How Andre Calculates Post-Resin Downgrade In Eaglesoft

The Two Ways Andre Calculates Post-Resin Downgrades In Eaglesoft

By now you can tell I’m not a big fan of Coverage Books. Not because they don’t work. They do! But because in a typical office there are hundreds of Employer groups. Each of which would need a coverage book and would have to be updated as fees change. With Fee Schedules with percentages attached in each employer estimation can be done faster.

I suggest that office create Service Types for Posterior Resins and in some cases Resin restorations on Bicuspid. Start with creating two Service Types (File>General Setup>Service Types) for the following:

• Restorative – Basic

• Restorative – Post Resin

• Restorative – Bicuspids

As you create these types you can set a Default Percentages of coverage.  I would set them at 80%.  I would also mark that the Deductible Applies.

After all Employers are updated I change the default to 35%.  I know that makes no sense.  But it does.  After doing this a bunch of times I’ve found that the “Composite Downgrade” is roughly 80% of the Amalgam fee which works out to be about 35% of the Composite Fee (your math might be different, so you figure it out)

Now go to List>Service Codes and Edit the Posterior Codes (D2331, D2332, D2334 & D2335) and change the Service Type to your new Restorative - Posterior Resin type.

Now create 4 new Admin Service Codes A2391, A2392, A2393 & A2394  that will correspond to ADA Codes D2391, D2392, D2393 & D2394.  Change the Descriptions to include "bicuspid" (or something) [example: RESIN RESTORATION – BICUSPID – 1 SURF] and assign the new Restorative - Bicuspid Resin Service Type.

Here is how I set up coverage books so that they will "calculate" the downgrade.  First I set up a coverage book for THAT employer (see figure xxx for example of a Non-Par insurance and figure xx for a Par example):

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Here is how it connects to the employer:

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Here is what it looks like in the walkout (not the co-pays are showing properly):

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Create 4 new Service Codes: P2391, 92, 93, 94 (which use ADA codes D2391,92,93,94 and share the same descriptions and fee). Create a Service Type for "Restorative - Premolar" and attach it to those 4 new codes.

DISCLAIMER:

This is a resource guide and all decisions on each dental office setup should remain the sole decision of the dentist/owner of the practice. Eaglesoft is a registered trademark of Patterson Dental Company.  All other software or products mentioned are the property of their respective owners. Although Andre Shirdan was an employee of Patterson Dental, he is not associated with Eaglesoft or Patterson Dental Company or endorsed by Patterson or any other Company Mentioned in this blog.