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The optional Service Restrictions function allows providers to check the service level restrictions for a patient and evaluate the insurance eligibility for a particular service.
Many insurance carriers have limitations and restrictions on the procedures that will be covered for a given patient. For example, one carrier might cover only two cleanings a year, while another might cover three. Knowing whether or not a procedure will be covered helps both provider and patient make informed decisions.
QSIDental offers an optional Service Restrictions function for QSIDental Web to determine if a procedure will be covered given a specific carrier’s rules and the patient’s circumstances. Patient, encounter and procedure records are compared against the carrier’s particular coverage rules.