Do you work with a Dental Health Maintenance Organization (DHMO) or a capitation insurance plan? Correctly calculating insurance benefits for a DHMO plan requires a different setup than that of other insurance plans. This topic demonstrates two methods for setting up a coverage table for a DHMO plan.
Watch the following video to learn how to set up a DHMO plan coverage table. (Duration 4:09)
Additional Tips
- Note the following when you attempt to apply changes to an insurance plan:
- Change Plan for All – All changes made to the existing plan’s information are updated for all subscribers who have this same insurance plan in Dentrix.
- Add as New Plan – Copies the plan’s information and creates a new insurance plan in Dentrix, without changing the original plan.
- For more information about editing insurance plans, review the Mastery Tracks topic Editing Insurance Plan Information.
- For more information about creating fee schedules, read Setting Up Fee Schedules in Dentrix Help.
- To learn more about setting up a DHMO plan coverage table, read Changing Insurance Carrier Information in Dentrix Help.
Check Your Knowledge
If you have access to Dentrix, check your knowledge with this exercise.
- Switch to the Dentrix demo database.
(Skip this step if you are using the Dentrix Learning Edition software.) - Use the following information to create a new insurance plan:
- Name: Merrill DHMO
- Exam Procedures: D0120, D0140, D0150, D0160
- Co-pay for each procedure: $30.00