Description
version 5.1+
Enable a setting to automatically adjust the patient/insurance fee split for planned treatments. This feature will only affect planned treatments when submitted for pre-authorization and will not take effect for Complete or Incomplete treatments.
Step-by-Step
- Visit the Transactions module.
- Select the Treatments tab.
- Select the wrench icon in the upper right.
- Select the Settings tab.
- Enable Update Splits for Planned EDI.
- Select Save.
- Close this window.
- Start a new claim.
- Set the Claim status to P for Planned.
- Enter your treatment code and details.
- Save.
Repeat steps 3-4 until all claim items are added.
- Select Submit.
- Be sure to choose the EDI option.
- Select Ok. You will be presented with the usual submission workflow. Confirm your choice in the pop-up windows that follow.
- Your treatments will be found at the bottom of this page, under the Planned/Incomplete tab.
- Once the electronic submission has processed successfully, a new pop-up window appears.
- Your claim response should also print (either to paper or PDF, depending on your office settings).
- The information attained via the preauthorization is used by the program to automatically adjust your treatments splits.
You now have all the information required to proceed with your treatment plans confidently. Once the treatment has been delivered to the patient, you can convert the planned items into completed lines, preserving your patient/insurance splits in preparation for payment collection.
