Single insurance payments may be entered:
- Access the patient’s record
- Click the word “Transactions” and choose the “Insurance Payment” option from the drop-down list, if the entry is a single transaction
- Click the date of the desired claim
Click the button, which directs the user to the Insurance Payment screen
Enter the insurance payment for $0. This will indicate in the Ledger the insurance payment is denied and Denticon will stop tracking the claim as outstanding.
If desired, on the same insurance payment screen, the user can write off the total expected amount
Ensure the box is checked at “Close Claim” if no payment is to be expected in the future for the procedures
To assist the user at a later time in understanding why the claim payment was denied, notes can be entered. Perhaps a note should be written that indicates something like "insurance denied: no benefits for procedure Dxxxx" or "insurance denied: benefits maxed." Notes will be viewable on the Ledger.
Click the Apply button to close the transaction
The claim payment line in the ledger will read "Insurance Denied" – all the financial amount will automatically go to the patient portion.
NOTE: If no claims appear in the middle of the screen, no claims have been submitted through Denticon. A primary reason would be for claims that were submitted from another practice management program prior to conversion to Denticon, and the amount due for the claim reimbursement is included in the Previous Balance amount. It is, therefore, assumed that the insurance payment should be applied to a previous balance. Select the “Insurance Check to Prev. Balance” button, and apply as directed in the paragraphs above.
NOTE: The same method may be applied within the “Transactions / Batch Insurance Payment” screen.