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PMS Integration

Eaglesoft: PMS Setup Guide

A step-by-step guide to managing your in-house dental membership plan in Eaglesoft.

Step 1: Design your membership plan structure

Section titled “Step 1: Design your membership plan structure”

Before entering anything in Eaglesoft:

  • Decide your membership fee (e.g., $299 annually).
  • 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).

Optional tier names:

  • Silver Plan (e.g., seniors, 5% discount)
  • Gold Plan (basic membership)
  • Platinum Plan (includes perio maintenance)

Step 2: Set up employers for membership plans

Section titled “Step 2: Set up employers for membership plans”

Use the “Employer” feature in Eaglesoft to track membership start dates.

  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 a number prefix to keep them organized alphabetically.
  4. This lets you run marketing recall by plan renewal month (e.g., a reminder in December for January renewals).

Set up a non-billable insurance company to attach to your membership plans.

  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

Section titled “Step 4: Create a fee schedule for your plan”

This fee schedule reflects discounted fees and zero charges for included services.

  1. Go to Lists > Fee Schedules > New.
  2. Name it (e.g., “Smile Advantage Plan Fees”).
  3. Set to 85% of UCR (or your desired discount).
  4. Manually zero out fees for included services (exams, cleanings, x-rays).
  5. Customize other fees (e.g., keep whitening at full price, round numbers for marketing).
Section titled “Step 5: Link the membership to the patient”
  1. Open a patient record.
  2. Go to the 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.

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.
  1. Go to File > Preferences > Practice > Accounting.
  2. Check the box: “Display Standard Fee and Adjustment on Walkout and Treatment Plan.”
  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 a payment toward the membership.
  4. Alternatively, use Eaglesoft’s Payment Plan feature to break it into 12 monthly installments.

Step 9: Automate membership icons (optional)

Section titled “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, with no manual tagging required.

Step 10: Run reports to track production and compensation

Section titled “Step 10: Run reports to track production and compensation”

To analyze how your plan is performing or to calculate provider credit, use the Managed Care Utilization report.

Report: Managed Care Utilization

  • Go to Reports > Managed Care Utilization.
  • Select your Smile Advantage fee schedule.
  • Run it by provider and date range.
  • It shows gross fees (UCR), adjusted fees, and quantity.

Use this data to:

  • Track usage.
  • Credit providers for exams (if desired).
  • Allocate plan revenue.
  • 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 (do not edit the existing one, create a new one).
  • Use Money Finder to track hygiene retention of uninsured patients.

Access the Eaglesoft PMS setup guide