Umbrella fee schedule

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alikc
Posts: 1
Joined: Thu Feb 18, 2021 2:46 pm

Umbrella fee schedule

Post by alikc » Fri Feb 19, 2021 11:27 am

Hello,
I am new to OD. Our office is contracted with an umbrella plan - the fee schedule for each network under the umbrella plan is the same, however each individual insurance plan has different coverage percentages/maxiums, etc. Do I set up the fee schedule for every insurance plan, or just one for the umbrella (ie Connection Dental)

thank you

joes
Posts: 239
Joined: Tue Aug 13, 2019 12:41 pm

Re: Umbrella fee schedule

Post by joes » Fri Feb 19, 2021 2:34 pm

If the same fees will be used for all insurance plans under the umbrella plan, you can create one fee schedule for the umbrella plan and assign it to each of the insurance plans.
You can find more information in our manual about setting up In-network percentage plans here: https://www.opendental.com/manual/planppo.html.
If any of the plans have fixed benefits instead of percentage based benefits, this page describes how to set those plans up: https://www.opendental.com/manual/planppofixed.html.
Joe Sullivan
Open Dental Software
http://www.opendental.com

msmfd
Posts: 21
Joined: Mon Feb 22, 2021 7:32 am

Re: Umbrella fee schedule

Post by msmfd » Mon Feb 22, 2021 7:47 am

To add to what user joes already said:We work with several umbrella plans. I made a fee schedule for each umbrella company and named it as the umbrella company and added the companies covered in parenthesis. For example : Zelis (GEHA, Assurant, Guardian). Then for each plan I just assigned the Zelis fee schedule. That made it easy to see which companies fell under the umbrella plan when assigning the fee schedules. The co-insurance, deductible etc was not affected by the umbrella company, only the fees were different(thank goodness).

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