Electronic Eligibility Data Interpretation & Field Placement

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tjmiller
Posts: 1
Joined: Tue Aug 25, 2020 11:04 am

Electronic Eligibility Data Interpretation & Field Placement

Post by tjmiller » Tue Aug 25, 2020 12:13 pm

I'm interested in getting answers to the following Q's regarding electronic eligibility:
  • Can I customize how Open Dental interprets a 271? Can I add/subtract Open Dental fields for the data to map into?
  • What Open Dental fields are available to be populated by a 271? Is it possible to populate the "Plan Note" or Subscriber Information "Note"?
Essentially what I'm asking is... If a Payer provided a complete 271 return with all of the info I could possibly need, how can I get Open Dental to make sense of the data? And what are all of the options for where the data can be placed?

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

Re: Electronic Eligibility Data Interpretation & Field Placement

Post by joes » Wed Aug 26, 2020 9:44 am

Currently, the only customization option is choosing whether the carrier sends the patient responsibility or the insurance portion for coinsurance benefits. Open dental fields cannot be added or subtracted for the data to map to. The only data that can be imported is benefit information that can be interpreted as a benefit in Open Dental. Please see Electronic Eligibility and Benefits in our manual for more details, https://www.opendental.com/manual/ebenefits.html.
Joe Sullivan
Open Dental Software
http://www.opendental.com

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