patient something as a "secondary"). It's all a bunch of bull. Anyway, it would be nice if this was updated. Thanks!