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Searching: insurance denials
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Page 9 of 46
Message Board (2269)
Message Board
Views: 261 | Replies: 20
Is it normal protocol for insurance companies to not pay for the Pontic as part of a three unit bridge? Their note states it's included as part of the crown. can you post the eob and just dedact the personal info? Thanks ryanjam3 for making your first post on Dentaltown! I have not seen
November 06, 2025
Coding Q&A
Message Board
Views: 133 | Replies: 3
does anyone use ERA feature of VYNE with Open Dental? I have EFTs setup with a whole bunch of insurance companies but my coordinator still goes to each companies site and manually downloads EOBs / prints them out to process. Does ERA through VYNE work well? Is there a large learning curve? Would
November 11, 2025
Billing
Message Board
Views: 151 | Replies: 6
In June 2024, an article on UNILAD described how mechanical engineer Ian Davis found himself in a difficult predicament after losing four of the five fingers on his left hand in 2018 while battling multiple myeloma and suffering fractures in his hand. He assumed his insurance would cover
November 04, 2025
Medical / Health Insurance
Message Board
Views: 170 | Replies: 5
I usually recommend patients pay out of pocket for a flipper prior to a the final partial, or for an interim denture prior to the complete, since most insurances seem to have a problem paying for both. Anyone know whether submitting a flipper to insurance prior to doing a bridge is likely to affect
September 23, 2025
Claims Processing
Message Board
Views: 68 | Replies: 1
I always had my personal Liability/ Malpractice Insurance while working as an associate for different private practices. However, recently I joined a DSO and the DSO purchased liability insurance for me. However I am skeptical of the insurance, because it is a claims made policy from a non popular
July 18, 2025
Dental Liability Insurance
Message Board
Views: 869 | Replies: 23
Example: Insurance allowable charges for a crown/build-up are $800. Patient portion is $400, insurance portion is $400. Is it legal to collect $800 from the patient and have the insurance company reimburse the patient the $400? Thanks. If you are an in network provider you cannot do this. If out
September 18, 2025
Claims Processing
Message Board
Views: 140 | Replies: 2
Where I live, a state insurance company only pays for amalgam on primary molars. Sometimes I'd like to use composites or glass ionomer because it's faster. But that's not allowed unless the patient or their private dental insurance pays for it. I don't even want to be paid more for the composite
November 29, 2025
Pediatric Dentistry
Message Board
Views: 56 | Replies: 1
I just found a flipper made in November 2024 that the patient never came back for. We were planning to extract #4 and she had insisted she needed a flipper, and then of course she didn't come back for the treatment. I also found out we didn't bill it to her insurance (we were probably waiting
October 14, 2025
Billing
Message Board
Views: 324680 | Replies: 34372
. " There must be some give a fuck on my face." Classic Absolutely. Except the world we live in doesn't (and never will) work in a binary way. A lot of people live in denial - as a result they demand their views towards our issues should be addressed to their liking only. It's mostly generational
October 30, 2025
Personal Finance
Message Board
Views: 234 | Replies: 12
provide health insurance? Retirement plan? PTO days. Etc Etc Etc. By doing a spreadsheet you can break out the cost of those benefits. So the wage is 3.50 higher what are the benefits? 3.50 per hour more is not enough. Downside is the youngsters do not place a high dollar value on health insurance
October 27, 2025
Practice Management & Administrative Forum
Message Board
Views: 204169 | Replies: 100197
time and later releasing the footage as propaganda. When asked directly whether Hamas committed the atrocities shown worldwide, 86 percent answered 'no,' while just ten percent said 'yes' - a sweeping denial more than two years after the massacre and after extensive eyewitness testimony, publicly
October 29, 2025
Politics
Message Board
Views: 405 | Replies: 16
new Delta....thanks in advanceDrop these pieces of shit I dropped them. You can't have them overrun your practice. Play the insurance game and don't respond for months. dont accept delta insurance. seems pretty obvious. If you tell them it is all patients, and then they call and pretend to be a cash
November 24, 2025
Delta Dental
Message Board
Views: 258 | Replies: 11
has established a third-party network leasing agreement with Humana Dental (Humana), effective November 1, 2025 . Under this arrangement, Humana Dental PPO members, including Federal Employees Dental and Vision Insurance Program (FEDVIP) PPO and TeamCare members, will gain in-network access
November 25, 2025
PPOs and HMOs
Message Board
Views: 1523 | Replies: 91
How do I solve this issue with hygiene schedule? Patients are complaining. I don't know where to begin. Solo doc. No interest in expanding. I'm a (too) conservative tx planner, so my schedule is not very full. 3 FT hygienists (4 day week). Heavy insurance driven. It is October 23 that I'm writing
October 24, 2025
Ask a Dental Consultant
Message Board
Views: 2917 | Replies: 144
I looked this up on the ADA website, it talks about unbundling being 'inappropriate'. Maybe it varies from state to state. Do they charge patients to pee there too? Jesus. Now we are talking. Charge per square of TP I think the problem lies in insurance contract you sign does not allow
October 23, 2025
Billing
Message Board
Views: 122 | Replies: 11
on the municipal line, proving the cause would be a challenge. My earlier response assumed you were on that same main supply panel. Bite the bullet and fix the A/C. Your office is probably not on the same transformer from the Muni supply to the plaza. Its possible you may have insurance coverage
November 05, 2025
Practice Management & Administrative Forum
Message Board
Views: 900 | Replies: 51
can do that for DHMO plans but not PPO plans. Other than having patients not use their insurance when we do a gold crown, is there another way around this? We charge an extra lab fee when doing FGC that the patient pays out of pocket and not submitted to insurance. Otherwise I just wouldn't do them
October 05, 2025
Dental Insurance for Dentists
Message Board
Views: 204169 | Replies: 100197
distilled to its essence: Representative James Comer, Republican of Kentucky, who leads the congressional oversight committee said that he accepted Trump's denial about the Epstein note 'the president says he did not sign it so I take the president at his word'. Comer said Tuesday he added that he
September 10, 2025
Politics
Message Board
Views: 78 | Replies: 2
Temporary assistant and worker's compensation What should I tell my workman's comp insurance provider regarding temp workers I hire from time to time and what coverage should I have ? Most temp agency treat them as independent contractors and do not provide any insurance. Anyone know how
October 13, 2025
Dental Liability Insurance
Message Board
Views: 1326 | Replies: 66
Is it legal to post insurance fee schedules on here? I will show you mine if you show me yours. That way we can all pick the highest ones and go back to them and say I want this fee schedule or I am out. I will tell you right now, I have access to insurance fee schedules at various affordable
October 23, 2025
Dental Insurance for Dentists
Message Board
Views: 204169 | Replies: 100197
nostalgic about the golden days America and Iran, in good times I am sad it has ended but happy I experienced it Read it again. Slowly. Tequila is good. Ok I did. Bezos's publication didn't give Isreal's denial enough weight? The news coming from Gaza is all filtered through
July 05, 2025
Politics
Message Board
Views: 2197 | Replies: 165
that I know in Canada are required to also work in clinical practice. I would say this could be a viable option. I guess demographics could come into play. My area demographics lean more toward dental denial...e.g my baby took my enamel Out of my 14 patients a day ( assisted hygiene) 2 may be good
July 04, 2025
Hygiene Discussions
Message Board
Views: 105 | Replies: 4
We fabricated a Sleep Apnea Appliance for a patient and submitted it to her medical insurance. We are not in-network with any medical insurances and never had an issue with the medical claim filing process. With this case, we are in network with her dental insurance (Aetna). On the EOB, they stated
October 01, 2025
Claims Processing
Message Board
Views: 540 | Replies: 22
I'm sure this has been explained before.... but what does my patient owe here? I'm in network with Delta, practice in NC. Patient wants a chairside veneer on a retained primary canine (#H) for purely esthetic reasons. I'm of the belief that esthetic work is not-covered by any insurance policy
October 22, 2025
Claims Processing
Message Board
Views: 639 | Replies: 36
appointment. Do insurance companies pay the tooth vitality test code? Or do you bill the patient? If you are a PPO office, you MUST bill for 100% of everything you do. You already give a massive discount by being in-network, DO NOT give away additional money. Every PA Every limited exam Every quick
September 04, 2025
Billing
Message Board
Views: 204169 | Replies: 100197
applicants will be required to list all social media usernames or handles of every platform they used in the past five years, the spokesperson said. Omission of social media information could result in denial or ineligibility for future visas. You think this is not withoutsomejustification
June 26, 2025
Politics
Message Board
Views: 324680 | Replies: 34372
1 government, so there is a centralized intelligence sources.Pete Hegseth would deny the Signal chat controversy if it wasnt for the Atlantic reporter who was accidentally add to the chat, and you would probably agree and believe Pete Hegseth denials if the reporter wasnt on the Signal chat. Yes
June 25, 2025
Personal Finance
Message Board
Views: 69 | Replies: 3
Did you know that one in four American adults, roughly 72 million people, have no dental insurance? That's nearly three times the number who lack medical insurance. It's a staggering gap that reminds us how oral health continues to be treated separately from overall health in the U.S. The numbers
October 12, 2025
Medicaid and Welfare Issues
Message Board
Views: 120 | Replies: 5
Our office need better protocals at the frontdesk such as verifying insurances, calculating more accurate copays, and better front office protocals. We use open dental. Does anyone use any software with open dental that automatically verifys insurances? Any good consultants out
August 09, 2025
Ask a Dental Consultant
Message Board
Views: 661 | Replies: 23
, finding that dental insurance markets are local, not national in scope. U.S. District Judge Elaine E. Bucklo issued an opinion and order on Monday denying a motion to of some 240,000 dental providers who allege they were underpaid reimbursements by Delta Dental's local member companies. The case targets
September 26, 2025
American Dental Association
Message Board
Views: 1027 | Replies: 43
I removed decay , build up and crown prep Later patient had pain because of deep caries. So I referred him to Endo.. He apparently went to Ukraine and got his root canal done there. Now he wants his crown from our office. He paid for it, and insurance paid their part. he doesnt want me to insert
August 18, 2025
Legal Issues
Message Board
Views: 567 | Replies: 32
. This is not an emergency. How many crowns did she co diagnose? Thanks for the feedback. My other concern would be that if an Insurance consultant were looking at this, I am highly doubtful that they would approve SRP. Any other thoughts? To me this is Scaling in the presence of gingival inflammation
October 14, 2025
Periodontics
Message Board
Views: 68 | Replies: 3
Just got an email from Zelis, that they're offering partnership with Intelibly. Sounds like it is a software that makes online appts from the insurance online directory to your software schedule. Has anyone ever heard of it or tried it? I remember years ago Cigna tried something similar
October 16, 2025
Selecting / Installing Software
Message Board
Views: 2114 | Replies: 86
Or move on to patients willing to pay more for quality/comfort/convenience. We arent widgets. As the dental industrys care degrades along with insurance fees more patients Will understand this and seek out higher levels of service. Position yourself there and you are golden. Its easier for dentists
July 28, 2025
Practice Management & Administrative Forum
Message Board
Views: 324680 | Replies: 34372
Why not get a group plan for the office? With the number of employees you have it would definitely be cheaper for her, and helps you retain great employees. The wage would have to be astronomically higher to make up for getting insurance on her own. We pay 50/50 and it goes up but not as much
October 05, 2025
Personal Finance
Message Board
Views: 69 | Replies: 1
About 2 months ago, being without a front desk employee, I decided to give Stratus a try to help close the gap on entering the data for our insurance benefits and eligibility in Opendental. Previously, It was quite the challenge to keep up and we would often just see the patient, treat the patient
August 04, 2025
Artificial Intelligence
Message Board
Views: 364 | Replies: 6
We have finally started charging patients for fluoride, and have come down on our fee to get a higher compliance level. We are at $20 for fluoride varnish (used to be $42). However, we know that a few dental insurances that we are NOT in network with paid the full $42 for it. Last time I checked
August 09, 2025
Claims Processing
Message Board
Views: 193 | Replies: 8
i feel his pain. fortunately i'm 35 years into this gig and financially set. aetna and guardian aer bottom feeders, and the dentists who work for them are a joke to our profession!. hudson is an upscale community. white collar, wealthy community. You can blame the insurance companies
October 13, 2025
In the News
Message Board
Views: 204169 | Replies: 100197
Vermont will be the first state to elect a commie to Congress. She heard from a New Hampshire man named Dennis. Dennis developed cancer 8 years ago, and because he had Obamacare, he was able to be treated and cured. If not for the ACA, he would be dead today. Dennis wants to keep his insurance
October 22, 2025
Politics
Message Board
Views: 865 | Replies: 24
Does anyone regret starting an in office membership plan for a FFS office? I am considering implementing one but I always like to hear from other offices before I make a change like this. Approximately 50% of my patients do not have dental insurance. We have been having people ask if we had a plan
August 24, 2025
Practice Management & Administrative Forum
Message Board
Views: 515 | Replies: 12
of those being hygiene. That's impressive! Patient retention at 75% or greater Less than 15% of insurance claims over 30 days Less than 15% of AGED A/R over 30 days Percentage of time filled on the schedule each day for each provider, 94% or greater Collections at 98% of adjusted production Live
August 06, 2025
Practice Management & Administrative Forum
Message Board
Views: 177 | Replies: 5
to get back? Case in point, I had a pt in the other day with fractured #9 that needed RCT/P&C/Crown, but we weren't able to do anything for the pt for 30 days because her liberty insurance would deny the procedures if we didn't get the pre-auth. So the pt had to walk around for 30 days with 3/4
August 20, 2025
Claims Processing
Message Board
Views: 110 | Replies: 1
for them, and falsely advertising that it accepted all insurance, including Medicaid's MassHealth, when it did not. Under the consent judgment entered in Suffolk Superior Court, up to $750,000 will be returned to affected patients, and the remaining $2.75 million paid to the state. Aspen Dental must
August 06, 2025
Legal Issues
Message Board
Views: 511 | Replies: 14
I have used this 3rd company to do our insurance billing for the past 15 years. We pay 3% of collections. I am now seeing lower collections, fewer days where they are posting. I have large AR accounts which not being followed up on. I would like to learn for my staff to do the billing. How do I go
July 15, 2025
Practice Management & Administrative Forum
Message Board
Views: 184 | Replies: 6
is that what youre seeing? when staff is asking some patients for their portion, thats what theyre telling us. and my staff is saying when theyre on hold with the insurance company, its even saying that on the hold message. that would be crazy Never heard of this. But wouldn't surprise me. I
July 23, 2025
PPOs and HMOs
Message Board
Views: 379 | Replies: 13
Hey DT, I've been listening to podcasts and reading information on all things business dentistry and recently came across a podcast discussing insurance reimbursements, coding, etc. From someone who doesn't know much, what are some resources you've found to be helpful in learning
June 30, 2025
Dental Insurance for Dentists
Message Board
Views: 116 | Replies: 2
in-house discount plans, or consider participation with dental insurance carriers. If participation with dental insurance carriers is an avenue that you want to consider as a possible path to generate patient flow, we'd recommend you do a bit of research. Demographics- we do a comprehensive
October 24, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 204169 | Replies: 100197
be happy if Nazis were killed? You seem to be dodging. The progressive movement hit a wall. They are realizing it's not a peaceful movement. They are going through the stages of grief. They were more angry last week than conservatives. Now it's denial. it's practically clinical. CPT he offered maybe
September 17, 2025
Politics
Message Board
Views: 204169 | Replies: 100197
that one narcissist mentally deranged leader of a once great country does these crazy things and millions of followers who are in denial of being in a cult figure out ways to accept his behavior as normal. DT has allowed me to see how their brains do that. Amazing. I never would have thought
October 24, 2025
Politics
Message Board
Views: 316 | Replies: 13
themselves to duct tape. Not sure the answers on this but lets see if Travis has any input to help you here? So there are 39 Deltas that all act basically as a franchise, mostly independent. State laws affect insurance that works within your state, it does not matter where the insurance company
October 27, 2025
Delta Dental
Displaying 401-450 of 2269
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