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Searching: insurance denials
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Message Board (233)
Message Board
Views: 130 | Replies: 5
is okay, but does not show the entire tooth/root. The second x-ray is not even centered. The tooth in question is a no brainer to get paid with good x-rays and photos. Estimate insurance will pay, get better x-rays and photos, and then do the work. Stop asking insurance for permission. The denial isn't
May 05, 2026
Claims Processing
Message Board
Views: 791 | Replies: 28
the basics. Claims went out. Payments came back. Staff posted them manually and hoped nothing slipped through the cracks. That worked when volumes were lower and insurance plans were simpler. Today, it is a different world. More plans, more carve outs, more coordination of benefits, more denials
May 27, 2026
Artificial Intelligence
Message Board
Views: 57 | Replies: 1
Canada's Canadian Dental Care Plan is not socialized dentistry. It is not the end of private practice. It is also not 'free dental care.' It is something much more familiar to dentists: a large, government-funded insurance program with copays, eligibility rules, preauthorizations, fee gaps, patient
May 27, 2026
Canada
Message Board
Views: 1156 | Replies: 60
, when you attempted to extract it with forceps and needed to use a handpiece and bill as surgical extraction and you will be less pissed. Even in the OP's insurance Dental Doctor Review denial, there is a section that lays out what they deem is needed to constitute surgical extraction: If the tooth
May 14, 2026
Claims Processing
Message Board
Views: 160 | Replies: 1
. Companies like DentalXChange, Stedi, Zentist, Pearl AI, Overjet, Vyne Dental, DentalRobot, Curve Dental, and Stratus AI are all attacking the same giant problem from different angles: insurance verification, predeterminations, claims scrubbing, attachment management, denial prediction, payment posting
May 10, 2026
Claims Processing
Message Board
Views: 122 | Replies: 12
, treatment planning tools, insurance workflows, and patient communication systems. Now Utah has given everyone in healthcare something much bigger to chew on. Utah approved a pilot program allowing an AI system from Doctronic to renew certain existing prescriptions without a physician signing off
May 27, 2026
Artificial Intelligence
Message Board
Views: 44 | Replies: 1
Should routine adult dental care eventually be treated as an essential health benefit? Or would folding dental into major medical create more problems than solutions? Curious where Townies fall on this one, especially those dealing with Marketplace plans and insurance issues every day. Either way
May 29, 2026
Dentistry In The News
Message Board
Views: 450 | Replies: 20
My wife showed this to me the other day. I'll bitch about work and insurances and she just nods, but I think this was pretty eye opening for her on how big of a racket it is. A while back I looked up delta of colorado. The CEO only made 500k/year. BUT then when I looked deeper it was for 4-5 hours
May 29, 2026
Dental Insurance for Dentists
Message Board
Views: 52 | Replies: 5
. The unique part is that obviously I will be looking to grow my new practice and bring in as many patients as possible, but my current practice is also looking to shed patients and drop insurance plans. So if a handful of patients follow me to my new practice that's a bit of a win-win. My current
May 29, 2026
Patient Communication / Education
Message Board
Views: 17198 | Replies: 1131
observations as someone who has watched lawyers at work on highly technical cases and seen a lot of subtle deflection to important questions: Waymo said 'the Waymo vehicle is always in charge of the dynamic driving task.' That is not a denial that the human is performing some of the driving task. (Being
May 27, 2026
Automobiles
Message Board
Views: 324705 | Replies: 34374
% in marvel from politicians stock buys Trump could bang their wives and they'd find a way to justify it. Actually on second thought, they'd definitely let him Yep, I offer Health insurance, paid holidays, PTO, and retirement plan, thats my limit. You dont offer health insurance? i offer 50% insurance 0
May 28, 2026
Personal Finance
Message Board
Views: 159 | Replies: 6
Hey everyone, looking for some advice from those who've navigated insurance decisions as a practice owner. I recently took over a dental practice and inherited a bit of a complicated insurance situation. The office is currently in-network with Delta Dental PPO (previous owner was Premier) and out
May 29, 2026
Ask a Dental Consultant
Message Board
Views: 946 | Replies: 29
minimal cost to keep it. I will not let mine lapse. Mack I would think it's a very low risk high reward situation. Especially if you do not have to pay for liability insurance, disability insurance, workers comp etc and so on the cost of keeping you license would be so minimal in comparison and I
May 28, 2026
Retirement Planning
Message Board
Views: 204179 | Replies: 100201
use in military culture. Two acquaintances told KFile he had described the tattoo as a Nazi symbol years before his public denials. Platner said those posts were about Marine scout snipers. His own former political director called it antisemitic: "He knows damn well what it means." He didn't cover
May 29, 2026
Politics
Message Board
Views: 80 | Replies: 2
not have hospital call rooms, but we have PPOs, no-shows, staffing shortages, insurance games, angry patients, impossible schedules, hygiene chaos, OSHA, HIPAA, Google reviews, payroll, broken chairs, supply reps, team drama, and a front desk trying to explain why the crown is not 'free' even though
May 28, 2026
Practice / Family Management for Women Dentists
Message Board
Views: 523 | Replies: 34
I'm sure this will be a useful scenario for colleagues who will face similar undertaking. I'm selling; the closing is scheduled 4 weeks from now.. The new owner won't be credentialed in time to start billing under her own insurance provider ID. My broker suggests to have the new owner bill under my
May 26, 2026
Practice Sales
Message Board
Views: 94 | Replies: 4
current humana patients, you may have to collect in full all payments for services at the time of service and have the assignment of benefits aka check go directly to the patient. "Ms./Mr. X, your insurance company is not a reliable payer and through their own incompetency has borderline defrauded our
May 21, 2026
Practice Management & Administrative Forum
Message Board
Views: 397 | Replies: 17
I remember hearing that if, as a practice owner, you deduct disability insurance as a business expense, then you will owe taxes on the insurance money paid out if a claim is made. If you pay the premiums with after-tax income, then the disability insurance payout is untaxed. Is this true? Yes
May 19, 2026
Disability Insurance
Message Board
Views: 23 | Replies: 0
for it in denials. D0351 - deleted January 2023 and replaced with the current surface scan codes. Worth checking whether your claim templates still reference it. I wrote up the full walkthrough for DrBicuspid this week if you want the longer version, including the Phase 3 fabrication codes (D0396, D6190, D5982
May 15, 2026
General Cad-Cam Topics
Message Board
Views: 110 | Replies: 7
would prefer not to post publicly. Thanks in advance. No issues here. Saves me a lot of money on all kinds of stuff including health insurance. I did pay an attorney to review everything before I signed. If there is a downside I have not experienced it yet. Net32. No contract needed. I have been
May 28, 2026
Practice Management & Administrative Forum
Message Board
Views: 739 | Replies: 49
coming in. I am using a marketing company called LassoMD but I am trying to search for new avenues to increase my new patient flow. I am currently not participating with any insurances but I am contemplating adding 1-2 strategically to help with this problem. The previous owner spent years dropping
May 27, 2026
Marketing
Message Board
Views: 84 | Replies: 2
Is standard of care to perio chart full mouth once a year and maybe spot check every 6 months? Or should full mouth charting be done every 6 months? Insurance and the perio community generally point to annual full mouth charting at minimum, with spot checks at the other recall. For any patient
May 28, 2026
Periodontics
Message Board
Views: 85 | Replies: 4
PSA for every dentist who has ever worked for a DSO. Go look yourself up. Right now. Open Google, search your name plus 'dentist,' then go to the provider directory pages for the three or four insurance carriers you take. I'll wait. Did you find yourself attached to offices you haven't set foot
May 18, 2026
Dental Insurance for Dentists
Message Board
Views: 423 | Replies: 6
entire adult life in clinical dentistry, Since your reply I am looking into remote dental jobs, teaching, insurance claims, treatment coordinating, or something non-clinical. You are absolutely right though - the physical and mental toll in dentistry is very real, especially for assistants. I think
May 28, 2026
Dental Assistants
Message Board
Views: 361 | Replies: 42
have to be fully FFS yourself as there is not enough volume to be an insurance office. That may not be a factor if that was your intention anyways Goal is definitely to be fully FFS Can you explain more, your thought that the seller needs to stay on? I actually always say it's more important
May 29, 2026
Practice Acquisitions
Message Board
Views: 218 | Replies: 2
, alleging gross negligence, wrongful death, denial of due process, and failure to properly support him during a mental health crisis. The case has already been covered by NRI Pulse in 'While Nothing Can Bring Our Son Back, We Want to Ensure This Never Happens to Another Student,' The Times of India in 'Our
May 17, 2026
Mental Health, Well-Being, and Stress Management
Message Board
Views: 33 | Replies: 1
notes. Verifying insurance. Classifying images. Useful, but limited. The next phase is orchestration. Instead of optimizing isolated steps, AI begins coordinating the entire workflow. Documentation gets validated in real time. Imaging is checked before it causes downstream errors. Eligibility
May 01, 2026
Artificial Intelligence
Message Board
Views: 204179 | Replies: 100201
, be prepared to do a lot of walking. Uphill walking at that. Good exercise! I've done great things too. On my farm in NC. But I sold it. I got too old. Still have chickens. Love my chickens. That statement makes no sense at all, but makes you feel better about your ridiculous denial stance over
May 23, 2026
Politics
Message Board
Views: 1141 | Replies: 19
in practice. Think in branches, not in averages. If it is swallowed and smooth, it is usually a GI observation problem. If it is aspirated or might be aspirated, it is an airway problem. And airway problems do not tolerate denial. The first move is always the same. Stop. Assess airway, breathing
May 22, 2026
Medical Emergencies
Message Board
Views: 930 | Replies: 57
is wasted. #1 answer was time spent trying to verify insurance benefits. Excited to see the launch of your product! We are working hard. Our benefits eligibility is basically done and quite a few have real time info which means you can confirm plan on the phone and not waste a follow up call to confirm
May 06, 2026
Artificial Intelligence
Message Board
Views: 883 | Replies: 26
. Some oral surgeons said the statistic matched what they were seeing with burnout, hospital frustration, insurance headaches, and younger surgeons wanting different lifestyles. Others called the article clickbait, AI slop, or outright nonsense because they personally did not know a single oral surgeon
May 26, 2026
Oral & Maxillofacial Surgery
Message Board
Views: 60 | Replies: 3
Hi all. I am planning to add a traveling periodontist to my office. I am in the Bay area and most of my patient have Delta insurance. I am in network with Delta and 70% of my income comes from Delta. I want to start with 2 day/ month perio. What are the dos and donts? What are procedures that make
May 26, 2026
Periodontics
Message Board
Views: 241 | Replies: 10
Has anybody had any success renegotiating fees with an insurance company that they participate with? Curious because I wanna know if I'd be wasting my time to attempt to do this Absolutely-it's something you NEED to do. You should absolutely do it every year. It's not that much work. Some
May 20, 2026
Dental Insurance for Dentists
Message Board
Views: 701 | Replies: 16
My rep introduced me to Dental Advocacy Group, which promises a higher negotiated PPO rate that incorporates several insurance companies such as Guardian, Cigna, Met Life, etc. Does anyone have any experience with them? Feedback appreciated, thanks. what's the catch? Did you ever hear anything from
May 21, 2026
PPOs and HMOs
Message Board
Views: 157 | Replies: 4
by price, insurance networks, prior authorizations, deductibles, and confusion. Europe rations by budgets, queues, government negotiation, and delayed access. Pick your poison. No healthcare system has figured out how to give everyone unlimited access to the best doctors, newest drugs, shortest waits
May 21, 2026
DSOs Dental Group Practice, Multi-location Dental Practices, and Dental Su
Message Board
Views: 44 | Replies: 3
Anyone submitting to medical insurance for sleep apnea appliances? If so, would you mind stating how to do it? Thanks This is far too complicated to explain here. I suggest using a 3rd party to help you. Kent is being quite accurate. You can buy CE courses to learn the ways of billing medical
May 12, 2026
Sleep Apnea / Snoring
Message Board
Views: 173 | Replies: 13
a large following and patients are extremely loyal to him. I do see a decent amount of his patients as they have transitioned to me over the years. Our practice is PPO dominate with Delta at about 45%. It gets complicated because patients that would normally see him and have insurance would then need
May 20, 2026
Delta Dental
Message Board
Views: 282 | Replies: 12
the other fees and taxes? We are being quoted Weave insurance verification for $70 on top the $310, monthly. Is $390 for this package still a good deal? $134.03 to be precise with taxes. What does 310 a month include from them? And what plan is that on their website? They have 3 or 4 tiers I believe
May 21, 2026
Practice Management & Administrative Forum
Message Board
Views: 2167 | Replies: 161
their energy on decreasing SL burden, fighting the hygiene situation and standing up to insurance. You know, the real reasons why people dont want to own or want to sell. I'm learning so much in this thread Pharmacy and dentistry are very different thank god. A commodity type business vs a personal
May 20, 2026
DSOs Dental Group Practice, Multi-location Dental Practices, and Dental Su
Message Board
Views: 324705 | Replies: 34374
gas cards due to inflation, , Im surprised people do. I am helping my staff more with their rising health care insurance costs year after year. That's the real kicker. Luckily most of my staff are living local. No long commute. So no gas cards for my folks. im to poor to give out that kind of money
May 28, 2026
Personal Finance
Message Board
Views: 508 | Replies: 26
together. 1) set 50% across the board. why are you paying all???? that makes no sense 2) start trying to find ways to cut hours to get people to part time status and dropping their insurance 3) offer hmo or poor paying plans. We pay a fixed amount per employee. It's much easier to do and budget
May 05, 2026
Front Office Discussion
Message Board
Views: 1156 | Replies: 60
the pre D is way more work than the extractions. I've never even heard of pre D for extractions. Maybe $150 is low for the hassle of taking out 1 tooth, but you are getting 4 in total. Most of the work is setting up the room, consents, blood pressure, the note, the insurance claim, local anesthetic
May 18, 2026
Claims Processing
Message Board
Views: 180 | Replies: 9
I am pretty sure that I know the answer, but I'd figure I'd ask. I got a letter from Fortress asking me if I want tail insurance of 1 million/3 million and to respond by 10/2026 for ~$2000 with unlimited and expires when limits are used up. I have claims made policy. I have a new policy from TDC
May 11, 2026
Malpractice Insurance
Message Board
Views: 202 | Replies: 7
in the area expanded aggressively and joined every network that the major employers participate in. I've seen my demographics change over the last five years. Growth in regular insurance and cash patients, but a decline in young families and kids. Hasn't hurt my bottom line, but it has not gone
May 20, 2026
Practice Management & Administrative Forum
Message Board
Views: 55 | Replies: 2
We are edentulating a patient that has 3 solid implants. She wants dentures, but I figure we sleep the implants since they're solidly integrated and could potentially use them down the road. Is there a billable insurance code for this? I figure probably not, but was checking to see if anyone else
May 20, 2026
Implantology
Message Board
Views: 556 | Replies: 31
insurance and standardization is a double edged sword, potentially putting everyone at a 'disadvantage'; except the insurance company You are 100% correct that this 'type of dentistry' is not feasible for PPO rates, but every dds I know is looking to get out of network and regain more autonomy
May 27, 2026
Restorative Dentistry
Message Board
Views: 43 | Replies: 0
. That is the real story. Right now, the biggest wins are not autonomous diagnosis. They are operational. Scheduling. Recall systems. Insurance verification. Claims narratives. AI phone systems. Missed call texting. Two way communication. Online forms. Automated reminders. Treatment follow up. Analytics
May 20, 2026
Software Discussions
Message Board
Views: 574 | Replies: 18
in PPO plans. Denticon sits at the top of the cloud stack because it was built for scale. It centralizes insurance verification, billing, payment posting, claims, imaging, charting, online scheduling, patient messaging, and reporting. It connects every part of the business under one cloud roof. Denticon
May 21, 2026
Software Discussions
Message Board
Views: 805 | Replies: 44
% raise.The reality is they learn about dentistry in a very different way. The CE they take inflates their role and downplays the choices dentists make." 2024, I had three hygienists and took all the insurances under the sun. 2026, I have no hygienists, so my own cleanings, mainly FFS with limited stress
May 22, 2026
Hygiene Discussions
Message Board
Views: 94 | Replies: 7
with the rising costs of providing quality dental care. In order to avoid raising fees for all patients-including those without insurance-we have made the decision to transition out of network. What this means for you: You can still continue to receive care at our office. We will still file your claims
May 21, 2026
Delta Dental
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