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Searching: insurance denials
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Page 13 of 46
Message Board (2269)
Message Board
Views: 1579 | Replies: 29
do they do? Do they both do EOBs, collections, insurance verification, recalls, etc? Or do you have one person responsible for individual duties? How do you divide it up? What reports are you asking for on a daily, weekly and monthly basis? I'm feeling defeated and betrayed that they did this to me
April 03, 2026
Front Office Discussion
Message Board
Views: 223 | Replies: 18
LL just notified me that my CAM, insurance, tax portion will go up by 1200 a month starting next month. That's about $9-10/sqft. And on top of that, they want me to pay for last year reconciliation in lump sum of 13k. I requested for an audit but..this just seems outrageous. My lease is ending
April 02, 2026
Lease Terms and Negotiation
Message Board
Views: 6662 | Replies: 506
is shocked. Randy tells him about his own pastthat he was in denial about how people perceived him, until he had a professor that showed he cared by smacking the truth into his head. And heres what makes Randy special: he listened. Randy says that hes a recovering jerk, and that this student can become
August 24, 2025
Dental Students
Message Board
Views: 785 | Replies: 42
. Teeth do not send sworn affidavits. Water coolant is still the cheapest insurance policy in the operatory. It does three things at once. It removes frictional heat, lubricates cutting, and flushes debris so your bur cuts instead of rubbing packed dentin. Air alone does not do that job. In fact
May 10, 2026
Fixed Prosthodontics
Message Board
Views: 2113 | Replies: 128
comprehensively? Approaching mouths in quadrants when possible? One thing I've found is that patients aren't really motivated/receptive to comprehensive treatment planning unless they come in specifically with plans to seek out that kind of treatment. With insurance maximums sitting at an average
May 14, 2026
Ideas To Make Your Practice Grow
Message Board
Views: 98 | Replies: 4
for this? No there is not. This is on the patient not you. They lost all those teeth, they signed up or agreed to this plan. Educate, present TP, and deliver the bridge but get paid upfront by patient. Downcoding only changes how much insurance vs the patient will pay. You still collect for the service
July 29, 2025
Claims Processing
Message Board
Views: 88 | Replies: 6
(as a result of the fiasco with Patterson/Heathcare Management).....ANYWAY. You need to sit down with your billing coordinator and contact the specific insurance carriers that you're having issues with. We continue to struggle with HMA, but most other carriers have no issues with Vynne. Another one
June 26, 2025
EagleSoft
Message Board
Views: 125 | Replies: 4
insurances, and lower reimbursing insurances get last priority. And have your hygienists screen out those people who are always clean and are fine being seen every 9-12 months. Some good ideas. Thank you. I am actually looking for a long term temp first, but need a back up plan. I usually run just one
June 26, 2025
Practice Management & Administrative Forum
Message Board
Views: 74 | Replies: 1
of this in the greater nyc area since around year 2000. I've recently noticed the same in other cities. I know this isn't legal but it seems to be happening enough that this is quietly being more acceptable? 4. I'm guessing insurances are essentially an equalizer of dental offices as even small/unknown offices
July 20, 2025
PPOs and HMOs
Message Board
Views: 9021 | Replies: 72
term? And finally,do I want to or can I become a partner? Not anymore complicated than that. In theory, production (@ UCF/full fees) vs. net/adjusted production or billable charges (UCR less cash discounts, rework, or insurance adjs) vs. collections really shouldn't matter as long as the %s
July 02, 2025
Associates Corner
Message Board
Views: 3433 | Replies: 170
are experiencing now. Just hang in there. We've always filed insurance claims and accepted assignment of benefits. My last FD was excellent, but she and her husband moved out of the area. My assistant has been here longer than I have. I inherited her from the selling doc. Until this FD, we have always
December 03, 2025
Front Office Discussion
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: 2051 | Replies: 79
, good reviews, and a clear plan all help make the transition away from insurance much smoother. And the nice part is you don't have to do everything yourself a good digital marketing team can create the content, set things up, and help you show up well online, while you focus on running your practice
December 10, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 105 | Replies: 2
an enemy, which is effective because dentists have a long memory and dental insurance has never apologized for the annual maximum. The other side leans on the classic trio of choice, innovation, and lower premiums. The attention trap is that everyone argues about one hot slice, adult dental
March 27, 2026
Medicaid and Welfare Issues
Message Board
Views: 324709 | Replies: 34374
young grads hard to get into ownership on DT, the old docs like Bob K and others always pushed us to get OON as the insurance companies lowered fees, on the other thread BobK talks about he wrote an opinion piece in the CDA advocating for the specialist to get OON as well, as a way
April 14, 2026
Personal Finance
Message Board
Views: 532 | Replies: 26
much exactly what tooflover said. Grow, develop reputation, reduce debt and invest, then make a shift to more profitable procedures, then shift volume down as insurance dependence decreases and drop insurance bit by bit It's funny, I went through a similar thought process; I am at 6 total ops now
February 24, 2026
Dental Office Design/ Construction
Message Board
Views: 87 | Replies: 1
The Most Common Challenges - Part 1 I answer questions every day from dentists and team members needing help on anything from insurance to practice management. Most tend to have the same basic questions, so in this series I hope to answer the most common questions that tend to plague dental offices
August 22, 2025
Claims Processing
Message Board
Views: 434 | Replies: 7
thing to think about would be the insurance angle. If you're slowing down (or wish to slow down), one should examine how much PPO they are taking. Often the profits are already within our offices as we accept too much PPO or if we haven't adequately negotiated our fee schedules. For these offices
July 15, 2025
March 2025
Message Board
Views: 236 | Replies: 6
the purchasing dentist would all want to do their due diligence about the practice - which takes time. Listen to Jason. He made some good points. Have your wife try to hire a temporary dentist quickly to stop the bleeding of the practice as much as possible. Stock up on life and maybe disability insurance
January 21, 2026
Pediatric Dentistry
Message Board
Views: 172 | Replies: 10
I've read a lot of great info about TPAs on here and have a few questions 1. If you're signed up with a TPA (e.g., Connection), are you on any insurance provider lists? I just searched myself on Aetna and didn't see my name. How would a patient find me? 2. I have read that people 'opt-out
May 04, 2026
PPOs and HMOs
Message Board
Views: 278 | Replies: 10
sense. The one that hides is staff time spent on stuff that doesn't generate anything. Insurance follow-ups, chasing no-shows, working the recall list. None of it shows up as a line item but it's a big chunk of what your front desk gets paid for. Worth knowing how many hours a week go to that vs
May 11, 2026
Practice Management & Administrative Forum
Message Board
Views: 443 | Replies: 28
insurance if they dont do the denture for the patient? I would love something like this! Do you intend to get paid as if am endodontist or something was coming into an office? Would you be paid on commission? If I were you, I wouldn't foot the whole lab bill unless you're getting a large cut
August 28, 2025
Removable Prosthodontics
Message Board
Views: 1587 | Replies: 86
discount reviews or make exceptions to keep a patient. Once fees are set everyone should be treated the same. I had a lady who came to me because she had an accident which caused her intense pain. She had good insurance for years but never used it because she was terrified of dentists. At the end
August 01, 2025
Just Plain Bitching and Moaning
Message Board
Views: 55 | Replies: 4
. If that is the case, we charge what we want and do not send in to insurance. I guess if retainers years later are a covered expense I would charge the patient a extra specialty fee since Viveras are a special item. Go read post 6. If pt already maxed out here ortho coverage, then you charge whatever you want
April 14, 2026
Billing
Message Board
Views: 204179 | Replies: 100201
. Thanks. 0% interest on Sierra's! Those nightmares. Remember it happened twice within that one year. In hindsight I made a mistake by not hiring an attorney right away and suing everyone. I was happy I had good insurance and they were paying me for my losses. Future losses from the practice shrinking
December 25, 2025
Politics
Message Board
Views: 486 | Replies: 19
but with all insurances. My front desk told me two patients got denied crowns on the same day and we weren't going to get paid. I was in the process of negotiating with the help of PPO Profits but shifted on the spot and by lunchtime, I had told PPO Profits I want to terminate all plans and here's
November 10, 2025
Going Out of Network
Message Board
Views: 88 | Replies: 2
: 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
March 05, 2026
DSOs Dental Group Practice, Multi-location Dental Practices, and Dental Su
Message Board
Views: 237 | Replies: 10
Is there a difference in how shared networks are treated by insurance companies versus TPAs like Careington and Connection Dental? For example, if I have a direct contract with Guardian and it picks up Aetna and UHC, via a shared network, will it pick up Aetna Medicare, and more UHC policies than
August 15, 2025
PPOs and HMOs
Message Board
Views: 604 | Replies: 27
appointment time'. I thought I had heard it all. "Transportation expenses aren't something your insurance or our office covers!" Or even better Sandy: Transportation expenses is something that your insurance should cover, please call them and request the refund that they ow you directly from them. We
December 31, 2025
Patient Communication / Education
Message Board
Views: 196 | Replies: 12
Hello everyone, I am a recent dental school graduate from Ireland (only have accredited BDS) and am a Canadian citizen. However, I am wondering about my future as a dentist in Canada, as there are less and less patients, low increases in insurance payments and so on. I have started to look
February 05, 2026
Future Planning General Discussions
Message Board
Views: 161 | 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: 1105109 | Replies: 63426
$4500/month($2000 in property tax, $350 in prop insurance, $250 for HOA, $1000 for utility, $150 for pool maintenance, $310 for housekeeping etc) to live in it. - Health insurance for a family of 4:$2300/month. I will be 54 in November. It'll probably increase to around $4k/month when I turn 65
July 28, 2025
Retirement Planning
Message Board
Views: 2167 | Replies: 161
certainly accepted 100% of the risks for anything clinically, every day you practice. Let the DSO handle the insurance companies. I do that of course...doesn't change all the bs they pull all the time. Here is a good story for you... In the first one I worked for, American Dental Partners...(which
May 13, 2026
DSOs Dental Group Practice, Multi-location Dental Practices, and Dental Su
Message Board
Views: 2113 | Replies: 128
spoken to over the years who drive a $100,000+ Mercedes or Maserati but down a $150 course with our team. That's actually a pretty substantial front desk structure. It's interesting that three of those positions are tied up with insurance related work most of the day. I see that a lot in PPO-heavy
March 11, 2026
Ideas To Make Your Practice Grow
Message Board
Views: 1998 | Replies: 105
? It are you doing the dentist thing and not including doctor pay? Not meaning to sound snide. I just think it's weird how dentists are kind of the only businesses where they don't include paying their most expensive employee as overhead I don't do 100$ prophies. I don't accept crappy insurance that pays
March 29, 2026
Practice Management & Administrative Forum
Message Board
Views: 2187 | Replies: 98
? Do all off you feel better? Do all of you concur? Had any of you considered that what you see is whats ruining the profession but its not the profession itself? The symptom and not the cause? How about seeing this as a result of the insurance lobby infiltration into government, and DSO corporates
May 13, 2026
Ethics & Professional Conduct
Message Board
Views: 4823 | Replies: 112
on false positives and yes, that happens for a number of reasons, but models are continuing to improve and have proven to be more consistent than the human eye when incorporated in offices, and for the clinical claims review team for the insurance companies. We have to remember AI for radiograph
June 06, 2025
Restorative Dentistry
Message Board
Views: 3282 | Replies: 154
, if there is any semblence of cusp involvement it is a crown, not a composite. Do not waste time and torture patients doing dental heroics that will likely fail and will not last (and these lousy insurance companies don't compensate you for). Get good at your crown prep, do the same sequence each time so
November 04, 2025
Practice Management & Administrative Forum
Message Board
Views: 2802 | Replies: 108
patients with other better paying networks. I wouldn't drop the hammer to delta just yet. Too risky when you have it good now. U r completely fkd unless you are OON and just wanted to share... Mark you signed to be an exclusive delta provider correct? Meaning you can't take any other insurances
October 25, 2025
Going Out of Network
Message Board
Views: 1941 | Replies: 90
How does my daughter get back at her ex who cancelled her auto insurance during divorce w/o telling her and as well hacked in to her brokerage account? They are divorced recently Thru the courts, what does the divorce decree say about the insurance? How can he hack into her accounts? Didn't she
April 15, 2026
Personal Finance
Message Board
Views: 1377 | Replies: 26
, said Dr. Chelsea Fosse, senior health policy analyst at HPI. The next challenge to remain a competitive employer and recruiter will be to offer benefits like health insurance and paid leave, Fosse said during the webinar, which had about 400 attendees. Seventy-one percent of U.S. workers have health
August 11, 2025
Hygiene Discussions
Message Board
Views: 477 | Replies: 39
better than a fee for sterilization. Obviously neither fee is desirable, but a sterilization fee would highly increase chances that patients would be calling their insurance companies asking if a fee for sterilization is allowed. Whereas so many small businesses and restaurants around here have
October 22, 2025
Practice Management & Administrative Forum
Message Board
Views: 204179 | Replies: 100201
from what I can remember: No Pre-Existing Conditions allowed: you are either insured or not. Private Health Insurance COULD deny people who signed up without having existing health insurance. They could NOT deny people who were recently insured and wanting to switch plans/companies. If you lose your
November 03, 2025
Politics
Message Board
Views: 3153 | Replies: 161
are quite detailed. Really fun watching the office take shape. Signage goes up later this month. Back in December of last year we got started on insurance credentialing with Unlock the PPO. Nothing but good things to say. They've been comprehensive in the way that they've looked at the market here
October 07, 2025
Practice Start-Up
Message Board
Views: 310 | Replies: 17
. Then there is insurance verifier which is also a full time job depending on the number of patients you treat daily. Why? Insurance sometimes put verifying on hold for a very long time. When the FA is on the phone with insurance then it is not possible to take those incoming calls. Also when
September 15, 2025
Legal Issues
Message Board
Views: 869 | Replies: 22
me asking? Yes we are fee for service but follow the Provincial fee scale set by the New Brunswick Dental Society. Fees for 5 surface bonded composite restorations on anterior teeth cost right around $300 per and since I did 8 the fee was about $2400.00 for 4 hours of hard work!! Insurance covers 80
May 06, 2026
Cosmetic Dentistry
Message Board
Views: 388 | Replies: 11
and is totally independent of insurance participation. Over the years, my role has naturally evolved away from heavy clinical production and increasingly toward diagnosis, comprehensive treatment planning, patient communication, and case acceptance. At this point, those may actually be my strongest
May 15, 2026
Practice Sales
Message Board
Views: 340 | Replies: 10
the phone and call if they have a question and not make bad assumptions. Would love to hear about the labs you work with and contact information. Thanks in advanced! Can't help you with what lab to use, but with the ultra low insurance payment I go out of my way to not do them. No your denture looks
October 15, 2025
Removable Prosthodontics
Message Board
Views: 321 | Replies: 21
the transition. This is more important when buying a FFS practice than an insurance practice. Remember that patients are choosing to go to that FFS dentist for a reason and once he/she leaves, they take that opportunity to look around. Insurance practice is stickier. If I buy a mainly PPO office
February 01, 2026
Practice Sales
Message Board
Views: 171 | Replies: 14
aren't being processed through Connection (the UHC EOBs state that a non-existent UCCI agreement is being used, with no mention of Connection), and therefore it is a UHC problem. I'm tempted just to bill the patients for the difference between what the insurance paid and what they should have paid
April 21, 2026
Claims Processing
Displaying 601-650 of 2269
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Page 13 of 46
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May 2026
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