In Western Australia, subsidised emergency and general dental care for holders of a current Health Care Card or Pension Concession Card is available through public dental clinics or private dental clinics. Dental treatment provided at a Public Dental Clinic is subsidised by the Western Australian Government up to a maximum of 75% of the cost of the treatment. The level of dental subsidy the patient is entitled to receive (25% or 50%) is based upon the income they receive from Centrelink. Patients can find out which services is right for them at Dental Health Services

The purpose of this article is to explain how to Setup Insurance rebates & Practice Fees and how to manage Invoices & Co-payment from the Dental Services Subsidy for all eligible patients within D4Web.

Setup

Setup Insurance

1. Click the navigation menu > Insurance > Insurances page 
   
2. Operations toolbar > New Record
1. Name: Government Dental Service Subsidy
2. Abbreviation: GDSS
   
   
3. Setup Insurance Plan 1:
1. While on the GDSS Insurance Fund page, click ADD 
   
2. Plan code: DS50
3. Plan name: Dental Subsidy Rebates 50%
4. Tick Co-payment is allowed
5. Click the Edit icon to edit the plan period and set the Active date to 01/01/1900
1. Click OK
   
6. Enter the rebates of 50% in the Benefit Schedule section (leaving 50% gap for the patient to pay)
7. Click OK
   
   
4. Setup Insurance Plan 2 (repeat above steps for 75%)
   
1. While in the GDSS Insurance Fund page, click ADD 
2. Plan code: DS75
3. Plan name: Dental Subsidy Rebates 75%
4. Tick Co-payment is allowed
5. Click the Edit icon to edit the plan period and set the effective date to 01/01/1900
   
1. Click OK
6. Enter the rebates of 75% in the Benefit Schedule section (leaving 25% gap for the patient to pay)
7. Click OK
5. After both plans are setup they will appear in the GDSS Insurance Plans section
   
   

Setup Fee Level 

1. Create a new fee level to match the WA Scheme charges
   
2. Create a Scheme fee level
3. Populate the fees with the values from the Scheme fee schedule
   

Click here (link coming soon) for instruction on Adding a new Fee level

Setup Patient Fee Level and Insurance

1. Click the navigation menu > Patients > Patients page > Insurance/Various tab
2. Fee Level: Select GDSS Fee Level
3. Insurance Plan: DS50 or DS75
   
   

Working in the Patient File

Process Invoice

1. Click the navigation menu > Patients > Treatment page
   
2. Enter treatment items as required
3. Press F2 to create a New Invoice
4. Tick Show Extended Attributes > Tick Auto Allocation
   
5. A window will appear explaining how much is to be paid by the patient and the insurance
6. Click OK
   
   
7. Click RECEIVE PAYMENT and enter the patient's payment details
8. if more than 1 invoice outstanding, untick Autoallocate Payments box and enter the amount against the patient's amount outstanding
   
   

Debtors

1. Click the navigation menu > Debtors & Marketing > Debtors page
2. Highlight the Invoice/s and click HOLD REM1, 2, 3, 4
   
   

Receive Payments

1. Click the navigation menu > Patients > Receipts page
2. Create a New Receipt
3. Change the Payment from to Insurance > Government Dental Subsidy Services
4. A list of all patients with an invoice outstanding to GDSS will appear in the Invoices list
5. Enter the total amount of the payment received
6. Untick Autoallocate Payments and enter the amount paid per patient against their outstanding amounts
7. Click CREATE