While all information in the Insurance Plan Setup is very important, the following items are considered critically important when setting up a new plan. In order that Denticon can correctly and more accurately calculate insurance benefit coverage, these items must be input accurately before the insurance plan is attached to any patient.
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plan type
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carrier listing (especially if the carrier has multiple submission addresses)
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employer name
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group number
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anniversary date (aka: benefit rollover date)
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annual patient benefit
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annual family benefit
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annual individual deductible
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annual family deductible
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coverage percentage per category, or category segment
NOTE: While a plan can be “incorrectly” input with regard to the above items then attached to a patient record and later edited for correction to the plan, the edited plan will not retroactively change the plan information in the existing patient record. This could cause miscalculation of insurance benefits in a patient’s record.