AnsweredAssumed Answered

3 tiered insurance schedules

Question asked by bgalofredds on Jul 13, 2017
Latest reply on Jul 19, 2017 by mdunham

Okay, before I set off on a wild goose chase I would like to ask my SoftDent mentors about the challenge before me.

Here is goes:

We are contracted with an insurance company that has 3 tiers of payment. We are contracted at the highest level, but we are receiving patients in the lower 2 paid tiers.  Do I have to make special blue books with the adjusted payments by insurance relative to our max allowable? Can I copy blue books?

Do I make individual allowance tables for each tier?

Also this plan downgrades to amalgams on posterior teeth. :0/

Any recommendations are gratefully appreciated. Thanks.