implant insurance pricing not showing

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lethstang
Posts: 11
Joined: Sun Jan 29, 2017 12:49 pm

implant insurance pricing not showing

Post by lethstang » Sun Jan 29, 2017 12:59 pm

Greetings,

We just started doing implants. My staff now updates the fee schedule for the percentages, for example usually its 50% insurance pay. So if you click on family, and then look to the right, it lists out all the percentages for each major group of procedures. Here, it will list implants as 50%. Now, when Im treatment planning and do the implant and crown, it comes up as full fee, and then insurance as zero when Im looking at the chart. . What we then have to do is click on the implant and then "insurance estimates and payments", then manually type in 50% there under the implant to get it to charge it right.

What are we doing wrong? Why isn't it reading it from the family page like it does everything else and update accordingly?

Steve

JoeMontano
Posts: 64
Joined: Thu Aug 20, 2015 11:08 am

Re: implant insurance pricing not showing

Post by JoeMontano » Mon Jan 30, 2017 5:35 am

Steve,

Sounds like some funny business might be going on. If you have Open Dental support I think this might best be troubleshooted by calling our support line. There are many places we could quickly check for you and show you where and why this might be happening.
Joe Montaño
Software Engineer
Open Dental Software
Joe@OpenDental.com

rhaber123
Posts: 415
Joined: Fri Dec 11, 2009 12:09 pm

Re: implant insurance pricing not showing

Post by rhaber123 » Mon Jan 30, 2017 7:14 am

Probably,the insurance is maxing out due to the other procedures in the treatment plan.

In treatment planning, when you click on the implant procedure, now you need to change the priority to "1"
this will put the implant procedure at the top and will give you the insurance estimate before the patient insurance max out

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

Re: implant insurance pricing not showing

Post by Jorgebon » Mon Jan 30, 2017 8:46 am

Also check this:
Open the Lists/ Procedure codes menu. Double click on the implant procedure description. See if there is a check mark on "Do not usually bill to ins".
Jorge Bonilla DMD
Open Dental user since May 2005

lethstang
Posts: 11
Joined: Sun Jan 29, 2017 12:49 pm

Re: implant insurance pricing not showing

Post by lethstang » Tue Jan 31, 2017 11:09 am

Its not either of the two solutions proposed above.

drschulman
Posts: 43
Joined: Tue Nov 03, 2009 12:46 pm
Location: Glen Burnie, Md

Re: implant insurance pricing not showing

Post by drschulman » Tue Jan 31, 2017 12:14 pm

Mine does and always has done the same thing. No estimation for implants at all. Not even if there in all the proper fee schedule places. I believe it is possibly because there is no estimation block for it in benefit information??? There are several categories resto, endo, perio, oral surg, crowns, prosto and so on....No specified implant procedures??? I'm guessing that's why. This day and age you would think it would be listed, we do a lot of it :D

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cmcgehee
Posts: 711
Joined: Tue Aug 25, 2015 5:06 pm
Location: Salem, Oregon

Re: implant insurance pricing not showing

Post by cmcgehee » Tue Jan 31, 2017 12:55 pm

It could be because there is no insurance category setup for implants. Open Dental considers implants to be under the General insurance category. You can add your own Implants category.
http://www.opendental.com/manual/inscatssetup.html
Then on each insurance plan that cover implants, you would add an Other Benefit for that category.
http://www.opendental.com/manual/benefitinfo.html
Chris McGehee
Open Dental Software
http://www.opendental.com

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