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Searching: insurance denials
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Page 4 of 46
Message Board (2269)
Message Board
Views: 204120 | Replies: 100183
this as the existential danger it is: use every tool necessary - sanctions, cyber, and targeted military strikes if needed - to neutralize the threat before it's too late. America cannot afford another decade of denial. End the danger now. He's a cowboy baby..... W Iran says the talks are off
April 19, 2026
Politics
Message Board
Views: 557 | Replies: 10
Any luck finding a company that is able to verify insurances and enter in breakdowns into the PMS? I have reached out to a few companies and they tend to be pretty pricey. I would like to outsource this task if possible so that way I can ensure that it is being done correctly each time. It seems
January 25, 2026
Front Office Discussion
Message Board
Views: 119 | Replies: 2
The Dental Insurance Casino: How ERISA Is Changing the Game Insurance companies don't just chase profit. They manage risk. And that's changing everything in dental benefits. Editorial by Bob Dee 4/2/2026 I wrote the first version of this a couple of years ago, but never published it. Now we have
April 03, 2026
American Dental Association
Message Board
Views: 201 | Replies: 7
on the size) and show the parents afterwords. I also tell parents that if we see a few incipient lesions, that soda doesn't discriminate and decalcifies all the interproximal surfaces, and all posterior teeth should be done. It is certainly cheaper than drilling. I hope it helps. I forgot the insurance
March 17, 2026
PPOs and HMOs
Message Board
Views: 204120 | Replies: 100183
for fun, my father in law fled when Israel massacred the adjacent village, etc. let's list out Israeli lies vs what you consider lies from us. I'll start: 40 beheaded babies Babies in ovens shireen Abu aklah denial shifa command center jonathan pollard denial Hind Rajab denial EMTs had no lights on and approached suspiciously Lebanon hospital bunker Israelis do not love pedophilia We have run numerous countries at various times in US history.
January 03, 2026
Politics
Message Board
Views: 319 | Replies: 16
I'm in Canada and applying to increase my disability insurance coverage via CDSPI. I just had recent bloodwork done from my doctor as part of my annual check-up. Unfortunately, my cholesterol was quite high. I'm going to get it rechecked in 3 months. Just curious, has your application
April 14, 2026
Disability Insurance
Message Board
Views: 178 | Replies: 5
a billing company, and we keep a stack of CIGNA denials for this and call them with prep/seat dates for those every week....it's ridiculous. Additionally, most payers will provide a clear reason for denying the claim. Cigna loves to use the denial code N4 - Claim is denied for lack of information
August 06, 2025
Claims Processing
Message Board
Views: 150 | Replies: 9
I was told that some insurance companies are wanting a Pano or (Full mouth) for a post implant crown seat? I would think a single PA radiograph would be sufficient of that single implant crown. Does anyone know if this is true? Also, if doing a filling, are insurance companies requiring a PA
March 02, 2026
Billing
Message Board
Views: 989 | Replies: 26
your location or zip code? Doesn't surprise me with Guardian. I bet 90% of my denials were from Guardian last year crown wise. The insurance game to me is getting worse and worse, really wish the general public was more educated on dental insurance. Free Luigi Our patients received the letter
November 08, 2025
PPOs and HMOs
Message Board
Views: 204120 | Replies: 100183
based on which "equity card" was a higher order (gender, alphabet, etc.). LOLOLOL. Pappy - WTF is going on over there?? No denial. "Stomping around"? What does that mean? Like, going out for some pistachio ice cream? Grab a sour cherry martini perhaps? I'd be ok with special ops stuff. On a very
March 30, 2026
Politics
Message Board
Views: 358 | Replies: 22
people avoid it until it becomes a crisis. A practical path forward looks less ideological and more mechanical. Separate insurance from routine care. Use insurance only for catastrophes. Move primary care, labs, imaging, and mental health into transparent cash or subscription models. Break hospital
February 06, 2026
Medical / Health Insurance
Message Board
Views: 564 | Replies: 15
I plan to close on a dental practice end of this month. I know credentialing can take long time and I do not have enough time to get it completely done before I close. Practice I am acquiring takes at least 5 dental insurances including Delta. Questions: What happens if I am not credentialed when I
March 22, 2026
Practice Acquisitions
Message Board
Views: 60 | Replies: 2
Our provider was in-network with an insurance company until the beginning of 2026. He did a filling for a patient toward the end of 2024, when the policy was in-network. He has now done a filling on that same tooth in 2026. When the policy was in-network, that would have been an unchargeable amount
April 10, 2026
Claims Processing
Message Board
Views: 143 | Replies: 5
building and have the same insurance company for malpractice and the building insurance (property damage, but also slip/fall, etc). In my situation, I was able to do an umbrella policy that kicks in if either policy max was exceeded. I think this was cheaper than raising the limits
March 22, 2026
Legal Issues
Message Board
Views: 243 | Replies: 13
in the HS basket, at least then, I knew who the issue was with and would get better support. The e-claims is fine, but the Verification is garbage, and alters our workflow/procedures for tracking who has updated insurance and all on the schedule. I want the eligibility removed, but HS says that the e
April 14, 2026
Billing
Message Board
Views: 327 | Replies: 21
adjustments) 2. If you bill out PPO fees, are they using the correct fee schedule. If they are, are the fee schedule up to date? 3 Are adjustments reasons correctly categorized. Was it because of insurance fees adjustment or was it due to non-coverage or was it a down-grade? I took over a practice which
April 13, 2026
Ask a Dental Consultant
Message Board
Views: 153 | Replies: 7
Does anyone know of any companies that credential dentists with insurance companies, both PPO and Medicaid/HMO? Apparently there are not so many companies that offer this service and if they do then they only do it for PPO insurances. Thank you! Maybe Unlock the PPO? We do it for Medicaid; it's
April 14, 2026
Practice Management & Administrative Forum
Message Board
Views: 394 | Replies: 26
Right now, we collect at checkout, with flexibility for long time/reliable patients. We have been lowballing our estimates for what insurance will pay so we usually have to bill patients. I'm changing that so we overestimate when in doubt. I'm considering switching to collecting at scheduling
April 12, 2026
Billing
Message Board
Views: 71 | Replies: 1
We received a "loyalty check" at the end of the year from an insurance company that we had been contracting with for years. We terminated our contract with that company at the end of the year, but we haven't cashed the check yet. Is there any reason why we shouldn't cash that check? In other words
January 30, 2026
Front Office Discussion
Message Board
Views: 204120 | Replies: 100183
...right? Winn is in denial and will stonewall this intel like Fly on an Epstein bender. Sane people should be absolutely ashamed, anyone who voted for this Death Cult member. Listen to how he propagandizes this. Day Man must be proud. Reminder: Zohran once told the Hezbollah pager story at an NYC mosque and completely edited Hezbollah out of the story. BO and Winn are step sisters. These Trump AI songs are amazeballs. The war meme videos are
February 28, 2026
Politics
Message Board
Views: 42 | Replies: 2
We haven't been billing our UCR fees to insurance. Does anyone know how to do this in Open Dental? Is there an easy box to check to make sure this is what is sent out with all of our claims for all insurances? Thanks Yes there is You are amazing. Thank you!
March 04, 2026
Claims Processing
Message Board
Views: 187 | Replies: 8
been dealing with this. I am in cigna , ameritas and delta when I signed up for cigna in 2021 I signed an opt out form so other insurances could not share network with cigna. Well, in november ameritas and humana started using cigna fees. I am not in network with humana and I am directly signed up
April 11, 2026
PPOs and HMOs
Message Board
Views: 694 | Replies: 22
needs even with great documentation. I dont fight it. I just refuse to treat the patient and refer to a periodontist. In this way the patient still gets great treatment and the insurance company now has to now pay much more at a specialist fees. I agree with delta dental. How old is the patient? I
June 30, 2025
Claims Processing
Message Board
Views: 204120 | Replies: 100183
. Their crocodile tears for Iranians is almost too much to handle According to news sources the US and Israel have killed 5000 IRGC and injured 12,000. Why were you quiet when the regime killed 40,000 in two days? That's what I've wondered about you, Mr global warming denial. . . . . in the same way that Germany's
April 01, 2026
Politics
Message Board
Views: 157 | Replies: 10
that the insurance paid and the portion she paid. She said she doesn't want to come back to our office to get it delivered. With delta ppo I complete the bridge at the prep date and sent my claim and got paid for it. Will delta make me pay everything back since I never seated the bridge? Should I call delta
April 08, 2026
Delta Dental
Message Board
Views: 474 | Replies: 15
-hours work, fewer chart audits, and better compliance. Economically, AI will streamline the front desk. Dynamic scheduling, follow-ups, insurance claims with supporting images and radiographs will be handled faster and more accurately than any human team. Denials will fall. Recare will tighten
September 12, 2025
Artificial Intelligence
Message Board
Views: 708 | Replies: 30
, not waiting to get paid or dealing with denials etc... the County of Humboldt actually dropped DD after a 25 year run, as their employees were complaining about poor reimbursements and no providers that will deal with them.. that is thousands of people with new insurance. It's early yet, so I
July 28, 2025
Delta Dental
Message Board
Views: 46 | Replies: 0
Can someone point me to a thread or explain what is allowed for professional discounts in regard to writing off the patient's portion after insurance pays on a normal fee? Is a professional discount that does this allowed for employees? For employees' immediate family members? For extended family of the dentist? Do the rules change if I am in-network vs out-of-network? Thanks!!
January 22, 2026
PPOs and HMOs
Message Board
Views: 938 | Replies: 49
I am interviewing candidates to fill a lead dental assistant role in my practice. The previous owner was offering health insurance to employees. They were all on HMO policies. He was paying 100% of the premium for the policies. He was very generous. One of the candidates asked if I offered health
January 21, 2026
Practice Management & Administrative Forum
Message Board
Views: 597 | Replies: 27
Is it possible to run an office like this: 4 ops, 2 DAs who switch off on answering the phone with possibly the help of an AI/tele-receptionist, no hygienist, dentist submits all of his/her own insurance claims? Anything is possible but would think 3-4 assistants would be better if one decides
April 10, 2026
Practice Management & Administrative Forum
Message Board
Views: 320 | Replies: 24
their email ? I'm pretty fast with the Texas Dept of Insurance complaint forms, I fill those out real fast, mostly for entertainment purposes because it gets to the right dept in insurance companies. cigna did this to me. I wrote about it on another thread. I tricked the cigna rep into sending me
April 08, 2026
PPOs and HMOs
Message Board
Views: 299 | Replies: 6
disputes may be resolved through compromise solutions, not involving attorneys and malpractice insurance companies. Patients and doctors may be positioned to avoid the mental and emotional trauma of civil litigation. Mediation concluded in a month or two contrasts sharply with typical lawsuit settlements
February 08, 2026
Legal Issues
Message Board
Views: 263 | Replies: 13
Hello, Does any one have pros and cons about using Zelis for insurance re-imbursements? What is your experience if you are using them? Why would you NOT want to utilize them. Thanks Mark There are 2 Zelis. The third party administrator/umbrella company that gets you higher fees that direct
April 08, 2026
Dental Insurance for Dentists
Message Board
Views: 155 | Replies: 4
that the denial of coverage was fair. The case stirred debate about the scope of federally-funded dental benefits for First Nations and Inuit children, the criteria for medical necessity in orthodontics, and the wisdom of spending six-figure legal defence funds to oppose a comparatively modest treatment cost
November 16, 2025
Canada
Message Board
Views: 266 | Replies: 4
, as opposed to the somewhat random onesies that we see semi regularly. I came across a patient who had been in denial of a resorptive on a lower anterior that was accelerating. We were keen to update routine films to check on advancement - and he had another newly arisen in an upper posterior that had
November 13, 2025
Endodontics
Message Board
Views: 182 | Replies: 19
they are protecting DSOs. Solo dentists need a separate lobbying group if that's where the ADA interests lie. I like that you brought up anti competitive and illegal. The biggest example of anticompetitive and illegal regarding dentistry is how dental insurance acts. The McCarran-Ferguson Act is quite
April 12, 2026
American Dental Association
Message Board
Views: 521 | Replies: 16
Thoughts about just throwing in a few extra implants in high risk patients, just in case one fails, you got others to fall back on? Free-hand to save money, also? Saves extra surgeries... I think it's reasonable. I also suggest doing custom abutments and then 3 bridges on each arch. It makes things...
January 13, 2026
Implantology
Message Board
Views: 32 | Replies: 1
I am wondering if many of you have cybersecurity insurance for a data breach or ransom attack? I've never purchased, however my general liability insurance provider is recommending. sounds like it's $2000 to $2500 a year? I don't know anyone who has been affected, however I know our office emails
December 07, 2025
Malpractice Insurance
Message Board
Views: 600 | Replies: 28
Dear ADA: Reimbursement rates Association uses advocacy, education to address decreased reimbursement Dr. Hughes Dental insurance issues are often rated as one of dentists' biggest challenges. In response to an in late 2025, more than half of dentists reported that one of their top concerns looking
March 26, 2026
PPOs and HMOs
Message Board
Views: 1181 | Replies: 37
spent more time in the beginning learning the front desk. How money comes in (via patient payment or insurance), adjusting insurance fees, and how it all is added to the ledger. I was so focused on being "busy" that I let the actual money take the sidelines. That caused me to keep a crooked front desk
April 06, 2026
Future Planning General Discussions
Message Board
Views: 151 | Replies: 9
Hello, So I am in the current position of selling my practice to another dentist who wants to see our united concordia patients. So his office manager reached out to me as they continue to sign up for united concordia insurance and wanted me to forward our current fee schedule that we are receiving
March 30, 2026
Practice Management & Administrative Forum
Message Board
Views: 270 | Replies: 12
( "pre-denial").... Double NO. I inherited many cantilever bridges, most of them are not around anymore I might do a canteleever on an older patient or against a partial. A patient with some perio or bruxer is asking for trouble. Make her a flipper and move on.
October 28, 2025
Restorative Dentistry
Message Board
Views: 125 | Replies: 9
to sound jaded because I post these types of articles here, but that's just the cost of doing business for them. This is why filing complaints with state insurance department is sooo important. Patterns are recognized and fines created. I agree. The fines need to hurt these companies. I will get
April 09, 2026
Claims Processing
Message Board
Views: 204120 | Replies: 100183
with the Iranian regime." While the Trump administration has signaled openness to a deal and even postponed further strikes on Iranian energy infrastructure, the mullahs are playing their usual game of denial. Qalibaf took to X to blast the reports as "fake news" designed to manipulate oil markets
March 25, 2026
Politics
Message Board
Views: 204120 | Replies: 100183
in the community. Systemic barriers and discriminatory practices persist: The search results, however, heavily emphasize that Black applicants face significant, systemic hurdles in obtaining mortgages and face higher rates of denial compared to white applicants. In this context, the term "anchor" could
November 23, 2025
Politics
Message Board
Views: 82 | Replies: 4
insurance reimbursements are awful , causing higher out of pocket expense. Especially when several family members come in. Now the question. ( I wish I knew how to poll.) How many of you charge just the BWs and not individual PA's ? Maybe you take 5 BWs and no anterior PA's. I am thinking of going
April 08, 2026
Practice Management & Administrative Forum
Message Board
Views: 62612 | Replies: 9426
working people have access to health insurance and are paying tax for those who dont work and dont have access to health insurance. Therefore, those that work pay twice. This is an opinion......please elaborate more about who sets the rules. My opinion is I have a right to a portion of your retirement
February 26, 2026
Ethical Issues
Message Board
Views: 204120 | Replies: 100183
political disservice. Hell, this polls so strongly in his favor, he should be talking about it more. Not less. Rapid Response 47 @RapidResponse47 3h 81% of Americans say crime is a major problem in large cities. Democrats are in denial. President Trump
August 27, 2025
Politics
Message Board
Views: 17741 | Replies: 1414
CEO Brian Thompson. The suit claims the company underestimated the impact of public backlash over its aggressive claims denial practices, which intensified after Thompson's death. UnitedHealth maintained its optimistic guidance in January 2025 but revised it downward in April, citing increased
December 10, 2025
Dental Insurance for Dentists
Message Board
Views: 92 | Replies: 3
I have been a dentist in public health, interested in joining a private practice. They are offering to have me join there policy,but should I have my own malpractice/liability insurance? Anyone have advice on this? Hey Ram.... It would depend on cost and coverage of course. The good news
December 26, 2025
Associates Corner
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May 2026
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