Inquiries on insurance

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glamorgan
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Inquiries on insurance

Post by glamorgan » Mon May 21, 2012 4:11 am

Hi everyone

I have 2 questions on the insurance

1. If the insurance company rejects a claim, what should I do within OD? how OD deals with rejected claims? how patient's account is affected? Any report detailing this?

2. Which report will help me find the insurance deductible for each patient's insurance claim?

Thanks

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jordansparks
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Re: Inquiries on insurance

Post by jordansparks » Thu May 24, 2012 12:53 pm

Enter it as zero payment.
2. I don't quite understand.
Jordan Sparks, DMD
http://www.opendental.com

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Manny Ramirez
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Re: Inquiries on insurance

Post by Manny Ramirez » Sun Jul 29, 2012 6:50 am

I have a quick question about this subject. If the insurance does not cover a particular procedure. Can the office charge the regular office fee instead? Is the doctor still obligated to contracted fee ? I wander how this is being handled by other dentists
Manny Ramirez
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E-ssential Networks LLC

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Jorgebon
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Re: Inquiries on insurance

Post by Jorgebon » Sun Jul 29, 2012 7:36 am

That depends on the contract with the insurance company. If it doesn't specifically say that you have to charge the contracted fees for non covered procedures, then you can charge your normal fees.
Jorge Bonilla, DMD
Jorge Bonilla DMD
Open Dental user since May 2005

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Jorgebon
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Re: Inquiries on insurance

Post by Jorgebon » Sun Jul 29, 2012 7:48 am

Regarding the two original questions:
Insurance may pay $0.00 or they may pay less than they are supposed to pay according to the contract. In either case you just enter the amount paid in the Ins Pay column when entering the payment into Open Dental. The balance owed can either be written off or charged to the patient. If after some reconsideration the Insurance company pays what they owe, then you should create a Split Caim and enter the amount.
Jorge Bonilla, DMD
Jorge Bonilla DMD
Open Dental user since May 2005

Dwayne
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Re: Inquiries on insurance

Post by Dwayne » Mon Jul 30, 2012 3:27 pm

Another option would be to enter a supplemental payment on the original claim.
Dwayne
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Jorgebon
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Re: Inquiries on insurance

Post by Jorgebon » Tue Jul 31, 2012 11:10 am

That's right, use the split claim when they don't pay one or more procedures together with some they do pay in a single claim.
Jorge Bonilla, DMD
Jorge Bonilla DMD
Open Dental user since May 2005

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