Our current coverage tables allow for entering out-of-network information, but this data doesn't get posted to the ledgers or reflect on estimates. As many offices are transitioning to out-of-network, we need our coverage tables to accurately reflect both in and out of network benefits. It would be helpful to have a feature that allows us to include both in and out of network information in the same coverage tables. An ideal situation would be a simple toggle button that enables or disables the display of either in- network or out of network details
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Totally agree with this one!! I think the programmers meant for it to work this way, but they forgot to finish the coding. It makes no sense to enter all of the info into the out-of-network section if it doesn't calculate anything or have any effect or real use.
For now, we get around this issue and get pretty accurate estimates for our out-of-network patients in both the treatment planner and the ledger following these steps. Step 1. Create a fee schedule for the maximum allowed fees (hopefully you can get your hands on this list). Step 2. Enter their out-of-network coverage percentages into the in-network coverage tables. (Don't panic the next step will stop Dentrix from calculating estimates using the percentages) Step 3. Go to the in-network payment table section, select the fee schedule you just created in the Copy From drop-down box, and click the little blue calculator icon. This will automatically create a payment table using the coverage percentages you just entered and the maximum allowed. These payment tables override any other percentage-based estimates or ledger amounts and even take into account the deductibles and plan max. The only exception to this that we have found so far is when you click into the procedure and manually override the insurance portion. Yes, it is an extra step for each and every plan that has to be manually updated each year, but at least we can quote accurately and collect accurately until Dentrix gets their act together.
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