🦷 Step-by-Step Guide: Managing Your In-House Dental Membership Plan in Eaglesoft
✅ Step 1: Design Your Membership Plan Structure
● Define the included services (e.g., 2 exams, 2 cleanings, x-rays).
● Set guidelines (e.g., patient must stay on 6-month recall, max 3 broken appointments).
● Create add-ons if needed (e.g., a $149 perio rider).
● Silver Plan (e.g., seniors, 5% discount)
● Gold Plan (basic membership)
● Platinum Plan (includes perio maintenance)
🧾 Step 2: Set Up Employers for Membership Plans
Use the “Employer” feature in Eaglesoft to track membership start dates.
Steps:
1. Go to List > Employer.
2. Create one employer per month (e.g., “Smile Advantage – Jan”, “Smile Advantage – Feb”, etc.).
3. Include the month and number prefix to keep them organized alphabetically.
4. This allows marketing recall by plan renewal month (e.g., reminder in December for January renewals).
💳 Step 3: Create a Dummy Insurance Company
Set up a non-billable insurance company to attach to your membership plans
Steps:
1.Go to List > Insurance Companies > New.
2. Name it the same as your employer (e.g., “Smile Advantage – Jan”).
3. Set Form Type to “None.”
4. Under Preferences, check Do Not Track Claims.
5. Use a dummy address like “Do Not Mail” to avoid accidental claim submissions.
💵 Step 4: Create a Fee Schedule for Your Plan
This fee schedule reflects discounted fees and zero charges for included services.
Steps:
1. Go to Lists > Fee Schedules > New.
2. Name it (e.g., “Smile Advantage Plan Fees”).
3. Set to 85% of UCR (or desired discount).
4. Manually zero out fees for included services (exams, cleanings, x-rays).
5. Customize other fees (e.g., keep whitening full price, round numbers for marketing).
🧾 Step 5: Link the Membership to the Patient
Steps:
1. Open a patient record.
2. Go to Preferences tab:
○ Attach the Smile Advantage employer.
○ Ensure no fee schedule is selected at the patient level (this overrides employer settings).
3. The patient is now enrolled.
🔁 Step 6: Walkouts & Posting Services
You can either:
- Use an “Exploding Code” for common bundles (e.g., “SmileAdv Visit – Adult”).
- Or post each service individually. The plan fee schedule will automatically zero out covered services.
📢 Step 7: Show Value to Patients
1. Go to File > Preferences > Practice > Accounting.
2. Check the box: “Display Standard Fee and Adjustment on Walkout and Treatment Plan.”
📅 Step 8: Handling Monthly Plans
1. Post the full annual plan fee to the account (e.g., $299).
2. Suppress statements if needed (Preferences > Account > Suppress Statements).
3. Each month, post payment toward the membership.
4. Alternatively, use Eaglesoft’s Payment Plan feature to break into 12 monthly installments.
Step 9: Automate Membership Icons (Optional)
- To automatically display membership status on the schedule:Contact Patterson Support to set up an Intellicare Indicator that triggers when a patient has the
membership employer attached. - The icon will display automatically—no manual tagging required.
📊 Step 10: Run Reports to Track Production & Compensation
To analyze how your plan is performing or calculate provider credit:. Post the full annual plan fee to the account (e.g., $299).
Report: Managed Care Utilization
● Go to Reports > Managed Care Utilization.
● Select your Smile Advantage fee schedule.
● Run it by provider and date range.
● Shows gross fees (UCR), adjusted fees, and quantity.
Use this data to:
● Track usage.
● Credit providers for exams (if desired).
● Allocate plan revenue.
📌 Bonus Tips
- Add special codes for “Additional Cleaning” or “Extra Perio Visit” so they are not auto-zeroed.
- Rebuild your plan’s fee schedule after fee increases (don’t edit existing—create new).
- Use Money Finder to track hygiene retention of uninsured patients.
