Insurance payment

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drjorgel1
Posts: 20
Joined: Sat Feb 25, 2012 2:45 am

Insurance payment

Post by drjorgel1 » Tue Jul 16, 2013 4:40 am

When you receive a partial payment from an insurance company, you split the the bill in order to reclaim the portion that was not received , that portion(red) continue to show the whole amount that was bill instead the portion that was not recive.
Ex. D0120 - 15.00
D1110- 25.00
TOTAL- 40.00 IF YOU ONLY GET PAYMENT FOR THE D1110, YOU SPLIT THE CLAIM AND SET AS PAID THE D1110, BUT THE OTHER PORTION(RED IN ACCOUNTS) CONTINUE TO SHOW THE WHOLE ORIGINAL BILL NOT THE PORTION THAT BEING CLAIM AGAIN. ACTUALLY IF YOU USE QUERIES TO SEE OUTSTANDING CLAIMS IT SHOWS THE ORIGINAL AMOUNT AND NOT THE AMOUNT REALLY OWN BY THE INSURANCE.

WHAT DO I AM DOING WRONG ?

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Jorgebon
Posts: 502
Joined: Mon Jun 18, 2007 2:25 pm
Location: Mayaguez, PR
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Re: Insurance payment

Post by Jorgebon » Tue Jul 16, 2013 3:04 pm

You need to do one more thing:
The split procedures (those that were not paid) will appear as "Waiting to send" after you split them. You need to either print the split claim or just change it to Sent-Verified. You do this by double clicking the red unsent split claim and changing the Claim Status in the upper left corner of the window.
Jorge Bonilla DMD
Jorge Bonilla DMD
Open Dental user since May 2005

bpcomp
Posts: 304
Joined: Mon Feb 27, 2012 7:30 am
Location: Tucson, AZ
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Re: Insurance payment

Post by bpcomp » Wed Jul 17, 2013 1:59 pm

You can delete the original claim and create two new claims. One will be marked as received and the other can be resubmitted. bdp

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