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Searching: insurance denials
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Displaying 551-600 of 2268
Page 12 of 46
Message Board
Views: 159 | Replies: 12
into a credentialing service. To be credentialed you send them a copy of your license, a copy of your DEA (if you have one), a copy of the coverage of your malpractice insurance, and answer questions about whether or not you are a criminal. You do not need a company to do this. I'm credentialed thru CAQH
February 26, 2026
PPOs and HMOs
Message Board
Views: 87 | Replies: 4
Anyone use eAssist EFT Reconciliation? Anyone have any input on this? Thanks! I do not accept EFTs or virtual cards only paper checks from insurance companies. I use eassist to submit claims and post payments. My results have been mixed. Good overall, but I've found it's very dependent on who
October 13, 2025
Practice Management & Administrative Forum
Message Board
Views: 112 | Replies: 2
. Its always been admin. In short, the real cost drivers appear to be insurance firms, administrative overhead, pharma, and medical-device pricing, not doctor pay. Many Think Doctors Are Overpaid And That's Why Healthcare Is So Pricey, But One U.S. Surgeon Actually Ran The Numbers Against Global
July 24, 2025
Delta Dental
Message Board
Views: 491 | Replies: 24
. In my office I do work on employees parents for free, but that is not the norm and my employees know this. Having written policies ahead of time prevents unnecessary questions and emotions when the moment arises. The RDH wants me to bill her insurance since mom does not have one and I said I cannot do
September 13, 2025
Practice Management & Administrative Forum
Message Board
Views: 420 | Replies: 15
a non-clinical position, will my disability insurance policies still pay out? Any advice is greatly appreciated. Very sorry to hear that! With 3 policies involved I would think you probably need some legal expertise to help you process things. Hopefully you will get some input here to help you out
June 21, 2025
General Health
Message Board
Views: 221 | Replies: 10
a recession does not occur, but being informed can help with planning. Thanks in advance. I believe I dropped about 20% in that 2008 recession. I had just finished paying off some school and personal debt, so weathered it fine. A large part of that 20% was all cash patients. Patients with insurance were
August 13, 2025
Practice Management & Administrative Forum
Message Board
Views: 199 | Replies: 10
have signs/symptoms of periodontal disease. I am getting told that most insurance companies don't reimburse general dentists for this code, which will lead to increased write-offs. My thought is even if 80% downcode it to a D150, that's more money that we would have gotten if we didn't submit any
January 20, 2026
Coding Q&A
Message Board
Views: 1046 | Replies: 56
hasn't been back. Oddly, his wife and mother still come to me. Moral of the story: Dropping insurance will filter out your problem patients automatically. Delta specifically has the most cost conscious patients who create issues when they have that $20 copay. This gets lost sometimes amongst the usual
May 12, 2026
Marketing
Message Board
Views: 1219 | Replies: 42
are dropping Delta that is not longer unusual, pts expect to call many offices before finding an in network office that like. Reviews matter, so work on that to gain NPs I had a lady that has delta say (she left our practice two years ago and came back)... 'you were right, insurance is a sham. And congrats
September 30, 2025
Delta Dental
Message Board
Views: 702 | Replies: 31
the lower will catch the canines and then I'll take upper canine images too. Curious the logic behind no anterior x-trays. Why ignore the front 1/2 of the mouth? Over the years I've been validated by finding tons of decay, internal resorption, external resorption ,etc Oh and most insurance allow up
March 15, 2026
Practice Management & Administrative Forum
Message Board
Views: 1800 | Replies: 51
Hello Townies, I just wanted to ask a question regarding insurance participation when purchasing an existing practice. I was reading the Delta Dental contract to become credential with Delta Dental PPO, as part of process of purchasing an office heavy in participation with Delta Dental (perhaps
November 04, 2025
Practice Acquisitions
Message Board
Views: 1004 | Replies: 20
advice to a new practice owner is appreciated. rest of office is FFS. only insurance is cigna, but was at a much higher fee. TIA were you not presented the low fee schedule before signing the contact? How much % of active patients is Cigna? What % of your collections is Cigna? then we can try
July 24, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 439 | Replies: 6
of clinics. Kaiser Permanente did this in medicine and in its own dental system in the Northwest, but that model sits inside a full health system. What Wisconsin is now experiencing is the pure insurance version. Delta Dental of Wisconsin bought Cherry Tree Dental, a DSO with dozens of locations across
November 17, 2025
DSOs Dental Group Practice, Multi-location Dental Practices, and Dental Su
Message Board
Views: 311 | Replies: 16
as pushing collections will push more patients out of the office (and still not get the money). Larger balances really shouldn't happen much at all, and you should investigate why. Most often this is because the team is poorly trained in how to estimate insurance. Too many have the idea of trying
October 29, 2025
Billing
Message Board
Views: 204178 | Replies: 100201
. 1. Its ludicrously oudated and 2. Russia isnt communist. LOLsee what I mean, Fly? Right on schedule. Have we moved past the denial phase. Which leads to passive acceptance. Which leads to it doesnt matter phase. Today's another day that will likely go down in the history books. It's not too
August 18, 2025
Politics
Message Board
Views: 204178 | Replies: 100201
? Is THAT now considered trolling? Or is it best just to throw random thoughts in response to OTHER posters denials of asking questions for folks to answer that they dont actually want answered in the first place? GOSH! This is so confusing AND triggering. Am I obligated to report when Winn baits guys
October 09, 2025
Politics
Message Board
Views: 204178 | Replies: 100201
think Day Man can ever speak of the West Bank as Jordanian? Gaza as Egyptian? Can he ever point to a time with Palestine was free? He can't even entertain the concept. It would destroy the fantasy. I guess I'm just in denial about Netanyahu bring a dead child as a gift to Trump. High comedy
July 08, 2025
Politics
Message Board
Views: 324692 | Replies: 34373
, there is no denial of its existence and growth. Grok now can navigates to anywhere, make suggestion for places to visit, give reviews of a Thai place out of town...crazy shit. TSM made a big move today, pulled up NVDA as well. NVDA entered a non-exclusive inference technology with Grog. Not only NVDA can train the brain, but now capable of it to carry out brain functionality.
January 02, 2026
Personal Finance
Message Board
Views: 204178 | Replies: 100201
are still in denial. YOU are the person who started this line of nonsense, saying I have no right to discuss truth. Get the fuck outta here with that condescending nonsense. You're peeing on my leg and trying to convince me it's raining. You're right. I don't waste my time with the rest of a post
January 03, 2026
Politics
Message Board
Views: 204178 | Replies: 100201
;"> Quote : (Ram_mix) I believe those numbers have been crunched before and Sal made an equally good argument why taking them out at 62 is best. Still in denial about the price of yams huh? They were 69 cents per pound last year, 1.99 this year. 188% increase. Is there anything else I can do to drive
January 23, 2026
Politics
Message Board
Views: 1105109 | Replies: 63426
and together for a super extended time. Glad its gone well overall and that you guys built great memories together! Yes, I have both life and disability insurances and continue to pay for them even when I am debt-free now. But these are not enough. The life insurance is a $1M policy
August 05, 2025
Retirement Planning
Message Board
Views: 352 | Replies: 10
My Schein rep came in today talking about this. Curodont non invasive treatment for early caries. What code would you use? does insurance, like Delta cover this? Any users of Curodont that can offer some advice on this? Thanks! D2991 is the code. Not sure about coverage I don't think it is covered
October 14, 2025
Restorative Dentistry
Message Board
Views: 1954 | Replies: 53
these threads, as they are a rite of passage for those that take the voyage and gives us pansies some juice. Because Delta has great PR that makes believe they have great insurance. They boast about having 70% of dentists in this country in their network. Pts believe it. I don't' think that's true any
April 08, 2026
Going Out of Network
Message Board
Views: 67 | Replies: 4
in premiums for health insurance. That's before we even use it. Thanks. This was Non Emergent. I am not about to die. One of the benefits of living in a major metropolitan area. I paid 40 years into this system with no choice. I paid close to $30,000 per year for my family insurance until I hit
May 01, 2026
General Health
Message Board
Views: 138 | Replies: 9
insurances just collect as if secondary doesnt exist and if the pt gets a refund, hooray. We just tell them 'it takes 3 months to collect from a secondary, if they pay anything, so we assume they won't pay anything. You wouldn't want to get paid 3 months later for work you did today would you
September 15, 2025
Going Out of Network
Message Board
Views: 351 | Replies: 6
or is there an easier way? Thanks again everyone ! Just tell patients it's their responsibility to know their insurance and you will do the SERVICE of submitting claims on their behalf. see? put the responsibility back on the patient. But at the same time- give them a little bone by saying you will submit
January 18, 2026
Going Out of Network
Message Board
Views: 254 | Replies: 11
So a few weeks ago I had a patient with "TeamCare" insurance. I went online, figured out what his coverage was, and proceeded to do his treatment. Well...turns out TeamCare have a shared network agreement with Humana. AND in colorado Humana have a shared network agreement with Cigna, and I am
February 24, 2026
Claims Processing
Message Board
Views: 350 | Replies: 20
of network with the lowest reimbursing insurances ( if practice is PPO) and then find yourself without a need for as many hygienists, and ensure you are keeping the highest performing hygienists and weed out the under performing ones. Put an ad out for new hygienists. Have some ready to hire. Cut
July 23, 2025
Staff Management Issues
Message Board
Views: 553 | Replies: 29
hours that would be about right: Insurance prophy + exam (and then you have the ones who decline x-rays) I have the same problem as you doc. Hygienist producing only about 50% of their pay. We are in a saturated southern cal area. Our hygienist is still seeing 8 patients a day, Slowly adding laser
April 29, 2026
Ask a Dental Consultant
Message Board
Views: 204178 | Replies: 100201
it..hes protecting the info because HES ON IT!!!!!! Fer fucks sake. yikes scary stuff how is the aging relative doing? I recall some time back, so questions were being asked about DeSantis and the insurance mess in Florida due to the incidence of hurricanes. Here's an update. This trend
July 16, 2025
Politics
Message Board
Views: 184 | Replies: 8
recommendations are necessary to get this covered. If all of that is done and justified, yes, you can collect the charge from the patient and appeal to insurance to have them correct the inclusion. Are you finding any insurances companies that are covering this when appealed? Yes, as long as the policy covers it. Your biggest barrier is going to be the age limitations.
July 23, 2025
Claims Processing
Message Board
Views: 78 | Replies: 3
insurance patient who is out of network. The rest I think she does pretty well. I listened to some calls and was perturbed enough by what I heard (simply due to a lack of training - that's my fault) so I wrote the scripts for how to handle all of these questions and objections. Obviously
July 24, 2025
Front Office Discussion
Message Board
Views: 93 | Replies: 2
My lab is telling me titanium crowns and bridges are considered high noble/noble from insurance companies. I thought it was BS as I have never heard of this before, so I wanted to see if anyone knows about this. According to him, 40+% titanium is considered noble and 60+ high noble, and we can
June 12, 2025
Claims Processing
Message Board
Views: 64 | Replies: 4
Hello all, We use eAssist to process insurance claims. More and more insurance websites require 2-way authentication with text messages. We use OD eservice to do text messages with our office phone number We even receive ads via texts. But somehow, the OD text message service doesn't allow the text
January 02, 2026
Open Dental
Message Board
Views: 114 | Replies: 1
A grieving family faced an eye-wateringly high hospital bill, about $195,000, for the last four hours of their relative's life, after a heart attack and subsequent intensive care. Because the patient's insurance lapse left them responsible, the family decided to contest the charges. They managed
October 30, 2025
Medical / Health Insurance
Message Board
Views: 392 | Replies: 8
I have been practicing for 15 years and really haven't seen inflation in fees yet I have seen inflation in overhead... ie staff, insurance, etc. Considering the staggering debt students take on ... at what point in time can we expect to see inflation in dental service remuneration I increase my
March 02, 2026
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 424 | Replies: 10
and leave them....6 months to a year down the road, they drop fees and you're stuck The first line in the new contract talks about sharing the humana network (fee schedule) with other insurance companies like Sunlife. If your Humana fees are on the lower end it'll hurt in the long run. I hit
September 02, 2025
PPOs and HMOs
Message Board
Views: 241 | Replies: 7
, the percentage of patients seeking the expert training of endodontists to treat tooth pain and save their natural teeth through root canal therapy has increased in recent years. Based on insurance claims processed from 2020-2024, endodontists' share of endodontic treatment and percentage of patients treated has
October 02, 2025
Endodontics
Message Board
Views: 267 | Replies: 8
years ago for long term stable patients with no perio history. Patients with insurance usually still wanted their 6 month. I'd guess maybe 25% went to a year or 9 months if we suggested it. Maybe 50% if not insured. I always stressed they should call any time if they wanted something checked sooner
June 20, 2025
Hygiene Discussions
Message Board
Views: 91 | Replies: 5
drawn at Quest Diagnostics locations. There is no physician visit, no insurance, and no traditional doctor-patient interaction. Customers receive an AI-generated summary, reviewed by a clinician, explaining their results and suggesting next steps, including lifestyle changes and supplements. Supporters
January 09, 2026
Artificial Intelligence
Message Board
Views: 161 | Replies: 13
: vatech? Xrays on the wall Progeny? Patient Management System>> Open Dental, Archy, oryx? intra oral Scanner: Shining Elite payroll services marketing companies for website installation at least Telephone service Insurance Credentialing services Regular dental supplies am looking at Benco for most part
February 23, 2026
Equipment
Message Board
Views: 136 | Replies: 11
and then they added it back. Any time you can get a direct contract that is close to a TPA, not having to worry about gaps in par or worry about any whims of the insurance companies as they add or drop agreements via third parties is worth some security if the fees are close. Out of network benefits
April 25, 2026
PPOs and HMOs
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: 235 | Replies: 13
service to get credentialed with 2 insurances: delta premier and cigna?How long it takes?I am in Nj. You don't need a service to credential with two companies, you just have to fill out the forms. It takes minutes. Delta is pretty quick, just a few weeks, doubt you will get premier fees though. Cigna
July 17, 2025
Practice Acquisitions
Message Board
Views: 229 | Replies: 14
schedule was from 2018. And as DHA has been adding a lot of networks lately, I keep getting pulled into DHA, where claims that were processing with my new Connection fee schedule were processing with my old DHA fee schedule. So, I have continually been submitting opt-outs to DHA for each insurance
December 03, 2025
PPOs and HMOs
Message Board
Views: 91 | Replies: 1
University, he began his professional life in the insurance industry before meeting Jim Rhode of Smart Practice, who gave him his first speaking platform. That opportunity led him to establish Whitehall Management in 1980. From there, he traveled nationally for more than 40 years, consulting
February 12, 2026
Obituaries
Message Board
Views: 86 | Replies: 3
issue a year ago or so. If your Tesla gets crunched, be sure to use a Tesla certified shop. Be really careful with auto INSCO's they have many tricks up their sleeve. Well that really sucks! On the insurance what is exactly happening? They have progressive? What did they exactly do? (or not do) Thanks
April 02, 2026
Automobiles
Message Board
Views: 36 | Replies: 0
potentially be additional victims. The story hit a nerve inside dentistry because almost every practice owner immediately recognizes the vulnerability. Most dental offices are small businesses built heavily on trust. A longtime employee often has access to deposits, refunds, insurance checks
May 13, 2026
Accounting / Bookkeeping
Message Board
Views: 344 | Replies: 57
insurance wise to have flat roof. It holds up better in bad weather around here but if I have to pay significantly more in insurance it may not be worth the initial cost. Just curious for any opinions about this or what anyone else has experienced, TIA. My last roof blew away with hurricane Michael
October 29, 2025
Dental Office Design/ Construction
Message Board
Views: 2115 | Replies: 63
for some schools. What's going on? First! A lot of factors- a shift from predominantly fee for service to insurance driven practices, stagnant/declining insurance reimbursements, proliferation of DSO's, increase in foreign graduates, increase in over head costs to run a practice- they have all
February 23, 2026
Personal Finance
Displaying 551-600 of 2268
Page 12 of 46
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