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Searching: insurance denials
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Displaying 301-350 of 2269
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Page 7 of 46
Message Board
Views: 204153 | Replies: 100192
. I believe those numbers have been crunched before and Sal made an equally good argument why taking them out at 62 is best. Still in denial about the price of yams huh? They were 69 cents per pound last year, 1.99 this year. 188% increase. Is there anything else I can do to drive the point? AI
January 22, 2026
Politics
Message Board
Views: 87 | Replies: 4
the same TIN for insurance purposes but I'm guessing that you may want to consider different TINs for tax purposes. Maybe Tim Lott can chime in about the relevancy for that part.
August 20, 2025
Delta Dental
Message Board
Views: 63 | Replies: 2
I recently started working in a new clinic where they are charging an extra $300 for anterior crowns as the lab that they use for aesthetic cases is quite a bit more than the lab they use for posterior zirconia crowns. This is billed under D2999 code. We are in network with a few insurances. My
January 21, 2026
Coding Q&A
Message Board
Views: 135 | Replies: 5
, often more telling than the collection percentage. I'd want to see the actual A/R aging, especially over 90 days, and how much is insurance versus patient. I'm gonna agree/disagree w/kevin...the actual a/r itself isn't critical at all, in most acquisitions , the buyer isn't buying a/r, just collecting
February 10, 2026
Billing
Message Board
Views: 5 | Replies: 0
Good Morning ALL, Tired of waiting on Long insurance hold time, inaccurate information on portals? If your Dental or Medical practice is facing hard time in dealing with insurances to verify patients eligibility or to recover pending accounts receivable, Revu Billing will assist you by take off
August 18, 2025
Billing
Message Board
Views: 33 | Replies: 2
I will be doing VA exams PT and looing for basic coverage. Is there a cheap UW somewhere for public health? Thanks!This is a great question, and yes, most professional liability insurance companies offer part-time discounts and have lower rate class for dentist practice low risk such as exams only
February 13, 2026
Dental Liability Insurance
Message Board
Views: 218 | Replies: 12
Dear Dental Insurance Guy and fellow practicioners, Received this EOB w/ downgrades from composite fillings to alloy fees. Please advise how you would handle this one. A. Write off the difference between fee of composite and alloy reimbursement. B. Collect the difference from the patient after
February 06, 2026
Claims Processing
Message Board
Views: 204153 | Replies: 100192
was channeling a temptation as old as politics itself: to make government the supreme source of human freedom. That temptation led kings to justify monarchy, slaveholders to defend bondage, autocrats to silence dissent. In every age, liberty is imperiled less by outright denial than by the slow creep
September 09, 2025
Politics
Message Board
Views: 795 | Replies: 26
We went through a 12 month insurance negotiation last year. Few of the insurance increase their fees. But now some of the insurance plans including Metlife., went under a different Aetna plan therefore decreasing the fees. I'm very frustrated with all this. Can anyone give me suggestions on how
October 10, 2025
Delta Dental
Message Board
Views: 88 | Replies: 2
Hello all, We use eAssist to process insurance claims. More and more insurance websites require 2-way authentication with text messages/ email. We use OD eservice to do text messages with our office phone number We even receive ads via texts. But somehow, the OD text message service doesn't allow
January 21, 2026
Claims Processing
Message Board
Views: 113 | Replies: 4
someone you've never seen before, is there some D9999-type code that you add, or do you just tell them their insurance is garbage and you can't/won't help? If the lab fee is above the Insurance fee I won't do it. On some of that low reimbursement denture stuff I'll repair the crack with a little
October 07, 2025
Coding Q&A
Message Board
Views: 785 | Replies: 51
Everyone and their brother thinks that they are the ones that will be buying up assets in a fire sale, and it will be all of the other guys that are either afraid or can't qualify for financing. Im getting my annual email from the Government trying to get me back to Obamacare. Telling me I may...
November 19, 2025
Medical / Health Insurance
Message Board
Views: 318 | Replies: 12
on the Chiropractor visits? That health insurance at 80% is huge. Both for staff and huge expense for you. Very generous. That's generous. It's hard to take perks away once you start. The most common benefits and perks that we see: PTO: 1 week the first year, 2 weeks the second year, 3 weeks after 5 years
January 29, 2026
Staff Management Issues
Message Board
Views: 153 | Replies: 4
I'm having an issue with Lassie. We signed up for about a month ago and the payment processing from insurance has gone pretty well. The only problem is, previously my office manager would update our book with the insurance allow Mount so that we could have a record of it in our blue book. We
January 29, 2026
Dental Insurance for Dentists
Message Board
Views: 1402 | Replies: 55
sounds promising, but watch pitfalls. Those 3000 active patients might be inflatedcheck 18-month records or risk overpaying. Pending insurance claims can mess up cash flow if AR isnt clear in the contract. Sellers billing errors or Delta Premier status could lead to denials, hitting your $200k+ take
June 26, 2025
Practice Acquisitions
Message Board
Views: 2802 | Replies: 108
I bought a FFS practice that had all insurance payment sent to the patients. The previous doc collected in full, insurance payment sent to patient. I thought I'd be nice and just try to collect co-pays for about 1 year. I then went back to payment in full. So much easier and if we've lost patients
January 18, 2026
Going Out of Network
Message Board
Views: 386 | Replies: 14
, it is recommended that patients impacted by these policies consult with their human resources department to determine their entitled level of benefit prior to treatment. For additional educational, ready-to-use information on handling other dental insurance issues, visit ADA.org/dentalinsurance. Wow
January 06, 2026
Coding Q&A
Message Board
Views: 29 | Replies: 1
The approval of immune checkpoint inhibitors (ICIs) was associated with a significant improvement in 2-year overall survival among patients with advanced-stage melanoma, non-small cell lung cancer (NSCLC), or renal cell carcinoma across all insurance types (except uninsured patients with renal
September 23, 2025
Oncology
Message Board
Views: 289 | Replies: 17
Hi I would like to know our office did 957,000 dollars as production and we collected about 841,500 as collections for 2025. There are about 325,000 dollars that still needs to be collected from the insurance . is it normal for a dental office to collect that much amount from the insurances
January 14, 2026
Practice Management & Administrative Forum
Message Board
Views: 370 | Replies: 17
knowing her ring is safe and close to her heart. This personal accountability stops all the other BS. For all you know, the assistant was just trying to help. The denial is second hand and plausible. I don't understand this part. She placed the ring on the counter Before She Degloved? Where
October 16, 2025
Staff Management Issues
Message Board
Views: 1919 | Replies: 66
"this too shall pass".... If you need someone to talk to, give me a call, (914) 629-3808. I'm a nobody, but I will listen..... Thank you I really appreciate the sentiment. I heavily edited my above post to add more info about the handling of the incident by my liability insurance. This is general
January 26, 2026
Legal Issues
Message Board
Views: 4500 | Replies: 158
. (For instance the school district patients)Has anyone gotten feta to allow coverage for patients with out being in network due to geographic restrictions ?Thanks Are you talking delta sends the check to patient or literally has no OON benefits? If insurance isnt paying at all then patient pays, I
June 30, 2025
Going Out of Network
Message Board
Views: 116 | Replies: 3
Hi All - I am a newbie dentist who just started a practice with a front desk that has never don't dental claims or billing before - not to mention - I am a in giant cesspool of crap and need people here to help pull me out. I am taking all insurances including NJ Family Care - use open dental
June 29, 2025
Ask a Dental Consultant
Message Board
Views: 164 | Replies: 10
I don't do gold crowns due to the lab costs involved. One patient specifically asking for gold crown, insurance patient . I called the lab. Lab bill will be around $ 500. Insurance fee is around $ 800. Can I refuse to do gold crown? What's a good verbiage ? We cover the standard lab fee and let
January 19, 2026
Restorative Dentistry
Message Board
Views: 251 | Replies: 7
It's that time of year again! It's time to think about sending a Fall Insurance Letter to patients with incomplete treatment and remaining insurance benefits. Change up your form of communication this year. Utilize fall stationery that can be purchased at a local party store, stationery store
September 10, 2025
Practice Management & Administrative Forum
Message Board
Views: 524 | Replies: 25
insurance plans, most of which are duplicates, and they do not have any fee schedules. We're leaning towards just starting over in CareStack instead of trying to clean up Dentrix -> migrate. I know this will be a time-consuming process up front but think the accuracy and lack of clutter will justify it when
September 08, 2025
Practice Management & Administrative Forum
Message Board
Views: 204153 | Replies: 100192
proponent of annexing Greenland. You MAGA/ MAGA-in-denial guys on board with this? That's odd. Neither will any of us. This Venezuela thing is a big deal. The way we so easily went in and seized control and captured their dictator sends a huge message to the rest of Latin America. It has been much
January 03, 2026
Politics
Message Board
Views: 324671 | Replies: 34371
and say 'what's the source?'.... they just don't believe anything without seeing receipts... they're in denial about most things. They made America too expensive and then complain 'why would anyone want to leave?'. Typical. Anyways, generational hostility is real. COOL!! This is equivalent to call
November 16, 2025
Personal Finance
Message Board
Views: 230 | Replies: 7
: I'm in Missouri and I can change to an LLC online for $50 I think I will then need to apply for a new Tax ID number for the LLC, I may need another new individual tax ID number but im not sure, anyone know? Which Tax ID number to I provide to the PPO insurance companies, the LLC corporation tax ID
January 04, 2026
Claims Processing
Message Board
Views: 62612 | Replies: 9426
. But this doesn't help the patient who still can't afford the $100 urgent care copay. 4.Out-of-Pocket Cost Is a Systemic Issue Prices are largely set by insurance contracts, not providers. Even if a PA charges less in theory, if theyre billing under a physicians NPI
July 15, 2025
Ethical Issues
Message Board
Views: 312 | Replies: 4
I have a front desk that has been making mistakes too often lately. One of her duties as to verify insurance. I had another insurance not pay for the visit because his insurance was out of net work. So we got zero payment. And the patient is upset because insurance was supposedly verified
January 05, 2026
Staff Management Issues
Message Board
Views: 59 | Replies: 2
I have a patient who has insurance coverage to the end of the month. We have a metal-framework RPD treatment planned for him. When is a legitimate time in the process to bill to insurance for an RPD? Do you have to wait until it is delivered, or can it be billed, e.g., after the scans are done
January 05, 2026
Claims Processing
Message Board
Views: 204153 | Replies: 100192
, to denial, to openly celebrating it. Just evil. NOW: Pro-Pals march through London chanting 'Say it clear, say it loud. Khamenei makes us proud.' Despicable ghouls.
January 31, 2026
Politics
Message Board
Views: 612 | Replies: 43
% a few years after. It was deemed better to give people Medicaid insurance than have to fully fund an uncompensated care pool. The medical professionals are the ones who were letting the system get out of control in the first place. I wish they had not let things get so bad that a healthcare act
January 12, 2026
Practice Management & Administrative Forum
Message Board
Views: 1804 | Replies: 142
good But the next question patients always ask is does my insurance cover it? I can't understand why everyone is so focused on what insurance covers in this office vs what they NEED. My office manager has said the same thing to me as well about our patients here. They're just so focused on insurance
August 21, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 596 | Replies: 31
that would make it 17-18 years since an increase. 18 years ago 740 was a decent amount for a crown. not spectacular, but not dogshit. now it is dogshit i think you said you take medicaid. what is a crown for your state? Insurance companies are smarter and more savvy than us. Simple as that. Some DSO
January 11, 2026
PPOs and HMOs
Message Board
Views: 19 | Replies: 2
What's the code for multiunit abutments ? Prefabricated abutment code ?6056 Is there a separate code for Ti base abutments that goes under zirconia full arch fixed bridges? What if the surgeon used the pre fabricated abutment code? I am sure insurance will not pay for abutments 2 times . Why are you getting insurance involved with Full Arch cases?.....It will be a blood bath of time and frustration ..... Some patients ask for PreD.
January 24, 2026
Implantology
Message Board
Views: 134 | Replies: 7
I have been receiving paper checks from my in network insurance companies. I have a couple of carriers that I allow Electronic Funds Transfers (EFT) for payment. What system do you use to verify that the EOB payment is received by EFT. I dont love the idea of having my account receivable staff
November 21, 2025
Claims Processing
Message Board
Views: 213 | Replies: 5
Is there any issue with charging a different fee for a OON insurance we accept? Can we match innetwork fees as a courtesy to some patients and our UCR fees to others? We are OUT of this network for this particular insurance This seems like an admin headache. Why are you wanting to do this? Tell me
August 11, 2025
PPOs and HMOs
Message Board
Views: 329 | Replies: 13
I am hearing mixed reviews from insurance specialists and my dental specific transaction attorney. What is the legality of billing under the previous owners tax id for credentialing purposes for 3-6 months post close? As many people experience, insurance companies do their best to put you
August 04, 2025
Practice Acquisitions
Message Board
Views: 7018 | Replies: 268
Im Tiff, the ADHD Dentists, and after 15 years of being a clinical dentist, the reason why money after the time we get it, its not me being told someone hates me before Ive even said hello felt like a kind of rejection. I was no longer able or willing to tolerate because explaining that insurance
June 11, 2025
Mental Health, Well-Being, and Stress Management
Message Board
Views: 17 | Replies: 0
apprenticeship and salesmanship. The cost is the silo we still pay for in fractured records, awkward referrals, and patients who think gum inflammation lives in a different body than their A1c. The money story is where patients feel it. Most dental insurance in the United States is not insurance the way
January 21, 2026
Dental History
Message Board
Views: 1036 | Replies: 114
2 weeks in Jackson Hole and then trip to St Thomas to thaw out for a week. Now he's back but he wants to wait it out until his insurance resets in January because he hasn't paid his $50 deductible this year. *i had a patient that literally did this. Yes, they have delta. Funny, that same patient
January 06, 2026
Canada
Message Board
Views: 49 | Replies: 2
I have had a few patients need SCRp based on bitewings and probing who also happened to have a CBCT. In my little office, we have seen insurance companies deny or down code quadrants of SCRp to 1-3 teeth based on "evidence". Maybe the bitewing is enough evidence for 1-3 teeth, but using ALARA
September 26, 2025
Cone Beam CT Imaging
Message Board
Views: 273 | Replies: 14
for insurance fees for 2 MIFL resins. How is everyone billing out diastema closures? If you accept insurance....you are the fool who agrees to those fees. I bill for the 4 surface fills, but I am oon with most insurances. You should bill for what you do, which is a 4 surface composite filling. Maybe don't
December 08, 2025
Cosmetic Dentistry
Message Board
Views: 1366 | Replies: 48
that. That is where we can turn the tide against insurance and get higher fees. If anyone wants to know more and how, I can explain. They are very clearly in bed with the major insurance companies. I don't feel like they are actively fighting to stop bundling of procedures, or to get companies to at least have
December 30, 2025
American Dental Association
Message Board
Views: 388 | Replies: 23
I was under the impression that Insurance companies have to offer choices. I understand its a business decision but we have agreed to accept a discounted fee and we have the right to decide what type of payment we accept . What if I am not comfortable sharing my bank details to strangers. Deltas
December 23, 2025
Practice Management & Administrative Forum
Message Board
Views: 33 | Replies: 2
We started verifying insurances for 2026 and ran across a plan that in network offered a $1000 max but OON only had a $500 max. I know this is common in medicine (higher deductible, but same concept), but has anyone else seen this? It was an employer sponsored plan, whereas usually the poor
January 03, 2026
Going Out of Network
Message Board
Views: 48 | Replies: 1
I've read understanding dental insurance by Travis Campbell. It seems like a great primer on dental insurance. I have a new front desk employee that has a working knowledge on dental insurance, but I'd like her to become more knowledgeable. I'd like her to read this book. Question is, what's
November 07, 2025
Practice Management & Administrative Forum
Message Board
Views: 330 | Replies: 17
busier. I don't really want to spend $6,0000-7,000 on a company to negotiate contracts because I really need to use that money elsewhere. But I'm having a lot of trouble getting in touch with anyone in charge of credentialing at the insurance companies. It's a lot of emailing an address or waiting
September 19, 2025
PPOs and HMOs
Displaying 301-350 of 2269
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