Dentrix Ideas

Put the insurance payment for the amalgam in the procedure code for the resin in the update payment table.

Primary issue is Dentrix DOES NOT put any time, effort, experienced employees, or investment in upgrading and perfecting their software to Client requests or even in keeping themselves on top of yearly changes with how insurance is managing things...I CAN TELL YOU FROM EXPERIENCE THEY DON'T CARE!!!...AND THEIR CUSTOMER SERVICE IS BEYOND POOR AND INCAPABLE!!!

HOPEFULLY SOON entering the downgrade into the "exceptions" area should make this work. I think the best way to get the most accurate estimate, Dentrix should calculate the ins portion from the alternate code allowable fee schedule (amalgam code, gold crown code, base metal crown code for Cigna). Also we need the option to estimate the pts portion off of a different insurance allowable fee schedule. This should be separate fee schedule selections for the both the ins payment estimate and patient portion for those of us that are Delta Premier providers and the ins portion is based off PPO fees and the pt portion is the difference between that ins portion and the Premier allowable fee. This section should be combined with all the other request for this, I know I requested this same improvement 15+ year ago.

I have asked Dentrix to do this multiple times. The problem is that they don't understand the basics of what the insurance companies are actually doing with "alternate benefits" or "downgrades" so the system is unable to pull the fees and recalculate. The benefit exceptions I now enter are just fluff and fodder and make my job so laborious that I want to hang myself at the end of the day because they don't make my tasks more efficient but less so than ever before. I'm hoping there's a silver lining somewhere behind all this data entry that's made to look like it's something when it's really not...at all. :)

Make the exceptions & allowed amounts actually work when entering new insurance. Doesn't make since to use the exceptions box if it doesn't work with the system! Currently it is to sit there & look pretty.

Payment table does not consider different teeth. I have an insurance carrier that downgrades crowns on molars to D2791 and on premolars to D2752. We still manual calculate on these plans. Also a payment table will need to recalculated every year while if the exceptions table worked it would not require as much calculation.

If you put in the insurance in and update payment table, this is not an issue.

You have the option to enter down grades in the payment table. Once you enter that plan it saves it for anyone who has that plan (based off of group #) You do have to do the math manually when you 1st set up the plan, but you don't have to do it every time you TP. Its actually quite simple, once you get use to it.

Not everyone in our practice has rights to go into the payment tables (by admin preference) and so a box to just check whether the amalgam downgrade applies in the coverage table or some other dialog box for the policy would streamline this so much better. Amalgam downgrades have been a thing for how long now?

Actually, I just researched Payment Tables and it is super easy....however it still requires manual entry for every plan rather than having a checkbox or something super simple.

I will vote for this ability also.  Right now I have a book with spreadsheets that calculate the downgraded fee and we just override the insurance estimate and manually enter the correct fee do pt portion is calculated correctly.  It seems like this can be automated in some way.  I understand that the Payment Table is how it is suppose to be done but it is not intuitive in any way.

i agree!!! this is such a hassle in our office...we get too busy sometimes to even calculate by hand, and end up having to bill the patient later.

i've tried to find a faster, easier way, but it's all very time consuming -- it would be great if there was a way to add these 4 simple codes D2391,D2392,D2393 D2394 to the coverage table to calculate correctly and save a lot of time.

It would be ideal if there was a button that we check if amalgam fills are downgraded and then when we give a treatment estimate is automatically factors in the fee. I've been waiting this for happen for years!!!!!

we usually set our posterior composites at 20% less coverage then their coverage says to try and compensate for the downgrade.. it helps most of the time... usually results in an over payment but its easier to credit someone back than collect sometimes!

collecting payment is hard but when a patient calls angry because we have overcharged is not good for the office--it's not professional either way--when i know there are programs out there then can perform this task. you should be able to set coverage table (default coverage table) and simply add these codes without getting a message procedure codes overlap--you shouldn't have to manually put in all the fees for just these codes. i hope dentrix finds a way. I don't want to bill people and I don't want to overcharge.

Treatment plans are becoming very time consuming because of the "alternate benefit" given by insurance companies. When you go to edit the procedure in the treatment plan, there should be a button or check box located in the Override Dental Ins Est section, to select whether or not a tooth should be given the amalgam or resin benefit. PLEASE KEEP VOTING!!!

We use a modifier code (so far it works) with the CDT code. so D2750 is also D2750.I for the molar teeth. Staff are told to code the molar teeth with the new D2750.I code. We then enter the payments or % for D2750 different than the D2750.I code. Makes it a bit easier. Make sure that you train the staff to use the new modified codes.

I agree that this is a frustrating issue and it would be nice to have a straightforward means of switching to an alternate benefit for estimates.

How would I make the proper changes on my insurance tables when it comes to insurance downgrading to amalgan. Instead of writting down covered at 70 or 80 for fillings what % should I use if I know that the insurance will downgrade.