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Searching: insurance denials
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Page 19 of 46
Message Board (2268)
Message Board
Views: 324745 | Replies: 34382
insurance cost 2-3k a month with 30k deductibles while insurance companies make billions... IMO the solution is to have a true marketplace where health insurance is not offered through employment. The marketplace can't work if companies like Apple and Chevron have such economy of scale and the insurance
November 10, 2025
Personal Finance
Message Board
Views: 70128 | Replies: 5147
the free gravy train, on the backs of general dentists for a couple of decades. Kind of funny. If they would have been a little more sensitive to the plight of the little ole GP and taken action like you suggested, we may have gotten some leverage over insurance. Instead they let it get to this point
April 20, 2026
Academy of Dental Management Consultants
Message Board
Views: 771 | Replies: 39
, and clarify insurance policies, scheduling rules, and office procedures. Ideally, you should have these details documented anyway, not just for AI, but for training new employees as well. At $600 per month, Yobi integrates with your PMS, allowing the AI to suggest appointment slots. However, your schedule
July 14, 2025
Front Office Discussion
Message Board
Views: 2615 | Replies: 56
for MONTHS. If i got rid of our hygienists, i would be stuck in the hygiene chair all day every day doing these, or the patients would migrate to another office where they could get their cleanings sooner. Another question related to this. Is this model feasible on a majority PPO insurance? If youre
October 07, 2025
Practice Management & Administrative Forum
Message Board
Views: 96 | Replies: 6
like that. Nothing at all. Holidays pay is reserved for full time employees. if you gonna give her holiday pay might as well give her 401k and health insurance to
May 30, 2025
Practice Management & Administrative Forum
Message Board
Views: 93 | Replies: 5
What is it that you do everyday and absolutely not look forward to? From the RCM side - chasing down incomplete insurance verifications or fixing claims that got kicked back for missing DOBs or mismatched subscriber IDs. Its the same tedious stuff over and over, and it always shows up at the worst
June 20, 2025
Implantology
Message Board
Views: 192 | Replies: 7
insurances 90 days with a set date (or whatever your contract states). If you hear back from them, great. If you don't hear back from them, doesn't matter. You're now OON and can charge full fee. You informed them and it's their fault they didn't "process" it. Humana isn't the only one that does
November 06, 2025
Going Out of Network
Message Board
Views: 66 | Replies: 3
insurances and you won't have this problem anymore... To be booked out to not get new patients in quickly you must be doing 2.5+ million in collections or have a major scheduling issue that needs to be fixed asap. I get NP in same week (or even day if they request) and I'm not booked out at all
November 07, 2025
EagleSoft
Message Board
Views: 150 | Replies: 7
or what we collect. Example for crowns I'm getting paid $500, but the OON fee is $2200. I know the percentage is low, but overall better than what I would be getting paid for insurance crowns. you are getting paid 22%. Sad. Go buy a practice cut overhead to 50-60% and take home 880-1100 per crown
November 14, 2025
Associates Corner
Message Board
Views: 82 | Replies: 2
insurance? Yes. Your benefits remain active and unchanged. 4. Why didn't YOU notify me?' HIPAA requires Delta Dental to notify affected individuals directly. We aren't given the list of impacted patients. Thanks for sharing this ! Did they get their wrist slapped? Will the CEO lose his year end bonus? Asking for a friend.
December 02, 2025
Delta Dental
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: 1447 | Replies: 39
to the job? This sort of nonsense sounds deep, but is just nonsensical. A person who's job is to bill insurance is never going to feel connected to the job. They show up for a paycheck. The solution is not relying on low paid staff to make high volume low payment insurance viable. Rather don't
August 19, 2025
Legal Issues
Message Board
Views: 612 | Replies: 16
dermatologist. They charge $140 for an injection into each masseter. Insurance won't cover it, cash only. Seems to work about half the time, along with bruising. I know a dentist who has an RN doing esthetic stuff, the Botox is not the money maker, its facial peels, abdominal treatments for fat
September 02, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 515 | Replies: 5
offered to refund Hou's insurance company for the work, as long as she released all claims of liability against the dentist. Hou responded that she wanted $2,000 paid to her personally on top of $1,279 for the insurance money. She said if she wasn't paid she would start taking action, including posting
September 21, 2025
Legal Issues
Message Board
Views: 334 | Replies: 25
provides Floridians without insurance with important services. The dentists are all volunteers from the area, and the bus recently made stops in Okeechobee, Indiantown and Royal Palm Beach. A mobile dental bus, sponsored by the Florida Baptist Convention and staffed entirely by local volunteer dentists
June 16, 2025
Equipment
Message Board
Views: 625 | Replies: 15
that operates two primary businesses: UnitedHealthcare - provides health insurance plans to individuals, employers, and Medicare/Medicaid enrollees. Optum - delivers healthcare services, data analytics, pharmacy benefits management, and care delivery through clinics and physicians. So, UnitedHealthcare
February 11, 2026
PPOs and HMOs
Message Board
Views: 402 | Replies: 18
for the practice. Would love to hire a new person but I can't until she is gone. Ive gotten occasional complaint from patients about her work as well. About forgetting to return call/text or not verifying insurance properly. She has given me too may reasons at this point. How do I navigate this ? I haven't fired
March 03, 2026
Staff Management Issues
Message Board
Views: 39 | Replies: 0
well. The only thing it cannot do is distribute profits to owners as dividends. The money does not disappear. It stays inside the system. Now bring that into dentistry. Delta Dental did not start as a giant insurance machine. It started as a public health workaround. Dentists in the 1950s were
April 08, 2026
Delta Dental
Message Board
Views: 1724 | Replies: 214
viral pandemic and the political center-stage accorded to healthcare delivery and access. As a physician and informatician, having worked in healthcare for more than two decades and served as Vice President and Chief Analytics Officer in health insurance and health information technology firms, I
August 31, 2025
Books & Periodicals
Message Board
Views: 204208 | Replies: 100211
, such as Mississippi. The biggest change to social policy, though, is in health insurance. Through a mixture of tax changes and cuts to Medicaid, health insurance for the poor, the number of Americans without health insurance will rise. The Congressional Budget Office estimates that the House bill would
July 02, 2025
Politics
Message Board
Views: 810 | Replies: 44
the insurance and verifying who will pay if insurance doesn't cover. dont even respond until they show up for an appointment. Then have them fill out the required paperwork, and explain it is required by law. Obviously if they refuse...send them elsewhere. side note...what a freaking douche bag. gross over
February 12, 2026
Patient Communication / Education
Message Board
Views: 324745 | Replies: 34382
to the Persian Gulf can be seen turning around or anchoring near the approaches to the Strait of Hormuz waiting for a safe opportunity to enter or exit the Gulf,' Mr Douglas said. He said the reduction in traffic would also cause freight costs and war-risk insurance premiums to surge, as well
March 05, 2026
Personal Finance
Message Board
Views: 1141 | Replies: 91
. OR Just write a check for about $2500, get a signed release and be done, but have to live with the fact that I backed down to this slimy car sales person who kept moving the goalposts. Malpractice insurance broker laughed and said there's people out there like this and just do whatever I like. Thanks
April 27, 2026
Ethical Issues
Message Board
Views: 2205 | Replies: 80
. A part of me thinks I'm crazy for not wanting to build an office, that I'll lose out on money on the real estate, that my practice will be hard to sell as a 3 day a week, 3 op office with no insurance and a 50% profit margin...but these people these days...if it isn't insurance heavy with a huge overhead
June 21, 2025
Ask a Dental Consultant
Message Board
Views: 1120 | Replies: 40
is this patient? I don't have photos, but #18 and 19 occlusal surfaces are worn flat just like the x rays show, like a bruxer's teeth. It's possible she is a bruxer and the opposing Zr crowns just make the wearing worse. These are her x rays, pt doesn't have insurance, therefore no FMX
August 19, 2025
Restorative Dentistry
Message Board
Views: 1522 | Replies: 75
of clinical work? Is that worth 350+ and 8+ years educational investment? Cheers! This is like the message board version of calling an insurance company. The customer service rep who holds all the info you need hostage on their computer is someone in the Philippines or India. They repeat every single one
June 27, 2025
Public Health Dentistry
Message Board
Views: 1199 | Replies: 64
this. I have been told that I am facing collusion accusations when I suggest this. Really. Insurance companies have been getting away with this forever and we just sit back and take it. Maybe if they paid us a fair amount for good ethical dentistry they may actually save money by not having unethical
November 25, 2025
Ethical Issues
Message Board
Views: 2267 | Replies: 67
it.' The Bottom Line There's no one-size-fits-all answer. A three-day schedule can be the best move you'll ever make, or it can leave you more exhausted if you cram too much in. It depends on your production model, your staff situation, your insurance mix, and what you value most outside the office
October 14, 2025
Staff Management Issues
Message Board
Views: 229 | Replies: 3
. Id love to hear your success stories of a robust and reliable experience. Thanks! Unfortunately we are having issues with Weave too. For some reason our Eaglesoft insurance info is being changed on some patients to Disney delta. Eaglesoft is blaming Weave and informing us we might have gotten
August 19, 2025
Practice Management & Administrative Forum
Message Board
Views: 63 | Replies: 2
We have been using CODE (Cross Over Dental Enterprise) for several years to bill medical insurance. We got a very generic, not very detailed call this week from a representative of the company stating they are changing over their software and we needed to schedule an online training session to get
August 20, 2025
Claims Processing
Message Board
Views: 17 | Replies: 0
Cigna announced that beginning in 2027 it will end the use of drug-manufacturer rebates in many of its commercial health insurance plans. The rebates, typically paid by drugmakers to pharmacy-benefit managers (PBMs) after a prescription is filled, in exchange for preferential formulary placement
October 28, 2025
Medical / Health Insurance
Message Board
Views: 32 | Replies: 0
-like cells were shown to generate electrical activity, a critical property for repairing brain circuits. Around 10 million wisdom teeth are removed annually in the U.S., often tossed as waste. Instead, these could be banked on dry ice and stored long-term, offering personalized biological insurance
June 30, 2025
Spain
Message Board
Views: 12 | Replies: 0
2 to 21, regardless of insurance status. Scheduled appointment slots were required and could be made by calling8007872568. Participants also received backpacks filled with school supplies, with select locations offering eye exams in addition to dental screenings. Its goal is to ensure
July 17, 2025
Charitable Dentistry
Message Board
Views: 208 | Replies: 8
malpractice insurance sooner rather than later. Kidding! This looks great and will not be a problem. I agree with swmodent that you probably are not in the sinus. And even if you were, I would not sweat it. Good looking endo. No issues here. You might worry about something like this You don't like
February 25, 2026
Endodontics
Message Board
Views: 376 | Replies: 6
OHI...then two options: 1) new crown cash, or 2) wait til insurance covers it. If the questionable area is small, you could always put a watch on it and take care of it later. I took over a practice where there's obvious questionable areas/decay and been watched for years without changes. Just
March 24, 2026
Fixed Prosthodontics
Message Board
Views: 201 | Replies: 9
to recommend the best/lowest cost solution rather than take you over to their overpriced retirement plan department, or worse, set up a plan that's inappropriate for you (which happens all the time with NW Mutual and others). Northwestern mutual blows. Full of bloated insurance products
September 09, 2025
Personal Finance
Message Board
Views: 369 | Replies: 15
seized Just another week in paradise Dr Munk, My list is not as long as yours but: a) Water heater burst that was on the back up Server/ CBCT viewing computer in my room. Lost Loupes battery, desk, a bunch of stuff. Insurance not paying for a few things because they tell me I should have done routine
June 26, 2025
Equipment
Message Board
Views: 785 | Replies: 19
verification? Are there ins companies that Flex cannot verify? thanks I am a Practice by Numbers user and we love it. We just started with their verification service. So far its working very seamlessly. Soon it will automatically populate the insurance module. Right now, it just puts an easy to read PDF
June 18, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 656 | Replies: 22
renowned company for outsourcing Insurance verifications but customer support was terrible. Out of the other options QPS was by far the most affordable so I decided to try them out. After two years I can confidently say I love their services. They handle all my Insurance verifications and billing now too
July 17, 2025
Pediatric Dentistry
Message Board
Views: 445 | Replies: 13
is no different from regular dentistry, subject to licensure, zoning etc. If it is set up by someone who is legit, there shouldn't be a problem. Someone who is legit will have a plan for dealing with all the licensing, insurance, and OSHA requirements. Those would be really good questions to ask them before
December 17, 2025
Ethical Issues
Message Board
Views: 204 | Replies: 12
. then in 2025....paying like 77$. I was pretty confused when I started getting the EOB's in 2025 showing the low ass payments. Yes, this is terrible and disappointing for everyone involved (except insurance execs and investors I'm guessing). The thing which is even crazier to me is the Waiver of Liability (WOL
November 26, 2025
Hygiene Discussions
Message Board
Views: 90 | Replies: 7
: Insurance confusion Hidden fees Payment anxiety 'Is this going to explode into $5,000?' 3. Time Objections: 'How long will this take?' 'Will I need multiple visits?' 'Is this worth rearranging my schedule?' 4. Trust Objections: 'Are they competent?' 'Will I be rushed?' 'Is this corporate
March 08, 2026
Building Your Website
Message Board
Views: 132 | Replies: 14
of all vendors like security, marketing and website, IT, pest control, yard maintenance, dumpster, telephone, med gas, internet.....anything with a regular charge to your account. Keep a list of account #s and phone #s. Contact your insurance providers, content, building, malpractice. Ask about a tail
May 16, 2026
Practice Sales
Message Board
Views: 1219 | Replies: 50
insurances ( I am in Network with Delta) is that patients usually stay if they have no copays for preventive. But the minute they need a crown or fills they jump bail... Let them leave. You have an advantage if you're truly the only private practice in your area. Some will leave and bounce right
June 04, 2025
Delta Dental
Message Board
Views: 565 | Replies: 35
and hopefully you wont need it all after paying taxes. Put 2 piles aside for rent or house payments and all related expenses like utilities, insurance, etc. If you pay more than 20% for housing MOVE. Easy way to save money is live with family, share an apartment. 2 piles for food, gas, car, telephone
September 02, 2025
Leisure
Message Board
Views: 70128 | Replies: 5147
than a lone office. It's also more convenient for the insurance company to negotiate one time with a DSO with 50 offices vs 50 times with individual offices. If a DSO were to go OON for a particular insurance(say DD) in an area they dominate the market, most employers would look elsewhere
August 28, 2025
Academy of Dental Management Consultants
Message Board
Views: 1684 | Replies: 78
I see no reason to not take FMX at least according to the insurance guidelines 3-5 years and 3 years without insurance. It's the only tool other than our eyeballs to allow us to diagnose and practice our craft. 7 years? Even if you miss a carious exposure or bone loss on one patient that is too
July 17, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 681 | Replies: 25
patient count on a weekly/monthly basis to ensure your active patient base is growing to accommodate 2 full time hygiene. Marketing Ideas: 1. Go in-network with more insurances (not my favorite option) 2. Increase external marketing External marketing includes Google Ads, SEO, etc. You can also do new
October 31, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 324745 | Replies: 34382
are significantly more charitable than liberals " Lovely. insurance salesman maybe? All the ones I know play golf 5-6 days a week. Members of nice country clubs. Well, good luck. Let is know when you have ascended to the heights of a 250k Edward Jones portfolio salesman. You scoff. I know a guy who works
November 01, 2025
Personal Finance
Message Board
Views: 571 | Replies: 14
, train them on verbage and get their buy in. Keep training on patient focused language. Support your FD. 3. Inform your patients in person months in advance- keep it simple. Not on why you hate XYZ insurance- keep language patient focused. 4. Send the termination letter to insurance. 5. Evaulate
September 18, 2025
Delta Dental
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