Fee Schedules

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Supported integrations

For now, these endpoints are only supported for Dentrix, Dentrix Enterprise, Eaglesoft and Open Dental.

Overview

Fee schedules represent the prices a practice charges for procedures. They define the amount that will appear on a patient's ledger when a procedure is added. Practices usually have multiple fee schedules -- a default cash schedule, and a schedule for each insurance provider they work with.

Each procedure in the health record system can be associated with one or more fee schedule entries. These entries specify the cost of that procedure under a specific fee schedule. When a charge is created, the system looks up the procedure code and the applicable fee schedule to determine the correct amount to apply.

Example use cases

• Use the fee schedules endpoint to fetch pricing for procedures before submitting a treatment plan. This helps provide patients with accurate cost estimates upfront.

• Use fee schedule data to calculate how expected patient costs differ by insurance plan and membership plan.

Fee schedule procedures response

{
  "code": false,
  "description": "Description",
  "error": "Error",
  "data": {
    "id": 123,
    "location_id": 12,
    "procedure_code": "D1110",
    "procedure_description": "Prophylaxis - Adult",
    "fee_schedule_id": 5,
    "fee_schedule_name": "Standard Insurance",
    "amount": {
      "amount": "110.00",
      "currency": "USD"
    },
    "created_at": "2024-10-01T08:30:00Z",
    "updated_at": "2024-10-01T08:30:00Z",
    "deleted_at": null
  },
  "count": 1
}