FOJI Benefits FAQ
Common Benefits Questions
How does Foji handle benefits?
Foji pulls plan benefits from payer portals and writes structured details back into Open Dental.
When is the benefits PDF generated?
A PDF is generated four days before the appointment. If the appointment is created inside that four-day window, the PDF still generates.
What goes on the PDF?
The Benefits PDF shows a clean snapshot for each patient: who they are, which payer they have, and the plan year. It summarizes coverage by major categories with the percent covered and any deductible, outlines common code groups with age rules and frequencies, and lists key procedures with plain-language descriptions, coverage percent, and any limits.
How often are benefits refreshed?
When a patient has an active upcoming appointment and their plan hasn't been updated in the previous 90 days, Foji will pull that patient's benefits and upload them to Open Dental. Within the 90-day window, benefits won't be altered.
Why is Foji putting so many codes into our Open Dental?
The default function of Foji is to grab all available benefit breakdown information from the patient's respective portal. This enables more accurate treatment plans and less time spent logging into portals. Speak with your Foji rep if you'd like to tailor that process for your office.
Do some payers require special setup for accurate benefits?
Yes. Foji honors payer-specific rules. For example, for Delta Dental you must set the participation type correctly to PPO, Premier, or both for clean benefits.
Will benefits coverage expand over time?
Yes. Coverage grows as more portals are enabled.