Definitions of Fields in Orthodontic Payment Plan
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Plan Setup |
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Plan ID |
The sequential number in the office’s orthodontic payment plan database, assigned by Denticon |
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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. |
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Description |
Text name of the ADA Code as entered in Setup/Procedure Codes |
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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. |
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Est. Patient |
The difference between the “Fee” and the “Est. Insurance” amounts |
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Est. Insurance |
This field is calculated from the insurance plan’s Ortho Maximum; dependent on the patient’s remaining orthodontic benefit amount |
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Treatment Start Date |
Date when the patient begins orthodontic treatment |
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Treatment End Date |
Estimated end date of the orthodontic treatment |
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Banding Date |
Date when the patient was banded |
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Patient Payment Plan |
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Start Patient Payment Plan |
A checkmark is placed in the box to activate the patient portion of the orthodontic contract |
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Plan Setup Date |
Date the payment plan was setup, defaults to the current date |
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Plan Amount |
Derived from the “Est. Patient” field; the amount that is financed by the patient |
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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.
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Amount Financed |
The difference between the “Plan Amount” and “Down Payment” |
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APR |
The annual finance (APR) percentage; derived from Setup/Offices. |
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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. |
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Periodic Payment |
The interval amount the patient will be billed. This field can be overwritten. This field interacts with “No. of Payments” field. |
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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. |
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Interval |
A pull down menu to indicate the frequency of the periodic payments; “Monthly” is the most commonly used interval |
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Finance Charge |
The amount of finance charges, based on the “APR” field. Most offices do not charge finance charges in the payment plan |
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Total of Payments |
Total amount of the patient contract, including applicable finance charges |
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Rem # of Payments |
Reflects the remaining number of payment; this number will decrease over time |
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Rem Amount |
Reflects the remaining amount of the contract still to be paid; the amount will decrease over time |
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Notes |
Specific office notes about the payment plan |
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Insert Date Stamp |
When the button is clicked, the current date is embedded into the Notes field |
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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. |
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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 |
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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 |
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Billing Details |
When the button is clicked, the patient periodic payment amounts and billing dates can be edited |
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Insurance Payment Plan |
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Start Insurance Payment plan |
A check-mark is placed in the box to activate the insurance portion of the orthodontic contract |
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Plan Setup Date |
Date the payment plan was setup, defaults to the current date |
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Periodic Billing Code |
The ADA code that appears on the insurance claim after an initial claim has been generated. |
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Remarks |
Text that appears in the Remarks section of an insurance claim form |
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Insert Class |
Pull down menu of Malocclusion classes; text will appear in the Remarks section of an insurance claim form |
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Is Treatment for Orthodontics |
Program default, to appear on the insurance claim form as a checked option |
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Date Appliance Placed |
Program default, to appear on the insurance claim form; date is derived from the “Banding Date” field |
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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 |
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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. |
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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 |
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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 |
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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. |
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Interval |
A pull down menu to indicate the frequency of the periodic claims; “Monthly” is the most commonly used interval |
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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 |
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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. |
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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. |
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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. |
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Rem # of Payments |
Reflects the remaining number of payment; this number will decrease over time |
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Rem Amount |
Reflects the remaining amount of the contract still to be paid; the amount will decrease over time |
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Monthly Claim Print Fee |
The fee that appears on the periodic insurance claim |
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Suppress Periodic Printing |
Suppresses the generation of a periodic claim, per the insurance plan’s rules |
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Billing Details |
When the button is clicked, the patient periodic payment amounts and billing dates can be edited |
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Notes |
Specific office notes about the payment plan |