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Searching: insurance denials
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Displaying 351-400 of 2269
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Page 8 of 46
Message Board (2269)
Message Board
Views: 447 | Replies: 18
in net profit since hygienist is expensive. I am in network with Delta, Careington and Zelis. If I should drop some insurances, which one I should drop 1st? Thank you for your help! Drop Delta first, they're the lowest reimbursing. This will open up space on the schedule for higher reimbursing
January 11, 2026
Practice Management & Administrative Forum
Message Board
Views: 691 | Replies: 25
of this agreement with Principal in order to stop Guardian from potentially downgrading by contacting Principal at 800-247-4695 and ask to opt out of this agreement. It seems like offices are dropping plans by the many, and now insurances are doing shared contracts to keep everyone in network best to be OON
December 31, 2025
PPOs and HMOs
Message Board
Views: 37 | Replies: 1
If we have an independent contactor will come to the office to place implants as needed , no regular schedule .And they want to be compensated a $.amount per placement regardless of insurance fee. When we send the claim to insurance, do we send it with their name or owner docs name. Thank you Owner
January 15, 2026
Billing
Message Board
Views: 295 | Replies: 26
to confirm the conversation occurred. Some report that it takes telling patients three separate times before anything registers, if it registers at all. The consensus is growing: patient communication is deteriorating, memory is fading, and denial has become a default response. Legalized marijuana Hmmmm damn I didnt think of that! I think youre right!
June 27, 2025
Removable Prosthodontics
Message Board
Views: 139 | Replies: 6
Does anyone know if dental insurance typically covers professional denture cleaning? If so, what procedure code is used for billing? Trying to see if it's covered under most plans or if it's an out-of-pocket expense. My hygienists do it for people as a courtesy...I dont think any insurance company
December 17, 2025
Claims Processing
Message Board
Views: 204153 | Replies: 100192
issued a frantic denial: "Every penny is accounted for. This is pure political theater." But Kennedy wasn't done. "If everything's above board, why'd y'all fight the IRS for three years to hide these books?" Sources say DOJ is now reviewing criminal referral paperwork. No doubt the Clinton siphoned
November 09, 2025
Politics
Message Board
Views: 873 | Replies: 45
is responsible for the full upgrade code plus whatever insurance doesn't cover? Explain it to me as though I just started a new job at the DSO as their billing specialist........... So we have full upper denture code D5120 for $....... and then we have internal upgrade codes........ and So we bill codes
December 05, 2025
Coding Q&A
Message Board
Views: 269 | Replies: 1
As 2025 comes to a close, a few thoughts for anyone dealing with PPO participation: Be sure you run end of the year reports to see your write offs by insurance company. You can't evaluate what you can't see and it's often surprising to see write off dollar amounts company by company. Most softwares
December 29, 2025
PPOs and HMOs
Message Board
Views: 162 | Replies: 9
educate me and end this discussion for me... Thank you ! You should call the insurance company and ask them. Dentist sign contracts and do not read them...so that would be much safer. The above comment is very true. In both on my contracts, I'm only allowed to charge the contract fees. It stinks
January 15, 2026
Claims Processing
Message Board
Views: 376 | Replies: 11
. Companies dropped doctors from their ads. In 1964, after a decade of public denial and debate, the US surgeon general's report concluded officially that smoking causes lung cancer. What cigarette do you smoke, doctor? They didn't have to remove the ad, they just needed to retool it :) the British
December 07, 2025
Implantology
Message Board
Views: 132 | Replies: 7
Im in my second year of ownership of a smallish PPO heavy office that's growing at a decent rate. Due to the growth my insurance coordinator is reaching a point where she's beginning to get overwhelmed with insurance work, mainly aging and denied claims. I know of all the big name outsourcing
December 01, 2025
Billing
Message Board
Views: 110 | Replies: 0
Supposedly had the highest RCT billing for a gp. Did she do them or just say she did?If she did them were they done well?Either way what about dentists pulling good ones claiming they cause cancer?
June 06, 2025
Ethical Issues
Message Board
Views: 124 | Replies: 4
D 6089 is the code for opening the access hole and retightening implant screw . Insurance question 1. Will the insurance pay any of these? 2. What's the code to use for a new screw if needed? Is it all under the same code 6089? Anyone have input on this? Thanks! D6089 accessing and retorquing loose
December 29, 2025
Implantology
Message Board
Views: 1469 | Replies: 79
not just profit dental schools with their very opaque cost structure. It also helps private equity get cheap labor, cheap as in forcing people to do things they should not be doing. It helps insurance companies by flooding the market with more and more in network dentists. I am a PPO doc myself
December 31, 2025
American Dental Association
Message Board
Views: 52 | Replies: 0
Hi all, I close on my practice a couple weeks ago. I am working on getting credentialed with insurance at this location - many insurances I am already in network with, just need to add this as a new location. I am seeing patients in the meantime however. What is the best way to handle this when talking to patients? I'm not sure how to bill them or what price to set? Looking for some guidance. Thanks!
June 02, 2025
PPOs and HMOs
Message Board
Views: 557 | Replies: 30
. The dream, straight cash, fair rates, no insurance headachedes: I think this type of advertising will become more and more popular. I think people appreciate the up front information. Healthcare is changing and so should the approaches. Are there any GP out there with the same type of website
November 21, 2025
Going Out of Network
Message Board
Views: 204153 | Replies: 100192
it is accurate. If you guys would stop being in denial, get out of you cult, you would see your ideas and stands are fascist and similar to the Nazis. But you are smothered by it all. JD Vance was right when he called Trump 'America's Hitler'. You do like JD, right? One of (what I hope is) our DT truths
October 25, 2025
Politics
Message Board
Views: 259 | Replies: 1
surgeon in Austin, Texas with a practice primarily devoted to breast reconstruction, I have provided access to the most advanced surgeries, in network through insurance for over 12 years. I have been a safety net for patients across the country, accepting any insurance payment and not turning patients
August 16, 2025
Medical / Health Insurance
Message Board
Views: 421 | Replies: 23
) produce more. 2) cut hours and cut insurance. Less payroll, higher average procedure pay 3) cut intangibles- try to cut 401k if it makes sense, cut health insurance to bare minimum like an hmo plan that covers near nothing, 4) start implementing time clock restrictions. If your hygienist clocking
December 28, 2025
Practice Management & Administrative Forum
Message Board
Views: 204153 | Replies: 100192
and budget difficulty. Denmark works just fine. Stop being in denial. Ah yes. Denmark! The pinnacle of innovation, ingenuity and prosperity. How could we forget. No, I agree it works great, so does Norway, what I am saying is it wont work in NYC. It will work in MV but not NYC. We need this Nationally
June 25, 2025
Politics
Message Board
Views: 102 | Replies: 9
(Posting this in case anyone else is as dumb as me...) For years I've been receiving payments from various insurance companies via Zelis Virtual Credit Cards. It's a shady practice that is not *technically* illegal for the insurance companies to engage in, but once you get opted in, it's very
December 23, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 224 | Replies: 13
you want an insurance company you have no contract with tell you what to do? Insurance is there for possible reimbursement. If there is no chance for reimbursement, there is really no point to sending. I thought so, but Ithink my FD was reading a paragraph for an "in-net" provider Travis
November 12, 2025
Claims Processing
Message Board
Views: 204153 | Replies: 100192
...aren't you? ;) Funny. :) Apparently you have no idea of the situation in Gaza. The dying, the starvation on purpose that the whole world is seeing. There is a strange denial here.. against what virtually all the non Zionist world understands. Would love to understand why. big game everyone's
June 16, 2025
Politics
Message Board
Views: 548 | Replies: 22
Ideas to cover Hygiene overhead when patient get a prophy only? I accept 3 insurance plans. Some of the insurance plans will cover prophies 4 times a year. (@$67 a prophy) My overhead is a little over $125 per hygiene appointment. So when a patient want a cleaning every three months they can get
November 18, 2025
Practice Management & Administrative Forum
Message Board
Views: 291 | Replies: 8
Hi: We are accumulating a lot of physical paperwork that's taking up too much storage space.. How long should I keep EOBs, Old Charts, Day sheets and deposit slips,etc? I've got a few boxes of insurance EOBs in the basement. How long do we need to keep them? I don't know the legal answer but I
December 30, 2025
Practice Management & Administrative Forum
Message Board
Views: 603 | Replies: 22
One of my hygienist just gave notice. She works part time and I pay her $55/hour. She claims her new job, also part time, is $53/hour and dentist will fully pay for medical insurance that has a $600 per year deductible. I don't know of any such insurance plans that would be affordable to give
October 26, 2025
Staff Management Issues
Message Board
Views: 773 | Replies: 34
/paid out leave. It would lower my unemployment payout. Im not opposed but, feel re-filing is a can of worms in its own right. Im quite sure the employee isn't aware this would affect her unemployment and views it as 'free and earned' money I paid 90 days for health insurance which was a bonus in its
December 22, 2025
Staff Management Issues
Message Board
Views: 185 | Replies: 3
Thanks for any input Has anyone used this ? Thanks ! I just scheduled an intake call with them... anxious to find out if this works or not. So the challenge with EOB processing, Human or AI, is that most don't recognize that EOBs can be wrong, and you have to recognize which ones are wrong so you...
November 02, 2025
Dental Insurance for Dentists
Message Board
Views: 177 | Replies: 3
megalab: Affordable Denture Options - Now Even Simpler Dandys Reimbursement-Adjusted Pricing Program helps your practice care for more patients by offering discounted rates on Full and Partial Dentures when insurance reimbursement falls below $750 per arch. Theres no enrollment process or paperwork
July 11, 2025
Laboratories
Message Board
Views: 1315 | Replies: 99
that if their insurance does not cover them due to frequency, we will not be charging the patient for them. I'd rather have a good start to an appointment with a new patient with all the info I can view when in office, vs one where there is a frustration buildup of communications between the previous office
November 25, 2025
Front Office Discussion
Message Board
Views: 327 | Replies: 27
no response. So here come claims for other patients. All of them with paid benefits until the page where they show the outstanding "balance" due and how those benefits were applied to the balance. So I file a complaint with my state insurance commissioner. They can't do anything because UHC is not domiciled
October 22, 2025
Claims Processing
Message Board
Views: 204153 | Replies: 100192
, Hegseth gave no further instructions; the decision-making on the second engagement fell entirely to Adm. Frank M. 'Mitch' Bradley on the scene, who judged the remaining individuals still posed a threat. That account aligns with the White House and Pentagon's flat denials from the start
December 03, 2025
Politics
Message Board
Views: 2917 | Replies: 144
insurance companies partner with the FBI and provide them with evidence to go after the provider. If the FBI prosecutors win, the insurance company recoups some of the lost money by paying for fraudulent treatment. They basically act as whistleblowers. The ADA is not a governing body, and I did not say
October 31, 2025
Billing
Message Board
Views: 204153 | Replies: 100192
the tobacco company settlement money go? No Kangs! Kang better be authoritarian and approve my benefits. Don't knock Blizzards. I'm no ACA fan, but you probably wouldn't be able to get insurance at your age and a preexisting health condition. That was the big driver of reforming health insurance. What does
October 31, 2025
Politics
Message Board
Views: 102 | Replies: 7
, sterilizers, flooring, walls. No FEMA help. No insurance payout. Just us. We faced a decision the Monday after when we found out insurance wouldn't pay a dime. File for bankruptcy or rebuild. What got us through was simple: preparation and people. We've always kept 4 to 6 months of operating
November 04, 2025
Practice Management & Administrative Forum
Message Board
Views: 273 | Replies: 15
Those of you that offer health insurance to your team members: how much do you cover of the premiums? If any. Thank you. Let's just assume 0% dependant coverage. I'm pretty sure you have to cover 50% at bare minimum for majority of states. im going to guess that likely only applies to a certain
November 17, 2025
Practice Management & Administrative Forum
Message Board
Views: 204153 | Replies: 100192
survivors clinging to debris would be a war crime, unquestionably. Hegseths response was not a denial, he just claimed we have the right to kill whoever he says is a terrorist. Washington Post and CNN with similar stories. Very nice. My grandmother moved in with us, too, for about a year when I
November 29, 2025
Politics
Message Board
Views: 334 | Replies: 9
and happened to see the same person that worked at the last dental office that they were at. You still needed to fill out all new charting. I doubt that your old employer would be thrilled to copy that patient's entire record and send it over to you. The code is correct. Insurance is just being cheap to pay
December 03, 2025
Delta Dental
Message Board
Views: 1188 | Replies: 57
$125,000 around July 1. Strange year for me Dropped 2 insurances and raised fees about 20%. Revenues down 10% but daily effort down 33%. Revenues are looking dead even this year with last year. Expenses are definitely up (so profit down). Feels like it's really the same story- lots of 'same
December 09, 2025
Practice Management & Administrative Forum
Message Board
Views: 283 | Replies: 10
Any thoughts on Pamela Yellen's 'Bank On Yourself ' program? Basically, you purchase a whole life insurance policy where the interest from the policy is compounded and you place the policy in a trust. You then borrow from the trust and not the bank. Only a few insurance agents know how to provide
October 29, 2025
Personal Finance
Message Board
Views: 120 | Replies: 6
Hello, I have a patient coming up for an all-on-5 officially. The surgeon wants to stage this out, so I'll ultimately have 3 prosthesis. I'm worried that if I code wrong, insurance won't accept my charges. They won't pay that much anyway I'm sure but I want to help maximize my patient's benefits
October 29, 2025
Implantology
Message Board
Views: 1804 | Replies: 142
relationships just to have to be on defense against some of the people I treated for experience. The last thing my office needs is some bad reviews. Reviews and positive word of mouth are the only things bringing people in aside from people finding me on their insurance portals. I want to do more. I just
August 28, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 499 | Replies: 15
this would dissuade her. It did not. Saw her. she needs a root canal on 11 (just like her other dentist told her) and is now hounding us about whether the tooth will need a crown or not afterwards, can we find an endodontist in network for her (no call your insurance company and no there is no way in hell
December 17, 2025
Practice Management & Administrative Forum
Message Board
Views: 281 | Replies: 20
of dollars of fake hours. Forget it. I'm using a former front desk person to clear the insurance claims that were via direct deposit... she looks up the EOB and enters into the patient's ledger..We agreed on 8 hrs a week of pay and this would be a trial run. So I capped the hours. So far it's going
December 04, 2025
Practice Management & Administrative Forum
Message Board
Views: 118 | Replies: 5
. The EOB states that they won't even consider my appeal without this Waiver. How can an insurance company refuse to reconsider a claim unless I promise not to bill the patient? Is this legal? Does it supersede my patient's promise to pay me whatever the insurance doesn't cover? To be clear I do
December 02, 2025
Going Out of Network
Message Board
Views: 4060 | Replies: 242
and my patients can take a down economy and still pay for a recall exam..... I feel if ucr is moderately high ( like 20 -30 percent more then in network fees ) then you can make a reasonable living by going oon. You will save time on front end by not wasting time with insurances. You will require less
December 15, 2025
Practice Management & Administrative Forum
Message Board
Views: 680 | Replies: 17
free time, what are some things I should try to learn from this office to prepare me to own a practice? financials? marketing? inventory? office organization? insurance? As a practice owner, are there any things you wish you could learn to help your office run smoother? Or wish you could've gone back
December 15, 2025
Future Planning General Discussions
Message Board
Views: 197 | Replies: 8
Hello All! First time poster. I will be needing a locum tenen to cover my office bc of an upcoming surgery. This is my first time doing this and need some insight on what I need to set up. Do they need to be credentialed with all of my in-network insurance companies? Any other dot my I's cross my
October 25, 2025
Practice Management & Administrative Forum
Message Board
Views: 183 | Replies: 7
I am having issues with W9 requested by insurance for credentialing. I am a new start up, so I have an LLC with EIN, but will be a disregarded entity. Per W9 form Line 1 has to be individual name Line 2 disregarded entity name. Example: Line 1: John Johnson Line 2: John Johnson Dental LLC Line 3
October 30, 2025
PPOs and HMOs
Message Board
Views: 204153 | Replies: 100192
and political denial. - A demographic trajectory that erodes both economic vitality and defence capacity. - A steady, self-inflicted narrowing of free speech, born of the inability to name the forces that actually constrain it. - And above all: an elite that preferred soothing theories about Russian
December 09, 2025
Politics
Displaying 351-400 of 2269
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Page 8 of 46
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