Click the word “Transactions” and choose the “Batch Insurance Payment” option from the drop-down box. In the “Select By” area, select the desired search criteria and type the carrier search information in the field. Claims available for payment from the indicated carrier are returned in the Outstanding Insurance Claims area of the screen.
In the Batch Insurance Check Detail area, enter the full amount of the insurance reimbursement and the check number in the fields.
Select the desired claim. Items for payment for that claim appear at the bottom of the screen. Complete the amount of payment per treatment item in the New Amt column. The Apply Amount field will be automatically calculated from these entries.
A Smart Fee Schedule can be built for the individual plan by ensuring the amount in the Smart Fee column is completed according to information on the carrier’s Explanation of Benefits (EOB). Building a Smart Fee schedule will assist the office in collecting the proper out-of-pocket amount from the patient without having to wait for an EOB from the carrier.
If the carrier paid the full amount of the submitted fees, the payment amount can be placed in the Apply Amount field at the top of the screen. Denticon assumes the charges are paid as submitted.
If all items on the claim have been paid, a check mark should be in the box at Close Claim. If all the procedures have not been paid, deselect the mark so the remaining items can be properly allocated for payment.
Click the Apply button, and confirm the payment. A statement of the payment allocation is returned at the bottom of the screen. Continue until the Check Remaining Amount reaches $0.