Dentrix Enterprise

DEFPROV Fee Schedule Rules/Logic

As the default fee schedule when a provider or clinic schedule has not been assigned to a procedure we need logic put into place to set these charges into a hold state rather than publishing as legitimate to the ledger. Using the workaround presented by the Henry Schein team of setting a very high or very low charge value still allows for invalid charges to drop to the patient's ledger, and relies too heavily on human processes.

Using hold logic would align with other enterprise-level products in healthcare and avoid invalid data from entering into financial reporting and patient claims, and could be built simply by looking at DEFPROV or by applying a hold for all charges outside of upper and lower bounded values.

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  • Oct 12 2021
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