EPSDT checkbox on ADA 2012 claim form

For users or potential users.
Post Reply
bcpayne
Posts: 77
Joined: Wed Feb 15, 2012 8:00 am
Location: Pueblo, CO
Contact:

EPSDT checkbox on ADA 2012 claim form

Post by bcpayne » Wed Feb 18, 2015 9:12 pm

We are running into issues with some medicaid claims that are supposed to be marked as "EPSDT". I don't understand it completely, but it apparently means that a procedure should be covered as "medically necessary" even if it normally isn't covered.

The ADA 2012 claim form has a box for it in the upper left but open dental completely ignores it and doesn't have a way to check it off.

Anybody know how this needs to be done? In the mean time I guess we will print it and mark it by hand.

User avatar
jsalmon
Posts: 1555
Joined: Tue Nov 30, 2010 12:33 pm
Contact:

Re: EPSDT checkbox on ADA 2012 claim form

Post by jsalmon » Thu Feb 19, 2015 9:39 am

This would be a relatively easy feature request to implement an indicator for the printed claim form since we already have it working for electronic (5010) claims (completed request #1466).

For other users, to indicate EPSDT from within the claim edit window, go to the Misc tab | Special Program combo box.
http://www.opendental.com/manual/claimtabmisc.html
The best thing about a boolean is even if you are wrong, you are only off by a bit.

Jason Salmon
Open Dental Software
http://www.opendental.com

Post Reply