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Insurance |
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- A tighter control
of insurance tracking has been implemented in the latest
version of the software, 3.5N(80). The "effective date" of
coverage strictly governs the patient's link to a particular
insurance carrier or plan. When entering the date, be sure
that it is entered ON or BEFORE the transactions you are
posting. The "Coverage Change" transactions should appear
above the completed treatment transactions in the patient's
ledger.
- When updating
insurance coverage use the Search key in the
Effective date field to view family coverage
history. Then either select the coverage to be corrected or
enter the new date. Press Search again to view
inactive coverage.
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Patients With Unbilled Insurance
is in the Insurance area of your Datacon system, and
is a list of patients who have had treatment that the
software has flagged as billable but that has not been
billed. This list is maintained by the software. We
recommend an audit of this list on a regular basis (daily or
weekly). You can find out why the software is detecting
unbilled procedures by pressing print on the patient
ledger.
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Outstanding Insurance Forms is in the
Insurance area of your software. These forms are
flagged as not yet paid by the insurance carriers. Audit
this list regularly to do timely follow-up to claims such as
resubmitting, sending a letter, or reconciling outdated or
denied claims. Use search in this list to locate
claims based on a multitude of criteria.
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| "Since we bought [a] Datacon [system] in the early 80's, we have never had a day without Datacon up and running. That is 20 years of great service," Dr. Victoria Moore, Endodontic Associates - San Mateo. |
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