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Searching: insurance denials
Results: 2,267
Displaying 751-800 of 2267
Page 16 of 46
Message Board
Views: 7018 | Replies: 268
years after my start up . For several years I was getting 150-180 NP per month. Someone talked me into taking every insurance under the sun + Medicaid + worse insurances like Tx Chip. I was working 6 days/ week to pay off student loans and new house and 500K practice loan. 5 years into my career, I
June 25, 2025
Mental Health, Well-Being, and Stress Management
Message Board
Views: 218 | Replies: 9
of around 10k or so. We are both solo providers and the town is growing around 8-9 percent per year currently. 13 ops wow. Ok is there any room to squeeze out of your current space to get in another op? Is there room to expand? Is this a condo, house, stand alone building? Do you take any insurance
June 19, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 730 | Replies: 18
. If they don't fill out the forms they're not coming. If they claim to have insurance but don't give you the insurance info the 24 hours before they're not coming either or we take them off the schedule. A patient that has insurance has in their mind that they don't have to pay. Most 3rd party communication
August 12, 2025
Patient Communication / Education
Message Board
Views: 44 | Replies: 1
Hello. I'm currently not credentialed with any insurance however I'm planning on buying an office where I would need to credential. Would I be able to negotiate a better fee schedule if I go into the new office credentialing for the first time? Should I credential myself in my associateship first
September 16, 2025
Claims Processing
Message Board
Views: 43 | Replies: 2
Within Dentrix I would like to learn more about how how to use the coverage tables and insurance payment amounts and actually set them up to be accurate. How can i learn about these features? My ultimate goal is to be able to use dentrix treatment plan estimator for larger treatment plans
January 16, 2026
Dental Insurance for Dentists
Message Board
Views: 62 | Replies: 3
. Recare's a waste. I schedule a massage almost every 3 to 4 weeks. If I don't show up, they do not care. They charge my credit card for the 1 1/2 hours whether I show up or not. This is common in other industries. The problem is INsurance.
November 22, 2025
Hygiene Discussions
Message Board
Views: 86 | Replies: 2
Got this letter today Hey Neyb, Are you sure this isn't just network switching? It's a thing where insurance companies will have coverage through other companies...often without telling providers. It's been going on since before 2020 I received a similar letter for BCBS of Tennessee. I called
December 03, 2025
PPOs and HMOs
Message Board
Views: 2442 | Replies: 116
be the bigger issue IMHO. My experience is that FFS practices are more susceptible to patient leakage than PPO practices. The primary driver is that many (most?) patients have some form of dental insurance. When they learn their provider is changing, this tends to prompt the consumer to investigate
November 15, 2025
Practice Acquisitions
Message Board
Views: 70126 | Replies: 5147
reimbursement from Insurance carriers. Is that true? Seems to be unfair. Maybe illegal. Does Most Favorite Nations ACT apply to these situations? Covid shook up a lot of dentists and became a boon for the DSOs.... One can only hope Nate is correct.... PE destroyed medicine and will do the same
November 17, 2025
Academy of Dental Management Consultants
Message Board
Views: 232 | Replies: 6
Sounds like Dental Insurances colluded and somehow put pressure on Careington. Where did this info come from? Call the company and ask for a fee increase and listen to their response see how they will negotiate with DSO's.....The solo practice is dying a slow death . Send an email
July 29, 2025
Billing
Message Board
Views: 55 | Replies: 2
the definition of a POE changed? This is the first time I've seen this. Are you all aware of it? This is a downgrade, the same as composite -> Amalgam, or bridge -> Partial. Insurance paid a portion of your comp exam, and the patient needs to pay the difference. Have you called them and asked about it? I see all kind of crazy stuff in EOBs. They make mistakes too
January 21, 2026
Claims Processing
Message Board
Views: 319 | Replies: 10
by a better paying third party. For the most part this strategy has worked out, but I can't help but think this may work against me down the road if these insurance companies continue to collude. I envision getting cornered by them, which might leave them holding all of the cards eventually. I haven't
August 12, 2025
PPOs and HMOs
Message Board
Views: 221 | Replies: 11
board wont be a problem they will subsidize it and contract them for 10 years...what's comfortable these days 200K / year 3 week PTO holidays paid medical insurance 401K for a 40 hour week. No equity build No autonomy Less stress I suppose like a worker have to be less than a kaiser
July 24, 2025
Delta Dental
Message Board
Views: 272 | Replies: 6
I am looking for a marketing company that will help transition from PPO to private pay- no insurance office. Can anyone recommend a marketing agency that they have used and have been successful. We are still doing internal marketing but feel that once we start dropping these insurance companies
June 26, 2025
Pediatric Dentistry
Message Board
Views: 132 | Replies: 10
like your ex had the right idea. I'm sure you hate to hear that lol I want to know: what needs to be done, how many visits, cost. That's what we tell them. Anything over $1k gets a pre-d, if there is insurance. It's not rocket science. We do a combination of the types. It depends on the patient
March 26, 2026
Case Presentation
Message Board
Views: 4347 | Replies: 228
system, hindering the ability to monitor and address oral health issues effectively. Access to Care:High poverty rates and lack of dental insurance contribute to limited access to oral health services, especially for vulnerable populations. Impact of Natural Disasters:Hurricanes Irma and Maria
June 12, 2025
Hygiene Discussions
Message Board
Views: 19 | Replies: 0
What is the quality of STI implants vs Biomet? Referred pt to oral surgeon for extraction and implant #10. He went to an implant type practice for insurance reasons. They want to extract and place implant same day despite them saying that the pt has an abscess associated with the tooth. Dentist
August 07, 2025
Implantology
Message Board
Views: 65 | Replies: 2
I am considering submitting claims directly to insurance companies. I am a very small, slow paced, OON office and have maybe 8-12 claims a day. I saw on the Metlife website claims can be submitted directly thru Claim Connect Online Claim Services. Does anyone know if there are any fees associated
January 09, 2026
Claims Processing
Message Board
Views: 64 | Replies: 1
Has anyone had/have experience with Unitas PPO for fee negotiations? Sponsored by H. Schein. Have used them twice over the last 5 years. I would say they are okay... I feel if you have contact w/ a insurance rep you might be able to do better then using them... But in general, they give you
January 19, 2026
Practice Management & Administrative Forum
Message Board
Views: 755 | Replies: 32
For many years we took Texas Chip ( insurance worse then medicaid) and Medicaid. We treated all patients the same. As years went by and the fees remained stagnant while operating costs increased and patient benefits decreased we were forced to make some changes. We dropped Tx Chip. I continued
July 22, 2025
Practice Management & Administrative Forum
Message Board
Views: 447 | Replies: 12
? As opposed to sucking constantly? ? Leonardo approves. Can you please provide some context :) Yeah, on issues that should have been addressed about 20 years ago with the insurance companies Posted at the same time as you, just guessing based on the recent self-promotional headlines I've seen
October 16, 2025
American Dental Association
Message Board
Views: 64 | Replies: 3
usage. Does anyone have input on this? Thanks! I am not in Alabama, but for me BCBS AL claims process via Connection Dental. It can also go through UC Advantage Plus, but we dropped that and moved up to UC Elite Plus. Don't know but BCBS Al is one of the worst insurances out there. It's comparable to medicaid. I am OON with them.
November 03, 2025
PPOs and HMOs
Message Board
Views: 85 | Replies: 2
or immediate dentures (not separate charge) for 6 months. Interims you can consider them separate if you make that for all patients (cannot discriminate insurance vs cash patients). The other thing to learn is how to avoid the multiple adjustments. In the last 15 years I cannot think of a patient we have had to do an adjustment more than twice for a case.
December 10, 2025
Delta Dental
Message Board
Views: 63 | Replies: 2
Every DSO I interviewed with offers malpractice and portray as an incentive work there. But if the DSO is paying the malpractice insurance carrier then the carrier will serve the interests of the DSO and not the dentist. If the DSO thinks that a case might be too expensive, then they will settle
September 23, 2025
Malpractice Insurance
Message Board
Views: 15 | Replies: 1
Does anyone know of someone (Dentrix experienced), I can hire to log in remotely and show my front desk or me how to enter insurance checks, Pre D, EOBs I was hoping to find someone maybe for 1-3 hours at a time to help me get my front office system in a better place. Does anyone know of a current
December 09, 2025
Dentrix
Message Board
Views: 47 | Replies: 2
of not getting paid and INSURANCE is never gonna cover tissue conditioning. it seems like you never get reimbursed for this service I charge $150 for it, patient pays. I have several patients that for whatever reason love it and we change it out once a year. if its after an immediate i do it twice for free but after that we just charge the patient
May 12, 2026
Removable Prosthodontics
Message Board
Views: 324720 | Replies: 34376
"Florida man"? It is true. I would never rec someone buy a vacation home in Florida. Sea levels are rising, and home insurance is also getting ridiculous down there (almost on the brink of collapse). COL is going up there as well. Florida is a leader in nothing (unlike NY, TX, CA) except for useless
December 28, 2025
Personal Finance
Message Board
Views: 768 | Replies: 30
elsewhere. -I am in network with 4 plans, no PPOs. I charged him for a comp exam last year, so I would have had to write off another comp exam. Insurance pays like 45 bucks for an emergency exam/palliative treatment. (In the past year 2 perios in my area went OON, so I am very busy.) -Mutha told me
December 15, 2025
GP / Specialist Communication
Message Board
Views: 324720 | Replies: 34376
know vs what I do know. I don't mind working in rural areas at all. Kind of prefer it. I just want to make sure that the town is able to support a dental office. Ideally a FFS because I don't like working with people that I know are trying to screw me over (insurance companies) LOL But stick
April 15, 2026
Personal Finance
Message Board
Views: 87 | Replies: 0
I have a fron desk employee that will be leaving at the end of the year. I've been looking into companies that use AI for insurance verification, claims processing, and billing. Essentially I'm trying to replace this employee's duties with AI because it's a tough job market right now, and bringing
September 29, 2025
Front Office Discussion
Message Board
Views: 58 | Replies: 2
Very tired of deleting 1-5 voicemails a day from robocallers asking about my student loan (don't have one), health insurance, or some other junk call. I am on the national do not call registry. Recently switched providers and have NOT setup voicemail and I don't know if I'm going to. It's nice
September 15, 2025
Dental "Pearls"
Message Board
Views: 130 | Replies: 4
and saturdays It'll work better than Monday to Thursday family practice with prophys and patients who just want their insurance benefits nothing more. That's for sure. I imagine theyll have difficulty finding employees. Sadly, dentist will probably be the easiest position to fill. I thinkin' a gittin' a license and helpin' 'em out occasionally! Nah . . . to much trouble.
August 17, 2025
DSOs Dental Group Practice, Multi-location Dental Practices, and Dental Su
Message Board
Views: 3 | Replies: 0
coordinatorthat helps patientsbetween visits explaining their treatment, insurance, and financing in a way that actually gets them to say yes. Were seeingover 30% increases in treatment acceptance and completionin our first offices and now were opening up10 early user spotsfor dentists who want to try it first. If youre interested, drop a comment or DM me! Early users getdiscounted pricingand full access to all future features and wed love your input as we grow.
July 02, 2025
Artificial Intelligence
Message Board
Views: 182 | Replies: 2
Has anyone had good or bad things to say? I havent seen much on DT, but have heard that it is basically as revolutionizing as Breakaway. Basically I have a few class mates that do it, they show you how to LEGALLY unbundle everything. I dont feel inclined to do this but insurances are crooks
August 06, 2025
CE Comments / Suggestions / Events
Message Board
Views: 83 | Replies: 1
of their umbrella insurance providers and just keep the single provider I want? You can opt out of a good number of companies/groups under the Connection Dental network, but you can't opt out of everything except one company (unless that one company is GEHA). You would need to send them an opt out requesting to opt you out of those companies. Many of the companies/groups under their network are optional but not all of them are.
December 11, 2025
Going Out of Network
Message Board
Views: 103 | Replies: 4
/6192 (Locator abutment and attachment) Do you work with ppo? How does re-imbursement work with these codes? Or does patient pay all out of pocket? Some plans have a fee associated with the code. If they don't, you charge whatever you want for that code. Im more asking if anyone has had a history using these different codes for ppo insurances. If they have, id like to know if they have found decent reimbursment with these codes vs other codes.
April 15, 2026
Removable Prosthodontics
Message Board
Views: 70126 | Replies: 5147
(it wasn't me, ie Mich Blue). And using terms like grift and slimy invite similar cliches or phrases to be used in response. It is the complete disregard for any benefits and strict denial that any exist that greatly reduce your effectiveness in these conversations. So I'll try answer your questions again
July 16, 2025
Academy of Dental Management Consultants
Message Board
Views: 174 | Replies: 4
umbrella 3) Opt out of Connection or Aetna for those insurances with lower fee schedule Thanks! Aetna, in my area, has pulled a lot of shit over the past few years. If you arent desperate, dont do it. They would randomly terminate our contract when through connection or sunlife or whatever third party
September 23, 2025
PPOs and HMOs
Message Board
Views: 297 | Replies: 11
for CO. Insurance may also change. Talk with your insurance agent. Get a good CPA for the tax questions. I think they don't want to actually live there. Lots of larger cities have dual use areas, business downstairs and residence upstairs. Most of those actually live there. It is common in areas
June 26, 2025
Taxes
Message Board
Views: 146 | Replies: 6
area, BCBS. Practice nets about 43% but used to be around 50%. Labor costs and huge health insurance bill for key staff member, for sure, but other costs such as merchant fees, supplies, computer services, are rising. I get the feeling that the difference between private practice ownership
February 06, 2026
Practice Acquisitions
Message Board
Views: 1355 | Replies: 24
remember some folks mentioning this is like SDF, but non-staining. Do you have any experience with curodont/is it legit? It's FDA approved to reverse caries. Insurance companies are reimbursing - some Is the fee higher then the cost to purchase the product? I've seen it priced between $140- $175 per
November 30, 2025
Pediatric Dentistry
Message Board
Views: 86 | Replies: 4
, the convention calls for a gradual phase-down of dental amalgam rather than an immediate global ban. It encourages preventive care, research into alternatives, insurance policies that favor mercury-free materials, and best practices for handling and disposal. In 2022, parties agreed to strengthen
February 16, 2026
Mercury Toxicity
Message Board
Views: 245 | Replies: 12
was able to look up the history of what they billed the insurance (they are in network with delta and our website for colorado lets you see the history). They did a prophy. I know a lot of guys are less aggressive with perio treatment....but this is pretty clearly perio patient. When I told him he
March 25, 2026
Implantology
Message Board
Views: 384 | Replies: 22
to be scaled. I'd also venture to guess 99.9% of them are being billed out as prophies, across the country, across all insurances. This is Delta's defition fwiw: Delta Dental defines dental prophylaxis, specifically code D1120, asa child prophylaxis procedure.It involves the removal of plaque
August 26, 2025
Pediatric Dentistry
Message Board
Views: 344 | Replies: 17
or is that what you advertise? I really enjoy exts but the more I understand insurances/liability I question the risk/reward. Thank you I hear you. I have a special relationship with my patient that is unique in this new world. Many have been supporting my family for over 20 years. When I can save a ton of money
January 07, 2026
PPOs and HMOs
Message Board
Views: 796 | Replies: 20
i'm wondering how many staff i need to run an office like this? granted not every day is full busy like this. (we are delta premier only. although I'm planning to take 2-3 more insurances). rightnow we have 1 DA, 1 RDH, 1 front.. I do really want to get someone floater, however . some days are only
January 26, 2026
Practice Management & Administrative Forum
Message Board
Views: 20 | Replies: 2
.' Serving Dental Teams and Patients with Heart Dentistry Support is recognized as the number one remote provider for: Dental billing and virtual dental billing services Insurance eligibility and verification services Dental phone support and virtual dental front office services Virtual dental team
January 29, 2026
Dentistry In The News
Message Board
Views: 1073 | Replies: 30
for d1110 (prophy) $85 Agreed but just for your future knowledge, most if not all insurance companies will not provide an OON fee schedule. You have to compile it yourself. The distinction with Delta as compared to others is that they will assign AOB to patients. Other companies will allow you to accept
February 01, 2026
Going Out of Network
Message Board
Views: 497 | Replies: 14
, only employees are allowed in work areas. Blame it on our litigious society and your insurance carrier. "I know you love meeting your wife here every morning. Our insurance company requires we limit access to the work areas to employees only. We would ask you meet your wife outside of the office so
March 18, 2026
Staff Management Issues
Message Board
Views: 51 | Replies: 1
Dentistry loves simple rules. Prep the tooth, take the impression, cement the crown, pray the insurance company does not suddenly discover a new exclusion written in invisible ink. Liability is not that simple. One of the most misunderstood ideas in dental practice is the belief that supervision
April 29, 2026
Hygiene Discussions
Displaying 751-800 of 2267
Page 16 of 46
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