Fee Schedule Hierarchy

The order of importance or priority of how QSIDental Web calculates a fee for a procedure is listed below,with the item having the highest importance listed FIRST. Therefore, a service will carry the Office UCR fee unless there is a fee schedule assigned to the patient, or to the carrier, or the plan and so on up the hierarchy until no other fee schedule option applies.

  • Fee Schedule assigned to a specific provider for an insurance plan (typically a specialist or an insurance plan)
  • Fee Schedule assigned to an insurance plan (for example Managed Care and MedicaidI PPO plan)
  • Fee Schedule assigned to a carrier for a specific provider (typically a specialist fee schedule for a PPO)
  • Fee Schedule assigned to a specific provider (typically a specialist)
  • Fee Schedule assigned to a carrier (Used for PPO Carriers, for example, Delta Dental of California)
  • Fee Schedule assigned to the patient (for example, UCR)
  • Office UCR