"Assignment of Benefits (pay provider)" on Edit Insurance

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ki0ak
Posts: 29
Joined: Tue Feb 09, 2010 6:38 am

"Assignment of Benefits (pay provider)" on Edit Insurance

Post by ki0ak » Fri Aug 19, 2016 10:23 am

I apologize if this is covered elsewhere (I searched both the forums and the User Manual but didn't see anything), but is there a way to set this at the carrier level? I've had a couple of carriers recently change their policies such that out of network providers no longer receive payment directly - it goes to the patient. Tracking this and changing individual patients is tedious and time consuming.

Also, will changing this setting automagically set future claims to "no payment"?

Thanks!
________________________
Brad Johnson, D.D.S.
Corridor Family Dentistry, PLLC
2120 Westdale DR SW
Cedar Rapids, IA 52404
(319)396-7263

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jsalmon
Posts: 1555
Joined: Tue Nov 30, 2010 12:33 pm
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Re: "Assignment of Benefits (pay provider)" on Edit Insuranc

Post by jsalmon » Fri Aug 19, 2016 12:14 pm

The "Assignment of Benefits (pay provider)" option is only stored at the subscriber level.
See "Subscriber Information" http://www.opendental.com/manual/insplan.html

There are several feature requests asking to have the assignment of benefits option stored at the plan level and at the claim level. You would have to add another feature request that is for adding this to the carrier level. Or you could always just vote towards a current one that would meet your requirement.
http://www.opendental.com/manual/featurerequests.html
The best thing about a boolean is even if you are wrong, you are only off by a bit.

Jason Salmon
Open Dental Software
http://www.opendental.com

ki0ak
Posts: 29
Joined: Tue Feb 09, 2010 6:38 am

Re: "Assignment of Benefits (pay provider)" on Edit Insuranc

Post by ki0ak » Fri Aug 19, 2016 12:52 pm

jsalmon wrote:The "Assignment of Benefits (pay provider)" option is only stored at the subscriber level.
See "Subscriber Information" http://www.opendental.com/manual/insplan.html

There are several feature requests asking to have the assignment of benefits option stored at the plan level and at the claim level. You would have to add another feature request that is for adding this to the carrier level. Or you could always just vote towards a current one that would meet your requirement.
http://www.opendental.com/manual/featurerequests.html

Thanks for the info Jason. Would there be some SQL magic that would be able to toggle it on the backend? Or am I completely out of luck and have to resort to manually resetting it?

Brad
________________________
Brad Johnson, D.D.S.
Corridor Family Dentistry, PLLC
2120 Westdale DR SW
Cedar Rapids, IA 52404
(319)396-7263

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jsalmon
Posts: 1555
Joined: Tue Nov 30, 2010 12:33 pm
Contact:

Re: "Assignment of Benefits (pay provider)" on Edit Insuranc

Post by jsalmon » Fri Aug 19, 2016 1:48 pm

Technically yes, there is SQL magic that you could do but I can't emphasize enough that running any SQL on your database that is not a SELECT command is extremely discouraged and quite dangerous.

There are lots of reasons to not manipulate your database manually, a few of which are:
1. OD caches many things and when they change we let all other workstations in the office know they changed otherwise they never make the wasted effort to go ask the db for the most up to date info.
2. We typically log changes that happen.
3. What works in version X.X might not be the way it works in version X.Y
etc.
The best thing about a boolean is even if you are wrong, you are only off by a bit.

Jason Salmon
Open Dental Software
http://www.opendental.com

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