Feature Request: Insurance Policy
PinnedSUMMARY
Would like to have a prompt that would come up as a warning/reminder when the dentist is claiming something to remind him the different claiming rules for Medicare, DVA, health funds and also under ADA guidelines.
Example Rule:
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Date when policy reset. 1st Jan
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Total Yearly benefits. e.g. $1000/y
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Number of Item limit.
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Two - 114 a year
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One - 111, 114, 115 per day
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One - per 5 months period.
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Item restriction.
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e.g. Use 115 in second visit, must used 114 in last 6 months
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FOR Medicare
I think a better way would be the ability to verify if a patient is eligible for certain services via PRODA automatically through an API via the computer
IN our GP practice we have the ability to check through the Program itself if a patient is eligible for services. The program on the back end checks with PRODA and then gives us what the patient is eligible for.
This would be better than doing this as there is no reason for us to even check dates and cross-match, as we can clearly see if they are eligible or not. Imagine if when we open the patient, we know exactly what we can bulk bill and what we cant. There should also be an ability to verify the amount of funds CDBS has inside the program.
FOR Private Health, is there a way to check eligibility via Medipass?
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