Allow estimates to forego write-offs once the patient's maximum has been met
As puzzling as this sounds, and as I've come to realize, many of our third party payers do not require us to take a fee reduction once the patient's yearly maximum amount has been met and instead allow us to charge and collect our full fee. When printing a treatment estimate it would be nice to have the option to tell these particular insurance profiles to no longer make fee reductions on the estimates once that maximum amount has been satisfied. It creates sizable discrepancies with the estimated amount the patient will owe, which has led to some fairly disgruntled patients.
Anonymous
shared this idea
Thanks for the request.
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SusanH
commented
Reposting for your review. PLEASE consider this request.
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Susan Haruki
commented
Please consider this request.
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Susan Haruki
commented
Please consider this request.
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SusanH
commented
Please consider this enhancement request! We currently override the billed charge on each procedure line when the patient's maximum has been met in order to bill our UCR. As the poster stated above, many insurance carriers, such as our local BCBS do not require a provider adjustment after the yearly max has been met. So that our billing statement matchs the EOB, etc., we would greatly appreciate this option. In the insurance profile, there could be a box to check to forego PPO write-offs when the insurance estimate is $0.00. Thank you for considering this request.