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Searching: insurance denials
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Message Board
Views: 128 | Replies: 6
dentist, but I have a Prosthodontist as an associate, and an Endodontist and Periodontist who come in a few days a month. So we do have multiple specialties. I'm not sure if offering specialties makes this easier. I would suggest listening to some of those podcasts, the 'less insurance dependence
May 13, 2026
Alternatives to Dental Insurance
Message Board
Views: 303 | Replies: 9
Insurance has been such a pain in the ass lately. They denied this claim because of poor prognosis. See the claim attached. I couldn't figure out how to post other than attachment because of file type. Existing crown had to be replaced. Lots of other restorative planned, but from picture you can
July 10, 2017
Alternatives to Dental Insurance
Message Board
Views: 175 | Replies: 4
coverage does not go up. They reduce rates and increase denials. How can we protect ourselves and our profession from this slander?And please dont reply you cant or theres nothing you can do. There is a solution for every problem. Honestly I put less blame on the ad agencies and insurance companies
April 10, 2021
Alternatives to Dental Insurance
Message Board
Views: 802 | Replies: 22
was prepared for anything (approval or denial) as we discussed/watched this tooth since 2014 and how insurance probably wouldn't cover as they would call doing anything with cracks preventative. I am surprised they approved the crown without an appeal as there was no radiographic decay, however the IO
February 17, 2021
Alternatives to Dental Insurance
Message Board
Views: 275 | Replies: 11
Insurance company not letting us drop them. They have been holding us hostage for months. We are trying to drop BCBS since last Sept, and UCCI since Jan. Every time we follow up the say they will get back to us in 5 day. What should I do? My hygiene is booked for months now so I can't see new
March 17, 2026
Alternatives to Dental Insurance
Message Board
Views: 83 | Replies: 3
Insurance company not letting us drop them. They have been holding us hostage for months. We are trying to drop BCBS since last Sept, and UCCI since Jan. Every time we follow up the say they will get back to us in 5 day. What should I do? My hygiene is booked for months now so I can't see new
March 16, 2026
Alternatives to Dental Insurance
Message Board
Views: 674 | Replies: 13
DECISIONS ARE PATIENT CARE-FOCUSED Require that 94% of Delta revenues be directed to paying for patient care, and require any administrative costs above 6% be refunded to those purchasing coverage. Require that Delta, like other health insurance providers, work with the Office of the Insurance
June 19, 2017
Alternatives to Dental Insurance
Message Board
Views: 2210 | Replies: 73
will thrive. I say the opposite. We are bleeding a slow death. My OH today is 65%. Great on 1 mil collections, Im doing well for myself. Guess what happens in ten years? Rent increases, insurances scale back reimbursement 10%, more denials, more competition... in 10 years, I will have to work 10
November 10, 2018
Alternatives to Dental Insurance
Message Board
Views: 113 | Replies: 4
I am needing to send a letter to several insurance companies telling them we no longer want to be in their network... any ideas or sample text is greatly appreciated! I don't like to beat around the bush. Here is one example. To whom it may concern, Sincerely, Kjhuskey You do not need
July 11, 2019
Alternatives to Dental Insurance
Message Board
Views: 1839 | Replies: 40
to Dentist: no upfront fees or buy-in, no spending time justifying my hard work to the insurance company to get paid, no having to send x-rays, no answering to all the not a benefit denials, no time for my staff to be on hold with them all week long, no appeal letters. Bentohandles all the claims
August 21, 2022
Alternatives to Dental Insurance
Message Board
Views: 2115 | Replies: 105
Kid, I like that idea. Would definitely drive them to agree to autodraw. What kind of discount would you apply to the $500.00 per year in my hypothetical example? 20 bucks. Damn Ive never thought of this angle but it is great. Using their I dont have insurance psychology against them. Cognitive
June 03, 2024
Alternatives to Dental Insurance
Message Board
Views: 61 | Replies: 2
If preventive dental care actually lowers needed treatment why not create a new dental insurance. preventive coverage at 100% with a twist. Incentivize patients with a reward system like credit cards. Earn points that they can choose how to spend, if they want cash back, pick something else, etc
November 10, 2021
Alternatives to Dental Insurance
Message Board
Views: 75 | Replies: 1
Hi. Im an oral surgeon opening up a startup practice. My partner and I will be affiliated with local hospitals and will be doing larger OR cases (orthognathic, trauma, pathology, etc) there What companies have any of you used to get credentialed with medical insurances? Any advice/feedback will be greatly appreciated. Thank you! My group uses these folks and like them:
November 15, 2020
Alternatives to Dental Insurance
Message Board
Views: 374 | Replies: 13
Supragingival calc doesn't need 4 quads of SRP Most insurance companies require an FMX and probing and charting to bill for SRP -otherwise they will deny the claim. Did you submit those? I have a simple rule in my office, if we diagnose it and Srp gets done, we get paid. I dont care if insurance
August 31, 2020
Alternatives to Dental Insurance
Message Board
Views: 203 | Replies: 3
Hi,I am in the process of acquiring a dental office.I have life insurance through state farm, malpractice insurance through PSIC, and personal disability through guardian.I was told that I need to have commercial property insurance and overhead expense insurance in order for lending/financing
July 19, 2020
Alternatives to Dental Insurance
Message Board
Views: 203 | Replies: 3
without impacting the level of service I offer. I have been entirely insurance free must be embrace FFS from day one and have practiced on my own terms for my entire career. My goal for my future is to help other dentists, who may desire to practice insurance free do so. Yes I am the same guy some
August 26, 2019
Alternatives to Dental Insurance
Message Board
Views: 150 | Replies: 4
Has anyone had any experience with the Elli insurance verification? Looks to be like trojan. How it works and what it's like? Thanks! Would love to answer any questions you may have about Trojan.does the site still exist?Mark
February 23, 2019
Alternatives to Dental Insurance
Message Board
Views: 95 | Replies: 2
I am a retired dentist and am looking to see if any one knows of a insurance co that offers coverage for a person such as I that is half way decent. Any feed back would be appreciated. Thanks in advance. The whole private insurance situation is so expensive. I feel has really changed the landscape of private practice dentistry. i think whenever i sell, i will add a clause that will be no cost cleanings for x years. haha
May 02, 2023
Alternatives to Dental Insurance
Message Board
Views: 604 | Replies: 4
Do office sponsored membership plans violate your participation with an insurance company? I mean a membership plan where the patient pays a set fee for exams, X-rays, prophys per year. Every state has different laws pertaining to this. Ask legal counsel from your state dental
February 28, 2022
Alternatives to Dental Insurance
Message Board
Views: 82 | Replies: 0
, July 2021 LetterThink IPV Individual Patient Value.Run a report in your software to see how much of your Collections (bank deposit) Comes in from patients versus insurance and you will gain a lot of insight into where to take your practice. This is a great guide to help you on adding more insurance versus keeping what you have or considering dropping insurances and focusing more on membership plans.
September 13, 2021
Alternatives to Dental Insurance
Message Board
Views: 450 | Replies: 6
I am thinking of outsourcing insurance verification. I used e-assist in the past. I have contacted Extradent and Medusind for some quotes as well. Who else do you recommend I should contact? I would love to know feedback of actual users. You can reach out to Dental VerifySupport at (912) 355-6100
March 31, 2019
Alternatives to Dental Insurance
Message Board
Views: 165 | Replies: 9
and received about five stitches in her chin. She also cracked a lot of posterior teeth and needs almost $20k of dental work if she wants to keep the teeth versus extracting.Her dental insurance had an annual max of $1,250. Have any of you seen a situation like this where a patients major medical
July 16, 2024
Alternatives to Dental Insurance
Message Board
Views: 355 | Replies: 8
an active date of 11/03/2021 and I am just waiting to see what insurance companies acknowledge the request to add me in network, but there is no way to know for sure until you submit a claim?? Very confusing. Thanks for the help. If you pick up those insurances (or any insurances that are part of Zelis
January 19, 2022
Alternatives to Dental Insurance
Message Board
Views: 409 | Replies: 11
like title says, I'm done dealing with this BS, insurance companies reducing fees, denying cases, stalling and giving run around. It is really exhausting dealing and keeping up with this. I've noticed it is even worse towards the end of the year. I'm sure many share same experience with dental
November 05, 2021
Alternatives to Dental Insurance
Message Board
Views: 123 | Replies: 3
I am at the point where I want to begin dropping insurances. I have read on DT about the success people have had with using a in-house plan to retain patients. I wanted to create one for my practice and have it ready to go for when I start axing insurance companies. I have read many threads
February 03, 2025
Alternatives to Dental Insurance
Message Board
Views: 83 | Replies: 0
June 01, 2018
Alternatives to Dental Insurance
Message Board
Views: 26 | Replies: 0
Listen up, Docif youre fed up with slashed reimbursements, endless paperwork, and the constant tug-of-war with insurance companies, youre not alone. Smart dentists everywhere are discovering a radically simple way to lock inpredictable,monthlyrevenuewithoutbowing down to PPO demands or cramming
February 03, 2025
Alternatives to Dental Insurance
Message Board
Views: 159 | Replies: 1
are a positive solution to a huge problem. According to Dr. Eskew there are 23 states with defined DPC laws that recognizes that a membership program does not fall under insurance regulation. Direct Primary Care is a game changer for dental practices and allows practitioners to set up membership programs. You
February 14, 2018
Alternatives to Dental Insurance
Message Board
Views: 460 | Replies: 9
I am finally starting the long overdue process of dropping PPOs. I am planning to start with Cigna and Guardian. For those that have done this, do you recommend contacting the insurance company for each affected patient to see whether they can see an out of network dentist and what their benefits
February 03, 2025
Alternatives to Dental Insurance
Message Board
Views: 2115 | Replies: 105
Having membership and insurance can get really tricky and is state specific. In my state, you cannot legally have both. Offer it to the patient for when their insurance expires. Simple solution. I am in the state of Pennsylvaniaany resource you can guide me to for clarification on the legalities
February 03, 2025
Alternatives to Dental Insurance
Message Board
Views: 223 | Replies: 10
I have a question about in house membership plans. We are located in NC. If you offer an in house membership with cleanings and discounted services is this service available to all patients including those with insurance? For example if someone has a poor coveraged plan can they purchase membership
September 01, 2023
Alternatives to Dental Insurance
Message Board
Views: 347 | Replies: 12
Hello Townies, Just wondering if it is possible for a representative of a dental group to approach employers not offering their employees any dental coverage/insurance to solicit them to sign up for the groups dental discount plan. Not insurance, just a low cost yearly fee with discounts to all
July 24, 2023
Alternatives to Dental Insurance
Message Board
Views: 989 | Replies: 22
Hello All, i don't know if this has been asked. I've search and unable to find any advice. We have an in house membership with Kleer. If we are out of network with certain insurance companies, can a membership plan be used to reduce the patient's expenses and the insurance still be submitted
February 09, 2023
Alternatives to Dental Insurance
Message Board
Views: 334 | Replies: 7
Currently we offer 5% discount for patients who pay upfront (aka cash patients). We have had some of these cash patients who needed a lot of work then ask what dental insurance should I get?. Just curious, regarding the annual fee, should it be more expensive or less than the sum of 2 cleanings
May 19, 2023
Alternatives to Dental Insurance
Message Board
Views: 329 | Replies: 10
I had a patient who thought my crown fee was too high and inquired (emailed) with the Arizona Dental Association. She has insurance and the insurance negotiated rate is $1337. Here is the response from an administrator for the DA: In response to your email. You were asking for information
July 12, 2019
Alternatives to Dental Insurance
Message Board
Views: 219 | Replies: 2
I searched for this but couldnt find the exact answer. We have a membership plan that we manage in house and have had some patients sign up already. We have an older patient base and many are around retirement age, we are OON with all insurance companies. Many patients who are about to retire ask
April 27, 2021
Alternatives to Dental Insurance
Message Board
Views: 160 | Replies: 2
So Ive been thinking lately about private practices and dental insurance companies. Obviously a lot of us are frustrated by the way things are going in our field, especially in our dealings with insurance companies. Ideas have been floated in the past. Many have been shot down since we are limited
March 30, 2021
Alternatives to Dental Insurance
Message Board
Views: 2115 | Replies: 105
90 patients without insurance in the whole office). We love the idea of being able to save a management fee and she truly is a rockstar so I believe she could do it. A couple things... We dont even know where to start... is it typical to do a monthly fee? A yearly fee? Should the total yearly fee
November 28, 2023
Alternatives to Dental Insurance
Message Board
Views: 748 | Replies: 24
simply do not go together. It's a money loser, it will potentially put you into a bind with improper coding and insurance billing. My only advice is just don't. They just are not compatible.Incorrect, this depends on your stats and whether it is a self insured/funded plan (forget what exactly
January 08, 2019
Alternatives to Dental Insurance
Message Board
Views: 2210 | Replies: 73
. Every year, cost of materials, rent, water bill, wages, even paper towels goes up but insurances reimbursement and annual max benefit has been the same.I'm sure somesections of federal laws that allows us for fair and just contractual services. If we can increase reimbursement and annual
April 27, 2019
Alternatives to Dental Insurance
Message Board
Views: 164 | Replies: 10
Subject is pretty self explanatory... We are currently in-network with one insurance company that apparently is about to cut our reimbursement rates by 15%, which kind of forces our hand to drop them. We'd like to offer an In-House Membership Plan to just these patients in order to try to retain
October 25, 2019
Alternatives to Dental Insurance
Message Board
Views: 96 | Replies: 4
know what procedures are and what additional procedures will be performed. Does this sound like a win-win plan? It frees me of giving estimates and opens the way for any major procedures without having to be limited by patient finances . I dont have to worry whether insurance will cover or not cover
February 24, 2023
Alternatives to Dental Insurance
Message Board
Views: 435 | Replies: 7
. I am hoping to pitch an option to my dso to possibly let me tone down from 4 days a week to 3 and I can do 1 day at the startup intially, and then titrate accordingly over the next few years. I am currently credentialed at the DSO w/ about 12 insurances, I was told that I am able to request
May 14, 2023
Alternatives to Dental Insurance
Message Board
Views: 317 | Replies: 5
Hi everyone, When I got out of dental school, I joined corporate that took every insurance that exists. So basically they signed me up and made me in network with there location. I did not what insurances I was signed up with as I just signed the forms they gave me. I have been long gone from
November 26, 2018
Alternatives to Dental Insurance
Message Board
Views: 681 | Replies: 14
Does anyone have a sample letter of what they sent to their patients when they decided to drop insurances? I want to begin to drop insurances but I am having a hard time putting together a letter that sounds reasonable. I think this COVID situation has shed some light on what I need to do
December 22, 2021
Alternatives to Dental Insurance
Message Board
Views: 1058 | Replies: 27
it, but not with a staff greater than 10 and resigned to the fact the 125K is your ceiling.YesPossible? Yes. But if you are currently very dependent on insurance, you have to be very careful and methodical about it.Do the procedures that are beyond insurance for a starter, i.e. cosmetics, TMD, etc
April 18, 2019
Alternatives to Dental Insurance
Message Board
Views: 5268 | Replies: 441
crave a Big Mac. Yeah..because 75 year olds are going to be able to pay for insurance in the free market...got an extra 80K a year grandma? The reason Medicare exists is because the inscos didn't want those people. Get the kids on Medicaid..the seniors on Medicare..and the inscos get to milk
June 08, 2017
Alternatives to Dental Insurance
Message Board
Views: 8464 | Replies: 301
It is literally the worst paying insurance I accept. it pays within 1 dollar of medicaid with bundling it is often the same as medicaid. Delta crown is like 700 or something and they bundle the post/core/build up The worst? Humana, UConcordia and GEHA. I'd take Delta 10x over above any of those 3
December 24, 2019
Alternatives to Dental Insurance
Message Board
Views: 85 | Replies: 2
Orthodontist referred a medicaid patient for upper labial frenectomy after completing ortho.Intraoral pictures were submitted to insurance but they are asking for a narrative.Does anyone have a format? Or if they can please share one.It will be highly appreciated.TIA Youre wasting your time
September 27, 2020
Alternatives to Dental Insurance
Message Board
Views: 4225 | Replies: 98
Tom, Charge a fee to process the patient's insurance, but require them to pay you out of pocket? interesting... would you offer the new company's service to other practices? would the new company have a DIY option for OMs? doug What is the best way to automate payments? I use open dental
April 23, 2019
Alternatives to Dental Insurance
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