The Basics of Foji
Getting Started with Foji
1. What Foji Will Do
Eligibility
- Auto-runs 8 days before appointments, plus same day and 1st of the month (for Medicaid).
- Marks patients Active / Inactive / Needs Attention.
- Retries multiple times if status/portal is unclear.
Benefits
- Updates Open Dental plans (family module): Frequencies, limitations, coinsurance, Max, remaining max, Deductible, remaining deductible.
- Creates a benefit PDF and saves it in Imaging (folder 313).
- Pulls downgrade/alt-benefit notes into plan notes (IV team still manage downgrade/COB switches).
2. How You'll Use It
In Open Dental
- See banners: Active / Inactive / Needs Attention on appointments.
- Appointment color: configure white for items needing follow-up.
- Family module → double-click plan: right side shows Foji-filled frequencies, limits, and other benefits.
- Remaining annual max / remaining deductible auto-populated in Patient Info.
- Imaging → folder 313: benefit breakdown PDF.
Manual Verification
Use the Foji / Verify Insurance button in Open Dental for: new patients, same-day adds, or anything you want rerun immediately.
3. Key Configuration Decisions
Coverage Categories
Foji follows Open Dental coverage categories and their order. We will clean up categories so codes don't pile into "Other Benefits."
Names & Group Numbers
Foji is strict: it uses legal first/last name (not preferred name) and requires an accurate group number to pick the right plan. If preferred names cause failures, fix the name/group and rerun via the manual button.
Age Limits, Frequencies, Downgrades
Foji converts portal language correctly into Open Dental age limits, handles child vs. adult rows, and puts downgrade/alt-benefit language in notes. You still control downgrade/COB toggles.