Open Dental Forum

Fee|Pri Ins|Sec Ins|Discount|Pat
155.00|103.60|0.00|7.00|44.40

70% (PPO Percentage) x 148.00 (Ins Allowed) = 103.60
155.00 - 148.00 = 7.00 (Discount)

In the Treatment Plan Module, I have the above table. How do I disable the automatic discount for PPO? Is it possible to see additional columns so that I can better explain the payment to the patients? I'm looking for something like below for the above scenario.

Fee|Ins Allowed|PP0 %|Pri Ins|Sec Ins|Discount|Pat
155.00|148.00|.70|103.60|0.00|0.00|51.40

155.00 - 103.60 = 51.40 (Pat)

If you are contracted with the carrier to provide the treatment for 103.60 and to write off the 7.00, then you have to only charge the patient 44.40. The fact that you intend to charge the patient your full fee implies that you are not contracted with that insurance company. If that is the case, then you should be using category percentage type instead of PPO type.