This article has been create to configure your Denplan Care and Denplan Essentials plans.

• Denplan care setup
• Denplan essentials setup

Denplan Care Setup

1. File - Payors.
2. Select +1 (you may need to be logged in as an EXACT admin user to access this screen).
3. In the following fields, enter the corresponding information:
   • Code: DENPLAN
   • Description: Denplan Care
4. Select This payor sets both service fees and payor's portion.
5. Set Payor Type as Denplan.
6. Click Bands Setup button.
   • Click +1 to add bands.
   • Add the Band Names from A through to E (less if needed).
   • Selecting the equivalent Denplan Fee Codes from the dropdown option.
   • Add the monthly fee amount supplied by Denplan.
     
7. Once completed, restart EXACT for the changes to take effect.
8. After restarting your Denplan payor is configured and ready to be used.

Denplan Essentials Setup

1. File - Payors.
2. Select +1 (you may need to be logged in as an EXACT admin user to access this screen).
3. In the following fields, enter the corresponding information:
   • Code: DEN-ESS
   • Description: Denplan Essentials
4. Select This payor sets portion and patient discount, setting the discount to 0%.
5. Set Payor Type as Capitation Plan (not Denplan).
6. Click Bands Setup button.
   • Click +1 to add bands.
   • Add the Band Names from A through to H (less if needed).
   • Add the monthly fee amount supplied by Denplan.
7. Select OK until on the initial Payor window, then click the save icon.
8. We now need to create some Denplan service.
   Go to the configure menu along the top of EXACT Configure - Services.
9. Then click +1 in the bottom right corner.
10. In the Categories box (lower right), select the Insert a Service Type into the list button (next to the categories box.
    • Press +1 to create a new service category.
    • Give this category the Description Denplan Essentials then press OK.
    • Select OK, the category will now be selected (if not select this, the row will be highlighted) the press OK.
11. Now create the following services, be sure to add all of the services to the Denplan Essentials service category you just created. Only add the codes you require.
    

    Code	Description
    EXAM DEN-ESS A	Exam - Denplan Essentials A
    EXAM DEN-ESS B	Exam - Denplan Essentials B
    EXAM DEN-ESS C	Exam - Denplan Essentials C
    EXAM DEN-ESS D	Exam - Denplan Essentials D
    EXAM DEN-ESS E	Exam - Denplan Essentials E
    EXAM DEN-ESS F	Exam - Denplan Essentials F
    EXAM DEN-ESS G	Exam - Denplan Essentials G
    EXAM DEN-ESS H	Exam - Denplan Essentials H
    S&P DEN-ESS A	Scale & Polish Denplan Essentials A
    S&P DEN-ESS B	Scale & Polish Denplan Essentials B
    S&P DEN-ESS C	Scale & Polish Denplan Essentials C
    S&P DEN-ESS D	Scale & Polish Denplan Essentials D
    S&P DEN-ESS E	Scale & Polish Denplan Essentials E
    S&P DEN-ESS F	Scale & Polish Denplan Essentials F
    S&P DEN-ESS G	Scale & Polish Denplan Essentials G
    S&P DEN-ESS H	Scale & Polish Denplan Essentials H

    If your practice offer Xray services for free with Denplan these can be created and named similarly to the above services.
12. Now go back to File - Payors, select your new Denplan Essentials payor DEN-ESS, then click the Fee schedule button.
13. In the Service Code field at the bottom of the window, enter the name of the first code, eg EXAM DEN-ESS A (the search is not case-sensitive).
14. Edit each new Denplan Essentials service that requires a rule by double clicking each service
15. Then click the Add Rule button.
16. Select Test service by time, this will default to a rolling 12 month rule.
17. Double-click the rule and add in the same service code and how many times it can be charted before the rule is broken (eg. if a patient receives two of this service within one year, enter 2).
18. Click OK.
19. Beside the text If a service occurs within 12 months are a number of icons.
    Select an icon (to the left of else) you wish it to show on the chart when the rule is broken, a cross is the most common icon.
    I.e if i wanted to prompt a Red Cross icon if EXAM DEN-ESS A is charted more than twice it would be set and look like the below.
    
20. Denplan may provide free services on a Calendar 12 month period but EXACT can only currently set it for a rolling 12 month period.
21. Repeat this for all of the services. Once completed, restart EXACT for the changes to take effect.
22. After restarting your Denplan payor is configured and ready to be used.