Search found 2 matches
- Fri May 26, 2017 8:49 am
- Forum: Main Forum
- Topic: PPO Adjustments
- Replies: 3
- Views: 11204
Re: PPO Adjustments
We always submit our full fee too, and the patients co-payment is estimated by Full fee - PPO Fee Difference X % not covered by insurance. But some plans do not require the PPO fee to honored if the service will not be covered (the patient's maximum has been met). In those cases, I'd like the treatm...
- Thu May 25, 2017 4:32 pm
- Forum: Main Forum
- Topic: PPO Adjustments
- Replies: 3
- Views: 11204
PPO Adjustments
We participate with some insurance plans that allow us to bill our standard fee rather than the PPO fee if the annual maximum has been exceeded. Is there a way for Open Dental to automate this process so that when the maximum has been met the PPO fee schedule is no longer used until the maximum rese...