EARLY ACCESS ONLY
You can now designate which insurance carriers allow you to charge your full UCR fee once a patient reaches their annual maximum benefit. You can configure this at the location level to align with payer agreements. This functionality may reduce manual work due to you not needing to delete as many adjustments, increase the accuracy of treatment plan and ledger records, and foster trust with your patients due to having transparent and accurate estimates in treatment plans.
For a patient covered by a designated carrier, when the annual maximum benefit has been paid in full, the following occur:
- The UCR fee is charged for a planned or completed procedure automatically.
- An insurance adjustment or write-off is not posted automatically.
- Estimates in the following areas of Dentrix Ascend are affected:
- Treatment planner – Estimates.
- Ledger – Estimates.
- Route slips – Estimates.
- Billing statements – Estimates.
- Calendar – Net production estimates.
To allow the posting of UCR fees at a location
1. Go to Settings > Location Information.
2. On the Location Information page, select the Claim Provider tab (which is available only if the location is designated as a claim provider).
3. Under Post UCR For Maxed Patients, expand each lettered section as needed to view the corresponding insurance carriers, and select the checkbox of each carrier that permits you to charge your UCR fee when a patient’s annual maximum benefit has been reached.
4. Click Save.
Detailed view in treatment plan and ledger
If a patient has an applicable insurance carrier and has reached his/her annual maximum, in the Detailed View of the patient’s treatment plan preview or ledger, the Charge Amount is displayed in orange text. You can click the amount (which is a link) to view a message, which states that the patient is being charged the UCR fee because his/her annual maximum has been reached.
