Off the Top Flat fee Plans with subtype Indemnity will allow your fee, subtract the Flat fee, minus deductible and charge difference to the patient. If SD, is not doing that, perhaps delete any bluebook and allowance table and reenter after plan setup calculations are entered. As sometimes SD will not recompute BB values correctly when new Calculation types are selected on the plan info tab. Q:) Are you contracted with Delta Dental? If so are you a Premier or PPO provider? ----- It sounds as if you are not contracted in which you could build an allowance table of Delta OON (out of network). then add that Allowance table to a Flat fee/ percentage OON plan. Delta does not generally allow PAR providers to charge to thier fee unless the Code is non-covered and the dentist resides in a State where non-covered legislations allow the provider to bill to their fee for non-covered services. In this instance, you would simply enter the code into the existing Bluebook and select the "upgrade procedure" box, enter 0 in the percentage box. Then the patient will owe to your fee for that code only.
