Search Results

Searching: insurance denials
Results: 2,268
Displaying 501-550 of 2268
9 10 11 12 13
Page 11 of 46
Message Board
Views: 680 | Replies: 17
free time, what are some things I should try to learn from this office to prepare me to own a practice? financials? marketing? inventory? office organization? insurance? As a practice owner, are there any things you wish you could learn to help your office run smoother? Or wish you could've gone back
December 15, 2025
Future Planning General Discussions
Message Board
Views: 146 | Replies: 6
I have never suspected any of my employees of this because I feel like I do a good job of controlling money entering and leaving the practice but there have been some events recently that have raised my suspicions. We take no payments from dental insurance via prepaid cards. Everything is mailed
July 24, 2025
Billing
Message Board
Views: 138 | Replies: 8
their insurance underpaid $70. Say that verbatim. Do not say WE underestimated because you didn't. If the patient really prods and wants to know why then tell them the truth, "your insurance stated they overpaid for another patient to another dental office so they decided to take it away from your
November 13, 2025
PPOs and HMOs
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: 362 | Replies: 9
to treat early tooth decay themselves. Most children in Maine don't get an annual checkup and cleaning from a dentist. Even having dental insurance doesn't guarantee access: Only a third of children with any type of insurance get both a check up and a cleaning each year, according to a study last year
October 16, 2025
Pediatric Dentistry
Message Board
Views: 253 | Replies: 2
A California dentist recently shared his experience of buying a practice while simultaneously going out of network with Delta Dental, a move that many dentists consider but few attempt during a transition. The story highlights the financial pressure insurance participation creates
March 12, 2026
Delta Dental
Message Board
Views: 182 | Replies: 7
off for low fees like happens too much in the US. Regards Terry Had 86 year old teeth! That's excellent work . Fees are very good . I would be lucky to get $200 per tooth. State insurance only pays $105 Below is our 2025 fee schedule for composite restorations. Our fees are negotiated every year. 40
May 03, 2026
Cosmetic Dentistry
Message Board
Views: 98232 | Replies: 4230
$1.2, Im hoping to not touch my retirement money pre and post tax for another 7 or more years. What are you guys doing for health insurance? The ACA plans in my area are absolutely awful and the real hospitals are not in network. I switched to Medishare after Obama blew up my medical insurance. Its
June 20, 2025
Retirement Planning
Message Board
Views: 452 | Replies: 19
of the position to something more appropriate to the role. She is primarily an insurance coordinator, but also handles patient accounts, sending statements, issuing refunds, etc., as well as some smaller HR duties that I delegated to her a few years ago, including managing payroll hours, vacation time
November 24, 2025
Practice Management & Administrative Forum
Message Board
Views: 1374825 | Replies: 39855
? I know we are not supposed to bill insurance until it is completed. I always feel so emasculated when giving in to these people for some reason(thankfully this so rarely happens). I know the quickest way to moving on and forgetting about it is to just acquiesce, but it feels like such a cop out
July 03, 2025
Just Plain Bitching and Moaning
Message Board
Views: 68 | Replies: 2
Chillicothe dentist cut debt and keep serving locals Dentists express concern after major dental insurer purchases Wisconsin dental practice Dentists from across the state are expressing concerns after a major dental insurance company acquired a Wisconsin-based dental company with locations across the state
October 02, 2025
Delta Dental
Message Board
Views: 354 | Replies: 18
I had a BCBS rep in my office today. We are not currently in-network with them, but are considering it. He flat out said there is no negotiating their fee schedule. Anyone know if this is true? I've heard multiple sources say you can definitely negotiate with insurance companies. Maybe only after
April 16, 2026
Claims Processing
Message Board
Views: 2113 | Replies: 128
in charts Recall systems that exist but aren't consistently worked Insurance A/R slowly building up and hurting cash flow Doctor schedules that look full but contain low production procedures Practices that seem to break past that plateau usually tighten those internal systems before making big
March 07, 2026
Ideas To Make Your Practice Grow
Message Board
Views: 94 | Replies: 3
Planning on dropping my connection agreement. I need to shrink my practice. Just curious how these insurances pay out of network. I have no direct contracts. Such as do they usually pay full fee, send check to patient, do not pay at all out of network. guardian principle altus sunlife humana Any
October 23, 2025
Going Out of Network
Message Board
Views: 81 | Replies: 3
we are thinking to ditch Florida Probe. What about something for Claims processing, insurance verification, and texting to patients? Any digital health history things? Thanks in advance. There are no 'essential' add ons except for the clearing house. Open dental recommend dental Xchange or EDS
February 27, 2026
Practice Management & Administrative Forum
Message Board
Views: 781 | Replies: 41
Hello Townies, I am in the process of buying a dental office and I am starting to get credentialed with the same insurance as the office. CIGNA told me right away that they would not give me the same fee schedule because I am a new provider and offered me a different fee schedule which is 5% lower
May 31, 2025
Practice Acquisitions
Message Board
Views: 251 | Replies: 14
her insurance would not pay for an implant because they have already paid for the endo. I don't know how this works. Insurance has paid the endodontist for the RCT and I got paid for I believe a core buildup. Will insurance reject implant? If myself and the endodontist return our insurance payments
June 04, 2025
Endodontics
Message Board
Views: 1132 | Replies: 30
fees. I seem to have the highest fee schedule in my area and I only average in the 700s for a crown. Any time you feel like you like you're getting a raw deal from the insurance companies, know that there are lots of dentists like me working with much worse fee schedules. We work very hard, but we
January 04, 2026
PPOs and HMOs
Message Board
Views: 3282 | Replies: 154
desk does. So how am I going to train someone that's brand new and doesn't know anything about dental insurance? I bought Travis Campbell's book which has been helpful but I haven't had time to read all of it. I am overwhelmed. Even when I talk to staff, do bonding activities, make guides/set up
October 31, 2025
Practice Management & Administrative Forum
Message Board
Views: 542 | Replies: 17
Hi I know it's a weird to ask this, but is there any In-person CE class? One of the insurance company has audited randomly and asked me to finish the In-person crown/bridge/resto class for some reasons which I don't understand, but I would try to take it and get over it. However, I can't find any
September 16, 2025
CE Comments / Suggestions / Events
Message Board
Views: 149 | Replies: 3
to me on accident. Next, I had to go to the state and talk with who I think was the commerce and insurance rep. Finally, when they continued to do things wrong you need to start finding ways to scare them with legal action. As in they may be sending HIPPA protected information to the wrong person
February 11, 2026
Delta Dental
Message Board
Views: 1523 | Replies: 91
are usually the most insurance conscious and most practices will have the most attrition when dropping Delta. This is due to a number of reasons with most of them out of your control including non-assignment of benefits, Delta letters to patients, and the general demographic that usually has Delta
April 25, 2026
Ask a Dental Consultant
Message Board
Views: 853 | Replies: 10
Does anyone use a virtual front desk (StellaDesk, Dental Support Specialist, etc) to help out with insurance verifications, online EOBs, outstanding claims? Thank you. I have a lot of clients using Dental Support Specialties with success. These tasks are time consuming. I use stella desk
March 30, 2026
Pediatric Dentistry
Message Board
Views: 4031 | Replies: 125
in places like Louisiana and California, where most kids are on public insurance, fear the collapse of entire referral systems. Dental hygienists and assistants could face job loss, too. The ADHA is campaigning against the bill, citing its potential to wipe out dental jobs tied to Medicaid. Fallout
July 07, 2025
Personal Finance
Message Board
Views: 256 | Replies: 14
no. I believe a number of us this age ( I will be 62 this year) feel the same way. Insurances making it harder every year, staff/HR issues, State and federal hoops, just the mental and physical demands. If I can jump on this thread a little, when do you know its the right time to hang it up?? Watch
February 20, 2026
Handpieces
Message Board
Views: 276 | Replies: 17
that may or may not work and will leave my hands permanently disfigured. I have spoken to my disability insurance representative, and they said to just let them know when I want to file a claim. It seemed too polite so I dug around online and I'm reading that, like dental insurance, these large companies
March 16, 2026
General Health
Message Board
Views: 408 | Replies: 11
omission I saw was perio disease. Otherwise, I thought it was pretty good. My favorite line: "Most private health insurance schemes cover a dental check-up and clean once every six months" Hi Thomasaurus, Interesting comment. I agree re the perio. Once again - word limit was an issue. Out
March 08, 2026
Periodontics
Message Board
Views: 97 | Replies: 0
fee schedule, we compiled the following strategies. Determining Dental Fees When setting fees, dentists must consider multiple factors to ensure costs are covered while remaining fair and competitive: Overhead Costs: Expenses such as rent, salaries, insurance, equipment, supplies, and loan payments
July 09, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 1326 | Replies: 66
that we can't share fees? Who is the idiot that decided that? Why do the politicians get to share insider info and profit? I'm holding my breath waiting on an insurance company taking a doc to court over something that really is not a secret, everyone discusses their fees with colleagues. It's non sense
October 29, 2025
Dental Insurance for Dentists
Message Board
Views: 3105 | Replies: 110
too low or too high. In effect, moderating your PPO participation is like setting your fees. 4. Chances are that you are already seeing some patients out-of-network. For every PPO plan, there are providers both in and out of the network in your area. No insurance network, not even Delta, has 100
January 27, 2026
December 2021
Message Board
Views: 506 | Replies: 20
assuming you are trying to save your patient money but going without a metal substructure will likely fail and the patient very well may blame that failure on you (the no good deed goes unpunished). In any case, best to you! Gr8 Simple answer: Exts Interim Denture (no insurance help) Overdenture
March 16, 2026
Coding Q&A
Message Board
Views: 219 | Replies: 15
I'm going to sell my practice to my son. I'm a PC(professional corp) currently. Can he buy the practice and put the PC in his name? I'm trying not to get a new tax ID number because the thought of re-credentialing with insurance companies gives me an ulcer. Jim I am not sure exactly the answer
April 13, 2026
Practice Sales
Message Board
Views: 127 | Replies: 7
practices owned and operated by dentists (rather than corporate or private-equity models) serve patients' interests best. Key advocacy priorities include resisting insurance practices they view as unfair, promoting fluoridation of water, supporting hygiene licensure reciprocity, and pushing back against
September 02, 2025
DSOs Dental Group Practice, Multi-location Dental Practices, and Dental Su
Message Board
Views: 279 | Replies: 13
real claims and is updated twice a year. The insurance average UCRs are also on point. Others that extract data from practice management systems are pulling data from those who have inflated private fees to negotiate or show discounts to patients-fees that are rarely used. It skews the numbers. My
October 06, 2025
Ask a Dental Consultant
Message Board
Views: 82 | Replies: 2
We currently have three dental insurance contracts One direct with Cigna, one with Humana and one umbrella with Zelis. We were/are planning on dropping Cigna at the end of the year. I assumed it would get picked up under Zelis at a higher fee schedule. We just got a letter from Humana that says
November 11, 2025
Claims Processing
Message Board
Views: 1954 | Replies: 53
. Dentists across the country describe the same squeeze. Insurance companies keep cutting reimbursements while corporate chains happily sign every plan to fill chairs. In saturated cities, refusing a PPO contract can feel like practice suicide. In rural towns, where one dentist might serve 3,000 people
April 08, 2026
Going Out of Network
Message Board
Views: 322 | Replies: 11
Hey can anyone elaborate on why dentists can not form unions to negotiate against insurance companies?I thought it had something to do with them being self employed.But I have some family members that were self employed (carpenters and steamfitters) and they belonged to unions and received all
June 25, 2025
Legal Issues
Message Board
Views: 60 | Replies: 1
more transactional because somebody in an insurance cubicle chose the wrong noun. The economics changed first. The language followed. Then the language started reinforcing the new reality. That distinction matters because dentists love a clean enemy. If the problem is the word, then the fix feels
April 22, 2026
Medical / Health Insurance
Message Board
Views: 13179 | Replies: 1681
would keep rebuilding at the same spot but I think insurance comes into play with that. After the fires in Pacific Palisades and destroyed homes, I remember hearing stories insurance companies would pay the full amount if the owner rebuilt the house. Otherwise they would get a fraction of the money I
October 13, 2025
Leisure
Message Board
Views: 123 | Replies: 4
Hi. I had a sub hygienist here last week. She broke a composite off of a patients tooth 25 dilf. patient had it before i met her, sub hygiene did not tell me. patient noticed when she was home Should I bill her insurance or just do it for free? Good chance it was already on its way out when
October 16, 2025
Staff Management Issues
Message Board
Views: 120 | Replies: 7
. My wife has used them for simple things like skin rashes. They are convenient and the list of things they will treat is limited, stuff like pink eye, diarrhea, the easy things to diagnose. Most medical insurance companies have a contract with some of the online Telehealth/Doctor on Demand companies so it is covered by your insurance. I misread the post. I thought it they were adding dentistry to telehealth.
June 26, 2025
Leisure
Message Board
Views: 44 | Replies: 2
this. I've checked on my local dental society webpage, but there was nothing there. Hey there, your front desk is right, give them some cookie points! The Type 2 NPI is for the billing entity. Your business. It's not new. It helps separate the doctor from the business in the eyes of insurance companies
March 17, 2026
Front Office Discussion
Message Board
Views: 663 | Replies: 23
. For a small lesion like this, just excise the entire thing. Thank you for the info. Is this billed through medical insurance or dental? It doesn't matter because neither will pay for it. The patient pay either way. Really? they won't pay for a biopsy procedure? how about the pathologist fees? Medical
February 01, 2026
Oral Pathology
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: 564 | Replies: 39
see is that regardless of whether a practice uses Dentrix, Open Dental, or another PMS, the real financial impact tends to come from how consistently insurance claims and A/R are being followed up . Front desks are usually juggling patients, phones, and scheduling, so insurance follow-ups can
March 16, 2026
Dentrix
Message Board
Views: 320 | Replies: 24
I stopped doing endo a few years ago because I really didn't enjoy it and it didn't affect my practice. Recently all endodontists in my area have started requiring 3D scans with treatment at a cost of $325 with no insurance reimbursement. Today I tried to refer a patient to endo for #26
March 25, 2026
Endodontics
Message Board
Views: 70120 | Replies: 5147
reflect we are though. This thread is a dead horse beaten to oblivion lol. Do you members have insurance? What is included? How much do they pay? At my PCP here in a large metro area it means she has a limited panel of enrolled pts, I can come in pretty much whenever I need to, including later
October 07, 2025
Academy of Dental Management Consultants
Message Board
Views: 3948 | Replies: 272
insurance costs and it is definitely an issue. My wife and I are both very healthy and we ended up switching to Medishare. We basically self insure and have a 10k deductible. Our monthly premiums are $496. Thanks for sharing the HI info. Is that for each of you or both combined? I think when you have
January 24, 2026
Retired and Soon to be Retired Dentist's Forum
Message Board
Views: 240 | Replies: 14
year. I learned every nook and cranny of insurance and billing, collections. I ended up teaching and training the staff myself. Now with new hires the existing staff trains the new staff. 1. Did the ones being trained have prior dental knowledge to some level? 2. How long did the training take? 3
October 06, 2025
Pediatric Dentistry
Message Board
Views: 90 | Replies: 4
I had a patient who has Ameritas insurance that I am in network with via a principal contract. She is asking me to write down to Ameritas fees and called today with an Ameritas representative on the phone stating that 'morally should'. It is my understanding that my Principal contract would
January 23, 2026
Dental Insurance for Dentists
Displaying 501-550 of 2268
9 10 11 12 13
Page 11 of 46
Sponsors
Townie Perks
Townie® Poll
What’s actually driving most of your new patient flow right now?
  
The Dentaltown Team, Farran Media Support
Phone: +1-480-445-9710
Email: support@dentaltown.com
©2026 Dentaltown, a division of Farran Media • All Rights Reserved
9633 S. 48th Street Suite 200 • Phoenix, AZ 85044 • Phone:+1-480-598-0001 • Fax:+1-480-598-3450