Ortho Insurance

[Mary Hribar]

Help!!! I have an Ortho Office that receives their insurance checks in increments. How do you enter them in the account screen?? I have tried entering the claim as received, then doing a positive adjustment titled "outstanding Insurance Claim"for the amount insurance is paying. Then a negative adjustment titled "Insurance Check" when insurance checks arrive. The difficulty here is the deposit slip and Daily income reports. Help

[drtech]

I think you use the payment plan option

http://www.open-dent.com/manual/paymentplan.html

I don't know for sure, the first line says "Payment plans are especially important in orthodontic offices." ...Read this, esp at the bottom and see if it helps.

[murmsk]

There are some insurances that want to see a charge each month. For these we use the repeating charge feature. This will put a charge on a specific day of the month for a specified number of months. Payments are made as any other payment.

steve

[cneelley]

I use the supplemental payments feature for the insurance. We file an initial claim for the ortho, and as the insurance payments come in, we post them as supplemental payments to the insurance claim.

Repeating charges sounds good for those insurance companies that insist on separate claims to be filed each month until paid off. I have not tried it, but I will start. Thanks.

Dr. Neelley

[cneelley]

There are some insurances that want to see a charge each month. For these we use the repeating charge feature. This will put a charge on a specific day of the month for a specified number of months. Payments are made as any other payment.

steve

For those claims that you file monthly, for a 16 year old adult dentition, are you using code D8090 each month? Or, some other code. If the expected treatment time is 24 months, then how are you filing each claim?

The reason that I ask is that I filed a claim with fiserv for adult dentition D8090 for the entire amount and they paid $0 and are asking that we file for each procedure separately, or by month? and they would not give me any idea of which code to use? Help!

Thanks
Dr. Neelley

[murmsk]

yep we use the d8090 code

steve

[babysilvertooth]

So doing supplemental payments on 'open' claims shows the 'fee to patient' as increasing. Not sure what we are doing. The supplemental claim shows 'fee billed' as $0. Just trying to figure out this 'ortho' stuff.

[jordansparks]

You mean in the "claimproc" window? Don't worry about the patient portion in that window. Did you highlight a procedure in the claim edit window before clicking the supplemental button? Otherwise it won't be attached to the procedure.

[Smilesbypayet]

This sounds like something we need to know, too. I don't remember seeing anything on this in the User Manual, but probably just missed it. Can someone point me in the right direction? Same for the Repeating Charges please.

[jordansparks]

It's explained in multiple places that any claim payment can be attached to individual procedures or attached to the claim as a whole. Some examples are:
http://www.opendental.com/manual/claimpayment.html
http://www.opendental.com/manual/claimprocedure.html
It doesn't specifically bring up this nuance for supplemental payments, but the way that the user interface is designed also emphasizes it. But it's not really very important at all. Neither are repeating charges:
http://www.opendental.com/manual/repeatingcharges.html
You could get along just fine without knowing either of those things. I was just trying to come up with an explanation for the question.