Estimation of Substitute
Posted: Mon Jun 21, 2010 11:59 am
We have found a problem with the estimation if using a substitute code. If there is an allowed table in effect it is not accounted for in the insurance calculation.
Example: using a code 2750 with an allowed amount of 590.00 and using substitute code 2791 with the same allowed amount on the allowed table will throw off the estimation and actually create negative numbers.
Our setup had 75% for crowns. It would show the correct amount until you hit ok, the insurance estimates and balance due would then become wrong. If you go back in to the procedure it shows the incorrect amounts but if you hit the edit allowed amount it shows the correct amount (calculate incorrectly however) If you override the allowed amount with the same 590.00 it then estimates correctly.
Example: using a code 2750 with an allowed amount of 590.00 and using substitute code 2791 with the same allowed amount on the allowed table will throw off the estimation and actually create negative numbers.
Our setup had 75% for crowns. It would show the correct amount until you hit ok, the insurance estimates and balance due would then become wrong. If you go back in to the procedure it shows the incorrect amounts but if you hit the edit allowed amount it shows the correct amount (calculate incorrectly however) If you override the allowed amount with the same 590.00 it then estimates correctly.