Tell me about the relationship between the fee schedule and the insurance plan. How does the fee schedule and insurance plan work together in Denticon?

If the insurance plan is an indemnity (aka: UCR-based) plan –

·   the fee schedule used will be the office’s default fee schedule

·   there is no attachment of a fee schedule to the plan

·   there is no attachment of a fee schedule to the insurance carrier

If the insurance plan is a PPO (aka: contracted) plan –

·   the contracted fee schedule is attached to the carrier

If the insurance plan is a Managed Care or Medicaid plan –

·   the plan’s fee schedule is attached to the plan

NOTE: The illustrations assume the practice is a single location dental office. If the dental corporation has more than one location, the office-specific fee schedule relationships should be defined through the “Fee Schedule Assignment” screen.