Insurance Fee Schedule Attachment

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  • #2918
    Mariola S
    Participant

    In the insurance 101 video it states to attach insurance fee schedules to the insurance not the individual person. Is there a way for the ledger fees to show the insurance contracted fee schedule instead of the office fee for more accurate estimates and less write offs? Any tips/advice on this would be greatly appreciated.

    #2919

    Yes, you are correct. If you want to use the contracted fees on your patient ledger and in treatment planning, then you want to attach the fee schedule to the insurance plan. When you attach the fee schedule to the insurance plan then make sure the fee schedule up in the patient demographics section is clicked to NONE . Then if you want to send full fee to the insurance company make sure you are using a claim form that has the “F” at the end of it, either the DX2012F or the DX2019F.

    Remember that the fee schedule in the patient demographics section overrides the insurance plan fee schedule.
    Hope this helps,

    #2927
    Mariola S
    Participant

    Thank you!

    #2929
    Mariola S
    Participant

    If a patient does not have insurance or is out of network should we then choose our office fee schedule in their chart or leave that as none?

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