Updating patient information

For established patients of record, you can edit patient information. Also, for new patients with appointments scheduled, patient records with some basic information entered exist, but you can enter additional information to complete the records.

To update a patient's information

1. On the Patient Information page, update a patient's information on the following tabs as needed:

   • Basic Info

     Basic Info tab

     

     1. Set up the following options:

        • Name - Enter the patient's first and last name and middle initial.

        • Preferred name - The name the patient prefers you use when addressing him or her. The preferred name can also be used on correspondence from your office.

        • Title - Enter a prefix for the patient's name, such as Dr., Mr., Ms., or Mrs.

        • Suffix - Enter a suffix for the patient's name, such as Jr., Sr., or III, if applicable.

        • Gender - Select the patient's gender: Male, Female, or Other.

        • Birthdate - Enter the date of the patient's birth.

        • Status - Select Active, Non-Patient, Inactive, or Duplicate as the patient's status. Changing the patient's status to Duplicate or from Duplicate to another status requires the security right to manage duplicate patients.

        • Chart # - By default this box is not available. If the user role that your user account is assigned to has been granted the "Edit patient chart #" security right, to enter or change the patient's chart number, click the Edit button . Then, enter a unique chart number (up to 10 characters in length; letters, numbers, periods, and dashes are allowed) for the patient. Alternatively, to have a chart number automatically generated for the patient, click (or tap) the Update button .

        • First visit - This is the date of the patient's first visit. This date is for reference only and cannot be edited. This date is updated automatically when you post a completed procedure for a new patient.

        • Last visit - This is the date of the patient's most recent past appointment. This date is for reference only and cannot be edited. This date is updated automatically when you post a completed procedure for a patient.

        • Social Security # - It may be helpful to have the patient's Social Security Number on file as a reference for patient financing and insurance coverage verification. Do one of the following:

          • Add - If the box contains hash tags (#), a Social Security Number has not been entered for the patient. You can enter the patient's Social Security Number. If you enter the correct number of digits, the SSN Save button appears. To save the Social Security Number immediately, click (or tap) the SSN Save button, or you can save the Social Security Number when you click (or tap) Save to save all changes to the patient's information.

            

          • View - If the box contains dots, a Social Security Number has been entered for the patient but is being masked. To show the Social Security Number, click the Show button .

            

            Notes:

            • If you click (or tap) the Hide button or anywhere else on the page, the Social Security Number becomes masked.

              

            • If the Social Security Number is visible, and there is no activity for five seconds, a timer starts as indicated by the progress bar that appears below the Social Security # box. If another 15 seconds elapses without there being any activity, the Social Security Number automatically becomes masked.

              

          • Edit - If the box contains dots, a Social Security Number has been entered for the patient but is being masked. To show the Social Security Number, click the Show button . You can change or remove the Social Security Number as needed. If the correct number of digits are entered or if there are no digits, the SSN Save button appears. To save the Social Security Number immediately, click (or tap) the SSN Save button.

            

            Note: If you do not click the SSN Save button or Save (to save all changes to the patient's information) within five seconds, a timer starts as indicated by the progress bar that appears below the Social Security # box. If another 15 seconds elapses without the change being saved, the Social Security Number automatically reverts back to the original number and becomes masked.

            

          Note: Social Security Numbers are encrypted in the database, and no reports utilize Social Security Numbers. You can view a patient's Social Security Number only on the Patient Information page and only if your user account has the "Access Social Security #" security right. Additionally, the "Update patient information" security right is required to add or edit the Social Security Number.

        • Primary provider - Select the preferred or primary provider for this patient. Only providers who have access to the patient's preferred location are available. The exception to this is when a provider is associated with the patient and no longer has access to the current location; that provider is available in the list unless you select a different provider and then save the change.

        • Discount plan - To use a discount fee schedule for treatment-planned procedures and charges that are billed to this patient if the patient does not have insurance coverage, select Basic (uninsured) from the Discount plan list, and then select the desired fee schedule from the Select a fee schedule list. The difference between the provider's fee for a given procedure (or if there is no provider fee, the default fee) and the discount fee appears as a credit adjustment on the ledger. However, if the patient has insurance coverage, the selected discount fee schedule is ignored.

          

          Also, you can click (or tap) in the Discount plan expiration box to select the date after which the discount plan will no longer be valid for the patient. An expiration date may be required by your organization. With an expiration date entered, if the patient does not have insurance coverage, expiration warning icons and notifications start appearing 30 days prior to the expiration date until the discount plan's expiration date is changed or removed (if allowed) or until the discount plan is removed from the patient's record. If applicable, the warnings appear in the following areas of Dentrix Ascend:

          • A yellow warning icon appears next to the patient's name on an appointment card on the routing panel. Click (or tap) the icon to view the message.

          • A notification appears when you access the patient's Ledger page.

          • A notification appears when you access the Progress Notes tab of the patient's clinical record.

          • A notification appears when you access the Tx Planner tab of the patient's clinical record.

          • A notification appears when you attempt to complete the patient's appointment.

          Examples:

          Warning Icon (Expiring)	Warning Icon (Expired)
          Notification (Expiring)	Notification (Expired)

          Note: You can also assign a sliding fee schedule to determine the discount.

        • Address - Enter the street address, city, state, and ZIP Code of the patient's residence. All correspondence will be sent to this address unless the patient is not the guarantor; in which case, bills, account statements, and other financial documents will be sent to the address listed for the patient's guarantor. By default, the address of the patient's primary contact, if that is someone other than the patient whose record you are adding, is entered.

          Tip: To copy the address of another household member to this patient's record, click (or tap) in the Address, City, State, or ZIP Code box, and then click (or tap) the Copy button of a household member. Only the address of the primary contact and other household members (if different) are available.

          

        • Phone number - Select a Phone type (Home, Mobile, Work, or Other), and enter the correct Phone number and Ext (if applicable) for the patient.

          Important:

          • Sending automated text messages to mobile phone numbers is subject to the FCC's Telephone Consumer Protection Act (TCPA). That law and our terms and conditions require you to obtain consent from your patients before sending them any text messages through the Dentrix Ascend reminder system. Federal law dictates the form of prior express consent you must obtain. Prior written consent is optimal for all text messages, and may be required by law depending on the content of your text messages.

            The following is an example of consent language you may consider adapting for your practice.

            As a service to our patients, we provide courtesy appointment and recare reminder messages, and other important messages, such office closures, by using text messages. We also may send text messages notifying you of promotions our practice may offer from time to time. By providing your cell phone number, you consent to receiving text messages reminders and notifications at this number. You may opt out of receiving text messages by texting STOP in reply to a message at any time.

          • If you do not have a patient's prior consent, turn off reminders for the patient by selecting Home as the patient's phone number type instead of Mobile.

          To add another phone number for the patient, click (or tap) Add Phone.

          Tips:

          • To copy the phone number of another household member to this patient's record, click (or tap) in one of the phone number boxes, and then click (or tap) the Copy button of a household member. Only the first (primary) phone number of the primary contact and other household members (if different) are available.

            

          • To change the priority of the patient's phone numbers, click (or tap) the Move Up button of the phone number that you want to move up in the list. To remove a phone number from the patient's record, click (or tap) the Remove button of that phone number. These buttons are not available for the first (primary) phone number.

            

          • If you enter a mobile phone number for the patient and then click (or tap) Save, below that phone number, the text Automated Text Reminders appears along with a status message (Yes or Carrier not Supported) to indicate that the number you entered has been verified as either a supported or unsupported mobile phone number.

          • If the patient already has a mobile phone number entered, the status message next to the Automated Text Reminders text for that number can be, in addition to Yes or Carrier not Supported, No if the patient is the primary contact for himself or herself or for anyone else and has been opted out of receiving automated text message reminders (any other patients who have this patient as their primary contact have also been opted out).

            

          • The patient's text message reminder status also appears in the upper-right corner and on the Contact Info tab of the Appointment Information panel that appears when you click (or tap) any of that patient's appointments on the schedule.

            

          • Once a supported mobile phone number is entered, and the patient's record is saved, the patient is automatically opted in to receiving automated text message reminders. Any other patients who have this patient as their primary contact or who have the same mobile number as this patient entered in their patient records are also automatically opted in. However, if the patient has someone else as his or her primary contact, the patient will receive text messages only if the patient's primary contact has a supported mobile phone number and that person is opted in.

          • If you do not have patient consent, or a patient informs you that he or she no longer wants to receive text messages, turn off reminders for the patient by selecting Home as the patient's phone number type instead of Mobile. A patient who has consented may also opt-out from their mobile phone by texting STOP in reply to a message. Any other patients who have this patient as their primary contact or who have the same mobile number as this patient entered in their patient records are also opted out.

        • Email - Enter the patient's email address.

          Notes:

          • If the patient has someone else as his or her primary contact, but an email address has not been entered in that primary contact's patient record, "No email provided" appears.

            

          • If the patient has someone else as his or her primary contact, and an email address has been entered in that primary contact's patient record, that primary contact's email address appears and will be used for this patient.

            

            To enter a different email address for this patient, click (or tap) Add Patient Email, and then enter an address in the Email (Patient) box that appears. To clear the patient's email, click the X. This email address is for reference only. Dentrix Ascend will not use this email address to send out automated patient communications.

            

          • If the patient has someone else as his or her primary contact, an email address is not entered in the primary contact's patient record, and the 'Primary Contact Method on the Preferences tab of the patient's record is set to Email me, a message to add the primary contact's email address appears below the Email box.

            

          • If the patient is his or her own primary contact, an email address is not entered, and the Preferred Contact Method on the Preference tab is set to Email me, an error icon and message appear as a reminder for you to either enter an email address or change the preferred contact method.

            

          • If you enter an email address that is already associated with another patient's record, a yellow warning icon appears next to the label of the Email box both on the Basic Info tab of the applicable patients' records and on the Contact Info tab of the Appointment Information panel that appears when you click (or tap) any of the applicable patients' appointments on the schedule. Dentrix Ascend allows you to save a patient's record with a duplicate email address; the warning is only there for your reference in case, for example, your organization requires unique email addresses for all patients.

            

     2. Click (or tap) Save.

   • Related Patients

     Related Patients tab

     

     • Primary Contact - To change the primary contact person for the patient, click (or tap) the Edit button . In the search box, begin typing the contact's name, continue typing as needed to narrow the results, and then select the appropriate name from the list of matching results. Or, to make the patient whose record you are viewing the primary contact, click (or tap) Switch to "Self" at the bottom of the results list.

       

       Note: If the primary contact is someone other than this patient (not "Self"), the name and Preferred Contact Method of the patient's primary contact appear on the Patient Information ribbon.

     • Add New Member - To add patient records, at one time, for others members of the same household as the current patient, click (or tap) Add New Member.

       Note: A household is a group of patients who have the same primary contact person. The complete list of household members is available when you are viewing the patient record of any member of a given household.

     • Secondary Contact - To add a secondary contact person for the patient, click (or tap) Add Secondary Contact. In the Select Patient box, begin typing the contact's name, continue typing as needed to narrow the results, and then select the appropriate name from the list of matching results.

     • Primary Guarantor - To change the primary person who is financially responsible for the account, click (or tap) the Edit button . In the search box, begin typing the guarantor's name, continue typing as needed to narrow the results, and then select the appropriate name from the list of matching results. Or, to make the patient whose record you are viewing the primary guarantor, click (or tap) Switch to "Self" at the bottom of the results list.

       

       Note: If the current patient is the guarantor, that patient and all patients for whom that patient is the guarantor appear in the list. If the current patient is not the guarantor, only the guarantor and the patient appear in the list.

     • Secondary Guarantor - To add a secondary person who is financially responsible for the account, click (or tap) Add Secondary Guarantor. In the Select Patient box, begin typing the secondary guarantor's name, continue typing as needed to narrow the results, and then select the appropriate name from the list of matching results.

   • Medical Alerts

     Medical Alerts tab

     

     Click (or tap) Add Medical Alert to attach medical alerts to the patient's record.

   • Patient Forms

     Patient Forms tab

     

     • To request forms from the patient, click (or tap) Request Forms.

     • To view completed forms, expand the section of a form type that has completed forms, and then click (or tap) a form.

     • To change the due date of a form, click (or tap) the corresponding Edit icon .

   • Preferences

     Preferences tab

     

     1. Set up the following options:

        • Preferred Contact Method - Select whether the patient prefers to be contacted by phone, text message, or email message. For Call me, you must enter a phone number in the box that appears if a phone number is not already entered for the patient (if it is not already, this phone number will be made the first listed phone number for the patient). For Text me, you must enter a mobile phone number in the box that appears if a mobile phone number is not already entered for the patient (if it is not already, this mobile phone number will be made the first listed phone number for the patient). For Email me, you must enter an Email address in the box that appears if an email address is not already entered for the patient. These options are available only if the patient is his or her own primary contact. Currently, this information is for reference only.

          Notes:

          • If someone else is this patient's primary contact, the preferred contact options are not available because the patient's preferred contact method is that of the primary contact, but you can click the name of the primary contact person shown to go to his or her patient record to view or change the preferred contact method for that patient.

            

          • The selected preferred contact method appears on the Patient Information ribbon, which is available when you are viewing the patient's record.

            

          • If someone else is this patient's primary contact, the name and preferred contact method of the patient's primary contact appear on the Patient Information ribbon. Similarly, if this patient is the primary contact for someone else, this patient's name and preferred contact method will appear on the other patient's Patient Information ribbon.

            

          • The preferred contact method is not associated with and, therefore, does not determine whether the patient will receive automated reminders as text messages or as email messages.

        • Automated Reminders - Select Yes or No to indicate that the patient (any other patients who have this patient as their primary contact) will or will not receive automated text message reminders for appointments and recare. These options are available only if a supported mobile phone number has been entered (on the Basic Info tab) for the patient and the patient is the primary contact for himself or herself or anyone else.

          Notes:

          • Automated text message reminders for this patient (and any other patients who have this patient as their primary contact) will be sent to the mobile phone number displayed. If the patient has more than one mobile phone number, the first one listed (on the Basic Info tab) for the patient will be used for the automated text message reminders.

          • If No is already selected, the date that the patient was last opted out appears for your reference next to the No option. Either someone in your office opted the patient out, or the patient texted STOP in reply to a message. Any other patients who have this patient as their primary contact or who have the same mobile number as this patient entered in their patient records have also been opted out.

          • If Yes is already selected, and then you select No and click (or tap) Save, the patient is opted out, and the current date appears next to the No option as the opt-out date. Also, a text message, stating that the patient has been opted out, is sent to the patient's mobile phone. Any other patients who have this patient as their primary contact or who have the same mobile number as this patient entered in their patient records are also opted out. The primary contact can resume receiving text messages for the entire household by texting START in reply to a message.

        • Preferred Language - Select the patient's preferred language. English is the default. If the preference is a language other than English, the selected language appears on the Patient Information ribbon, which is available when you are viewing the patient's record. Currently, this information is for reference only.

        • Preferred Location - Select the office that the patient prefers to receive treatment at. A matching patient will appear in the results list of a patient search box throughout Dentrix Ascend if that patient's preferred location is in a location to which your user account has access unless you use the advanced search functionality. Other than for patient searches, currently the preferred location is for reference only.

        • Preferred Appointment Day/Time - Select the check boxes that correspond to the days of the week and/or times that the patient prefers to have his or her appointments. The days that are available correspond to the working days set up on your practice's schedule. The selected preferred appointment days and times appear when you are scheduling an appointment for the patient, so you can offer those times to the patient. Currently, this information is for reference only.

          

     2. Click (or tap) Save.

   • Referrals

     Referrals tab

     Do one of the following:

     • In the Referred By search box, enter all or part of the name of the referral source (patient, professional, marketing, or other) that referred this patient to your practice, and then click (or tap) the appropriate source's name in the list of matching results that appears.

       

     • To remove an existing referral source from the patient's record, click (or tap) the Remove button next to the referral's name.

       

   • Notes

     Notes tab

     

     Do one of the following:

     • To attach a note to the patient's record, click (or tap) Add Note.

     • To edit a patient's note, click (or tap) a note's Edit button .

     • To delete a patient's note, click (or tap) a note's Delete button .