Treatment Planning > Submitting Treatment Plans for Pre-Authorization

Updating Pre-Authorized Coverage Amounts

To update a pre-authorized coverage amount, do one of the following:

• Post the estimated insurance payment in the Treatment Plan window, using codes 2.00-2.89:The estimated payment for the entire claim is displayed. Using this method, the Explanation Of Benefits (EOB) is your only record of estimated payments for each procedure on the claim.

• Edit the insurance payment amount in the Transaction Codes window to update the Ins Amt field:Change the Type field from Primary to Estimate to note that the pre-authorization for the procedure has been received from the insurance company, and the insurance payment estimate has been updated to match the EOB information.