Editing insurance payment tables

You can use a payment table when an insurance carrier always pays the same fee for a procedure, rather than a percentage. You can set up Dentrix to automatically update the insurance payment table whenever you receive payments from a carrier to maintain the accuracy of the table and to facilitate calculating insurance estimates. You can either enter procedures into the payment table manually, or if you itemize insurance payments, you can update the payment table whenever you post a payment to a claim.

Important:

·        Updating or changing any benefit and coverage information will affect all patients who subscribe to the selected group plan.

·        If a procedure is in the coverage table and the payment table, the amount in the payment table overrides the amount in the coverage table.

To edit an insurance payment table

1.   In the Office Manager, click Maintenance, point to Reference, and then click Insurance Maintenance.

The Insurance Maintenance dialog box appears.

2.   Select the insurance carrier whose payment table you want to edit, and then click Benefits/Coverage.

The Dental Insurance Benefits and Coverage dialog box appears.

3.   Click the Payment Table & Allowed Amounts tab.

The Payment Table and Allowed Amounts table appears.

4.   To edit the procedure code, do the following:

·        Select the code you want to edit.

·        Click Edit .

·        Type the new code, description, amount paid, and/or allowed amount under Code, Description, Paid, and/or Allowed respectively.

5.   Do one of the following:

·        To save your changes, click Save.

·        To undo your changes, click Undo.