Definitions of Fields in Orthodontic Payment Plan – Planet DDS

Definitions of Fields in Orthodontic Payment Plan

Plan Setup
Plan ID	The sequential number in the office’s orthodontic payment plan database, assigned by Denticon
Code	The ADA Code that represents the orthodontic treatment. This code will print on the initial insurance claim. These codes are hard-coded in the programming, and the list cannot be changed by the office.
Description	Text name of the ADA Code as entered in Setup/Procedure Codes
Fee	The total amount of the Orthodontic treatment. This fee will print on the initial insurance claim with the ADA Code that is selected in the Code pull down menu. This field is populated by the amount entered in Setup/Fee Schedules for the code chosen. This field can be overwritten with a different fee if necessary.
Est. Patient	The difference between the “Fee” and the “Est. Insurance” amounts
Est. Insurance	This field is calculated from the insurance plan’s Ortho Maximum; dependent on the patient’s remaining orthodontic benefit amount
Treatment Start Date	Date when the patient begins orthodontic treatment
Treatment End Date	Estimated end date of the orthodontic treatment
Banding Date	Date when the patient was banded
Patient Payment Plan
Start Patient Payment Plan	A checkmark is placed in the box to activate the patient portion of the orthodontic contract
Plan Setup Date	Date the payment plan was setup, defaults to the current date
Plan Amount	Derived from the “Est. Patient” field; the amount that is financed by the patient
Down Payment	Indicates the amount the patient will pay towards the “Est. Patient” portion at the time the contract is implemented. The amount entered here is automatically charged to the patient’s ledger, with nothing indicated in the Bill column. A payment equal to the Down Payment should be entered on the Transaction Entry screen.
Amount Financed	The difference between the “Plan Amount” and “Down Payment”
APR	The annual finance (APR) percentage; derived from Setup/Offices.
No. of Payments	Calculated from the dates of the “Treatment Start Date” and “Treatment End Date” fields. This field can be overwritten. This field interacts with “Periodic Payment” field.
Periodic Payment	The interval amount the patient will be billed. This field can be overwritten. This field interacts with “No. of Payments” field.
1st Per. Billing Date	Date the first periodic payment is due from the patient. It is suggested the billing date for all contracts fall on a consistent date; i.e. 1st, 15th, or 30th of each month. Periodic billing amounts are generated by the user on the consistent date through Utilities/Generate Ortho Payment Plan Charges.
Interval	A pull down menu to indicate the frequency of the periodic payments; “Monthly” is the most commonly used interval
Finance Charge	The amount of finance charges, based on the “APR” field. Most offices do not charge finance charges in the payment plan
Total of Payments	Total amount of the patient contract, including applicable finance charges
Rem # of Payments	Reflects the remaining number of payment; this number will decrease over time
Rem Amount	Reflects the remaining amount of the contract still to be paid; the amount will decrease over time
Notes	Specific office notes about the payment plan
Insert Date Stamp	When the button is clicked, the current date is embedded into the Notes field
Financial Disclosure to Print	A pull down menu of financial disclosure text that can merge with the printed contract. Additional financial disclosures can be created in Reports/Custom Letters/Financial Disclosures.
Print Contract	When the button is clicked, a “Federal Truth-in-Lending Disclosure Statement” with the terms of the patient payment plan is generated to an Adobe report window for printing
Print Coupons	When the button is clicked, payment coupons with the terms of the payment plan are generated to an Adobe report window for printing, to give to the patient
Billing Details	When the button is clicked, the patient periodic payment amounts and billing dates can be edited
Insurance Payment Plan
Start Insurance Payment plan	A check-mark is placed in the box to activate the insurance portion of the orthodontic contract
Plan Setup Date	Date the payment plan was setup, defaults to the current date
Periodic Billing Code	The ADA code that appears on the insurance claim after an initial claim has been generated.
Remarks	Text that appears in the Remarks section of an insurance claim form
Insert Class	Pull down menu of Malocclusion classes; text will appear in the Remarks section of an insurance claim form
Is Treatment for Orthodontics	Program default, to appear on the insurance claim form as a checked option
Date Appliance Placed	Program default, to appear on the insurance claim form; date is derived from the “Banding Date” field
Months Remaining	Program default, to appear on the insurance claim form; calculated from the dates of the “Treatment Start Date” and “Treatment End Date” fields
Initial Claim Print Fee	Program default, to appear on the insurance claim form; derived from the “Fee” field. This fee appears on the initial insurance claim form.
Primary Insurance	A check-mark is placed in the box to activate the payment and claim portion of the orthodontic contract for the Primary insurance plan
Secondary Insurance	A check-mark is placed in the box to activate the payment and claim portion of the orthodontic contract for the Secondary insurance plan
1st Per. Billing Date	Date the first periodic claim is generated to the insurance carrier. It is suggested the billing date for all contracts fall on a consistent date; i.e. 1st, 15th, or 30th of each month. Periodic billing amounts are generated by the user on the consistent date through Utilities/Generate Ortho Payment Plan Charges.
Interval	A pull down menu to indicate the frequency of the periodic claims; “Monthly” is the most commonly used interval
Plan Amount	Derived from the “Est. Insurance” field; the maximum allowable according to the insurance plan setup, dependent on the patient’s remaining orthodontic benefit amount
Down Payment	Indicates the amount the insurance carrier will pay towards the “Est. Insurance” portion upon the initial claim. The amount entered here is automatically charged to the patient’s ledger, with a D (or DD) in the Bill column to indicate an insurance claim should be generated.
No. of Payments	Number of periodic claim/payments the carrier will pay, calculated from the dates of the “Treatment Start Date” and “Treatment End Date” fields. This field can be overwritten. This field interacts with “Periodic Payment” field.
Periodic Payment	The interval amount expected from the insurance carrier per periodic claim. This field can be overwritten. This field interacts with “No. of Payments” field.
Rem # of Payments	Reflects the remaining number of payment; this number will decrease over time
Rem Amount	Reflects the remaining amount of the contract still to be paid; the amount will decrease over time
Monthly Claim Print Fee	The fee that appears on the periodic insurance claim
Suppress Periodic Printing	Suppresses the generation of a periodic claim, per the insurance plan’s rules
Billing Details	When the button is clicked, the patient periodic payment amounts and billing dates can be edited
Notes	Specific office notes about the payment plan

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