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Searching: insurance denials
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Page 27 of 46
Message Board
Views: 204244 | Replies: 100218
. Not to worry...........I'm sure Elon is just bullshitting If they are losing insurance, part of it is because Im rolling the dice starting next year and going without medical insurance. Im just short of $3K a month for SHIT coverage. My deductible is just over $19K IN network and $55K OUT of network. Ive
June 30, 2025
Politics
Message Board
Views: 139 | Replies: 14
sitting there waiting to be collected. If you are submitting to insurances and you are not getting paid, consider hiring a company to help you. In my experience, they pay for themselves, plus more in my pocket. If you have someone at front desk now that needs training, ask your Patterson Rep for a good
June 19, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 204244 | Replies: 100218
are approaching a point where it is more beneficial to freeload off the government than to make a lower/middle class income. Freeloading= free food, phone, healthcare, etc. OR you can grind it out working your ass off, pay a ton for health insurance (to subsidize others), then pay another ton for the actual cost
July 08, 2025
Politics
Message Board
Views: 2263 | Replies: 35
a proper and retentive crown prep. The number of bad preps I see only reaffirm my belief that dentists aren't being taught properly in dental school. I do not think I'd receive payment from insurance for this if that matters at all to you or the patient ML and distal cracks, buccal cusps starting to show crack. I would pre-D it, but I am betting insurance OK's it.
July 09, 2025
Restorative Dentistry
Message Board
Views: 2031 | Replies: 72
fee schedules. call plans to see umbrellas, put it on an excel sheet. Compare contrast, drop and opt out as needed. 6-12 months later follow up with insurance to see fee increases and or new umbrellas for higher pay Just got a Christmas card from one of the labs I sometimes use. It said Merry
December 30, 2025
Billing
Message Board
Views: 204244 | Replies: 100218
Hybrid working out? I'm thinking about buying one for myself when my youngest starts driving. About 18 months from now. Since he's aging out of our plan and the November 1st open enrollment was upon us, kid #1 sought out his own health insurance on Saturday. Direct with Kaiser (not through an exchange
November 03, 2025
Politics
Message Board
Views: 574 | Replies: 23
) at doing. Get in-network with every other insurance through the umbrellas with higher fees. Load your office with non-Delta patients, Drop Delta first, then slowly opt out of the rest as desired. Too many offices try to drop Delta last, and end up with a significant portion of their patient pool being
February 09, 2026
Delta Dental
Message Board
Views: 43 | Replies: 0
, treatment plans, intraoral photos, CBCT scans, email threads, text messages with staff, insurance narratives, and patient communication logs can all come under a microscope if a case goes sideways. AI did not create that reality. It just gave us one more place to say something careless. That is the first
March 24, 2026
Artificial Intelligence
Message Board
Views: 204244 | Replies: 100218
. Who knows why? No big deal , I just took a beta blocker. It disqualified me from disabillty insurance and I have never paid a cent to any disability insurance company. Now im 62. No disability. I won that argument. No disability check for me. We're much better conversationalists than stoned hikers
April 27, 2026
Politics
Message Board
Views: 314 | Replies: 37
has not come yet. lol. But dentistry is stuck in an Insurance crisis and a hygienist shortage. A double barrel barrage of crap is going after our budget dollars. Not everyone will be able to pay 1000 a month to their IT guy. And I hope it never does. I look at backup like car insurance: you may
March 25, 2026
Cybersecurity
Message Board
Views: 481 | Replies: 29
, or insurance change inside their company. If the patient leaves your practice another DDS looks at these and has a huge amount of bills to be paid- the patient may be having some of his treatment choices based on that being a primary motivation of the dentist. I hope the above statement did not trigger
May 19, 2026
Restorative Dentistry
Message Board
Views: 70132 | Replies: 5147
... Ownership tasks are taken care of by our staff... We focus ondentistryand only make the big decisions together for the practice... The contract is not terribly long but covers all the bases... We each have to maintain a 1M life insurance policy for example, to pay the family of the deceased partner
May 30, 2025
Academy of Dental Management Consultants
Message Board
Views: 4198 | Replies: 233
prophy, SRP, fluoride, sealants, bleaching, rinse, etc. Hyg comp = $110k Associate paid 28% of collections of exams, xrays, clinical production. No daily guarantee. Minus lab fees, insurance adjustments, write-offs. No participation in office bonus structure. Associate comp = $250k Owner keeps
August 20, 2025
Staff Management Issues
Message Board
Views: 2197 | Replies: 165
getting off topic now, but it's these nuances to one's business which exacerbate the hygiene shortage/climate. Of the parties involved here(docs, staff, patients, employers, insurance companies) it seems like it's the docs that are getting pinched the most. This has to be driving a lot
June 23, 2025
Hygiene Discussions
Message Board
Views: 927 | Replies: 30
especially because I did not find a job I really liked(I was naive and did not realize what real life dentistry was and thought most dentist are doing a bad job) I TOOK THE DARN LEAP bought all the equipment and started an office from scratch with 0 patients, not in network with any insurances. The office
January 04, 2026
Just Plain Bitching and Moaning
Message Board
Views: 453 | Replies: 51
) are actually not real FFS patients. They are hoping their insurance pays enough for them to say yes. Insurance has trained the masses! We spend hardly anything outside supporting local stuff that is inexpensive. But we are in a small market (granted growing). This isn't what we're seeing and we work
February 09, 2026
Marketing
Message Board
Views: 70132 | Replies: 5147
and/or based on the patient's insurance status - e.g. true FFS or PPO. All else being equal, dentistry remains an amazing career opportunity. Just look at the chaos that other healthcare fields are facing right now from the pressure on CMS funding alone. I'm grateful that the industry is as healthy
July 14, 2025
Academy of Dental Management Consultants
Message Board
Views: 405 | Replies: 12
be done if needed, and remaking is a last-resort option. Despite this, the patient requested printed models and is considering a second opinion. Should I contact malpractice insurance? How do you usually explain/handle situations when a bridge ends up 1-2 mm bulkier bucco-lingually due to ridge
September 24, 2025
Fixed Prosthodontics
Message Board
Views: 360 | Replies: 15
the occlusion out of the equation. How would you restore this with composite? Do you have a thread that shows this kind of situation. I have pts like this from time to time and I'm not sure how much to prep before restoring. Doc Terry showed us a ton of similar cases. Search his posts? No insurance
October 02, 2025
Cosmetic Dentistry
Message Board
Views: 23 | Replies: 0
growth. Letran recounts lawsuits, construction projects, acquisitions, and even a lawsuit against an insurance company that dragged on for years. Through it all, she kept learning, pivoting, and expanding her identity beyond dentistry into writing, speaking, film production, and philanthropy. Her
October 17, 2025
Practice Management & Administrative Forum
Message Board
Views: 13 | Replies: 0
growth. Letran recounts lawsuits, construction projects, acquisitions, and even a lawsuit against an insurance company that dragged on for years. Through it all, she kept learning, pivoting, and expanding her identity beyond dentistry into writing, speaking, film production, and philanthropy. Her
October 17, 2025
Announcements
Message Board
Views: 160 | Replies: 11
any questions. Ive never had more than one assistant and we run on time, collect 1 mil$, and staff have been happy. I have had one hygienist ask before about another assistant and I said no. Makes no sense. they dropped it and that was that Ya I am in network with all the major insurances
June 20, 2025
Hygiene Discussions
Message Board
Views: 142 | Replies: 8
out there is likely nothing but PR downside to fighting it. Said differently, relatively inexpensive insurance to simply not fight it. In most states Unemp benefits get charged to the employer(s) the trailing last 12 months. So that means that most charges will go against the former employer
August 07, 2025
Practice Acquisitions
Message Board
Views: 157 | Replies: 6
was 5-15% on all procedures. This could be a massive hit if we have to pay it all back. Can they do this?? Network "specialist" for Aetna is useless. Well, at least first you can potentially set a maximum time they can go back. Each state has laws on how far back insurance can go for any recoupment
December 18, 2025
Claims Processing
Message Board
Views: 249 | Replies: 14
and to accept patients covered by MaineCare. One major point of consensus was that MaineCare reimbursement rates are too low, for some services, dentists are paid only about half of what private insurance would pay. This, combined with high overhead and student-loan burdens, makes it financially
November 06, 2025
Medicaid and Welfare Issues
Message Board
Views: 1240 | Replies: 23
not consider themselves "artistic" can do these if they follow very simple repeatable protocols. Each tooth takes about 45min to an hour. Prices can vary depending on patient insurance, but are around $700-900 per tooth. Artie I love to do cases like this. Frustratingly my patient base has terrible
January 28, 2026
Cosmetic Dentistry
Message Board
Views: 324 | Replies: 14
everything I could hope a dental software could be. We use Rectangle Health for credit cards, great integration with OD and very good credit card merchant fee rates. We use CareCredit's Integration as well. We moved over to using DentalXChange for our insurance Clearinghouse and eligibility at the same time
September 30, 2025
Practice Management & Administrative Forum
Message Board
Views: 235 | Replies: 10
to start with. /*170 Active (by patient status) patients who have the specified insurance carrier*/ SET @Carriers ='%%'; /*Enter a full or partial carrier name between the ''s. Leave as '%%' to run for all carriers*/ /*--------------------DO NOT MODIFY BELOW THIS LINE--------------------*/ /* Query code
November 26, 2025
PPOs and HMOs
Message Board
Views: 227 | Replies: 7
a holdback fee of 3,000$, which was not mentioned in the contract + took all of my earnings according to latest invoice - said that it takes 2-3 months to get credentialed with insurances + only then will I see any money coming back to me, but according to my other sources, this was untrue - gave me
November 29, 2025
Legal Issues
Message Board
Views: 97 | Replies: 2
is up front they communicate with the patient about the treatment and go over payment options including insurance payments etc. If the patient doesn't schedule at that time, the team member should always get permission from the patient [an agreement] to follow up with them in a few days. They need
March 28, 2026
Front Office Discussion
Message Board
Views: 118 | Replies: 12
-to local OS uses Straumann. Others use BioHorizon or Nobel. I imagine they cost more as well Before you invest in this, try to pencil out the math and ROI on this. Straumann are very expensive. They make sense in a FFS cash fee basis. they make ZERO sense if there's any insurance involved. You can get
April 08, 2026
Implantology
Message Board
Views: 174 | Replies: 15
We are thinking to drop both UHC and Humana. Currently in network with connection dental . Do these insurance will be picked up by connection? what happens to their Medicaid plans ? It probably depends on the area. In in Southern California. I get UHC and UHC Medicare plans through Connection . I
April 13, 2026
PPOs and HMOs
Message Board
Views: 169 | Replies: 8
screwed up or what? They did say we could request the negotiation of 12 codes as part of the deal. So weird....I feel like these insurance companies are changing the rules all of the time......if there ever were any rules for them!! From what I have found, most of the time the allowable is the same
May 05, 2026
PPOs and HMOs
Message Board
Views: 1640 | Replies: 47
acquired access to dental insurance while pregnant. Thus, it is a great opportunity for them to receive treatment. I think this news reporter's attempts to advocate for 1) the staff 2) the medicaid recipient against the greedy, incompetent dentist could have a chilling effect on access to care for the very
June 06, 2025
Legal Issues
Message Board
Views: 612 | Replies: 36
treating perio disease isn't like cleaning a car. If you care and even want to see this patient, I might have the front desk call. I wouldn't waste your personal time though. They can say something like 'your insurance approved paying for this treatment based on the xrays and measurements we sent
July 14, 2025
Periodontics
Message Board
Views: 456 | Replies: 24
and the insurance industry. But honestly is it really progress that they happen to have diversity yet they are part of the same machine that is undermining the profession? To me thats nothing more than distraction, I dont care who has his hand in my pocket as they say, wether its a white guy or a black guy
August 07, 2025
American Dental Association
Message Board
Views: 3948 | Replies: 272
profession and I don't live large, i would be happy to be done at 50 and focus on health and family and live a good life. Like the above poster said, i could be pulling 200k out, no debt, even with maying premiums for health insurance without any debt, i could live well on that. I saw my dad retire at 65
January 23, 2026
Retired and Soon to be Retired Dentist's Forum
Message Board
Views: 4905 | Replies: 143
for the same procedures. For quite a few procedures we were charging below the UCR for some of our OON insurance patients. I went off a report from NDAS for my geographical area and we were in the 30-40th percentile of fees when I took over. Some fees had to double. Gotcha. I've always heard that patients
March 03, 2026
Practice Acquisitions
Message Board
Views: 629 | Replies: 74
? was it a dental office before? If your goal is a big insurance based practice, that's easy enough. Sign up for PPO plans and use a service from Dental Town to get the best reimbursements . Limit the Medicaid patients, if you are busy enough , so you can make money. Sounds like you may be on a good
March 31, 2026
Ask a Dental Consultant
Message Board
Views: 1400 | Replies: 47
desk receptionist who is solely responsible for confirming the schedule, collecting and checking insurances. My main assistant that's been there the longest is also trained in checking insurances and posting if needed along with collecting. The other assistant is mostly chair side or will work
February 13, 2026
Practice Management & Administrative Forum
Message Board
Views: 448 | Replies: 24
on Dental Insurance. Especially the ones that don't pay! Surround yourself with top quality specialists.You don't have to do everything. Do the procedures you enjoy. Patients today are a lot different today. We have a mobile society, Some will stay forever. You may see 3 generations. Time is our most
May 26, 2026
Retirement Planning
Message Board
Views: 577 | Replies: 18
. No it is not mobile. Does this condition have a name? What insurance code is used when treating it? I usually call it bony sequestrum, most common after extractions of the mandibular molars, but sometimes seems to happen spontaneously. Have seen a lot of these. I handle it pretty much like the posts above. I
October 08, 2025
Oral & Maxillofacial Surgery
Message Board
Views: 73 | Replies: 0
, the rewards are enormous. One dentist summed it up best: happiness comes not from perfect margins or insurance reimbursements, but from balance. The career allows flexibility, income stability, and the chance to make a difference. But you have to bet on yourself, leave bad situations, and create a life
September 11, 2025
Associates Corner
Message Board
Views: 266 | Replies: 10
, with Adjusted EBITDA expected to grow in the mid single digits. The guidance excludes certain costs and items, including restructuring, intangible amortization, legal and advisory expenses tied to their cybersecurity incident, and insurance claim outcomes. The assumptions include modest improvements
September 22, 2025
Dental Supplies
Message Board
Views: 45 | Replies: 2
, and even a lawsuit against an insurance company that dragged on for years. Through it all, she kept learning, pivoting, and expanding her identity beyond dentistry into writing, speaking, film production, and philanthropy. Her advice is to understand your 'why,' leverage experts, and embrace risks
October 20, 2025
Practice Management & Administrative Forum
Message Board
Views: 268 | Replies: 16
insurance for pre det for 7-10 crowns, and surprisingly they agree to cover it. In your pts case, the spacing between 9-10 is occlusion related, look at the bite. You'll need ortho to close that gap. Yes, you can do a crown, but it may open again or break. This is acid reflux, not dietary acid consumption
October 21, 2025
Cosmetic Dentistry
Message Board
Views: 562 | Replies: 14
clients per day, cash pay, no insurance, no staff headaches. I'll be fifty next year and am thinking I would start the program 5-10 years from now The thing I LOVE about being retired is . . . NO FRICKIN' SCHEDULE! Most part-time jobs, like running the golf car at the local hospital's parking lot, is by a schedule! My design time is when I want it to be, sometimes when I'm having trouble sleeping, I'll work on a plan in the middle of the night! .
June 30, 2025
Life After Dentistry
Message Board
Views: 239 | Replies: 12
generating more dentists I hear what you are saying but the majority of it boils down to PPO. What does insurance cover and how much does it cost. Because of that sentiment it has seeped into alot of dentists office. That stagnation permeates and creates an environment that ends up in a malaise. Why
July 21, 2025
Hygiene Discussions
Message Board
Views: 411 | Replies: 16
presented thus far. 100%! This is the narrative that gets us normal dentists fighting with the insurance companies to get our work approved. I want to do some implants. Please approve patient for implants. My bad, I see now it's the patient insisting on implants here. Is there language barrier
August 13, 2025
Implantology
Message Board
Views: 379 | Replies: 12
like to just see how it looks from a customer point of view. So it looks like Nexhealth has what I was asking about. You can request a CC to make an online appointment and it even has the patient put in their insurance card and ID number. They gave me links to some dental offices that utilize
January 08, 2026
EagleSoft
Displaying 1301-1350 of 2266
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