We have pages of downgrades that are done manually. The Dentrix system does NOT calculate these downgrades. Rather, WE calculate them and then put the % in the system. I've consistently asked for this upgrade but you keep telling me the system will auto-calculate these. Please tell me how because the insurance companies insist they pay, say 80% with a downgrade. They don't say they pay 53% based on the amalgam fee downgrade (in fact, they will deny this to the death). WE have to manually figure this out and then adj the payment table. This is NOT what we're asking for. We're asking that when we put in 80% on a posterior composite and click "downgrade to amalgam", the Dentrix system would automatically calculate 80% of the corresponding amalgam (D2391 = D2140) and automatically put 53% for the posterior composite (if that's what it is). If there is a way to make these downgrades work per specific codes (not across the board), that would be great. Otherwise, NO, you do not calculate the downgrades.
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