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Why use Employers and Insurance Plans?
   
Insurance coverage for patients is more complex and changes are occurring more often than ever before.  Dental practices take on the responsibility of keeping pace with these changes to provide ease of billing for their patients.  To make insurance information easier to manage, Datacon has created the ability for you to create your won database of plans and benefits.  Through Datacon's "Employers and Insurance Plans" feature, your practice can easily update the information on any employer or plan of any patient.

What is the advantage of creating your own database of employers & plans?

  • Enter information and benefits only once for each employer or insurance plan
  • Update information immediately - this affects all employees connected to that employer or plan
  • Flexible option to connect plans to special fee schedules
  • Broad range of benefit analysis
  • Enter comments, notes and exceptions only once
  • Ability to run reports based on a specific employer or plan
"The simplicity of this program offers such a wide range of reports... all of which can be tailored to meet the needs of our office. Add to this a competent, caring support team... what a wonderful combination," Ms. Nancy Korytoski, Dr. Kittleson - Sonoma.  

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How to create your own database of Employers and Plans
  • From the Main Menu, Select Insurance, Select Employers & Insurance Plans, use the Insert key to create a new plan
  • Complete the information requested on the screen
  • In Benefits, complete the percentage of coverage provided by this plan (this is used to provide accurate estimation of benefits)

 

How to use a plan?

  • When setting up a patient's insurance, Search in the "plan" field
  • Select the employer or the plan which covers the patient

Example:  You have patient who work for XXX Company, which has a contract with DDD Insurance Company, which has a $1500 maximum.  Suppose XXX renegotiates its contract with DDD and changes to a $2000 maximum.  You just have to go to "Employers & Plans", Search for XXX and change the maximum amount.  It then affects all patients who are covered through the XXX Company

There are other applications of this feature such as PPO, negotiated or capitation fee schedules, and accompanying utilization reports.

This feature significantly streamlines insurance processing and accuracy on estimation of benefits.  Give us a call if you would like assistance in setting up plans.

Reprinted from the February 2003 newsletter

 

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