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Searching: insurance denials
Results: 206
Displaying 1-50 of 206
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Message Board
Views: 133 | Replies: 3
Recently I pulled a tooth on a patient with Premera Blue Cross insurance. I had a 2 year old xray of the tooth, and didn't feel the need medically to take a new one that day. Insurance denied coverage of the extraction because the xray was not current. This is a new one for me. Watch out
November 09, 2022
Billing
Message Board
Views: 1703 | Replies: 50
to patient ledgers, dealing with insurance denials, submitting any pre authorizations, working insurance aging report, patient billing. I am thinking about outsourcing posting of insurance payment .May I ask you how much does the Dental Claim Support Charge you? Would also appreciate your experience
September 19, 2023
Billing
Message Board
Views: 725 | Replies: 30
. You cannot garnish wages or place a lien on the person's primary residence. Interest is capped at the 1 year U. S. Treasury (1.5 - 4 %) and they consider late fees to be part of interest. I have a patient who when we started treatment, had insurance through Delta Denial. By the time we were done
December 23, 2025
Billing
Message Board
Views: 243 | Replies: 6
I did a crown for a patient in May of 2023. We had a pre-determination from her insurance plan but after the treatment was done, the insurance plan denied paying for the crown. We have send all the appeals we could and the patient has been in contact with the insurance. Last month the insurance
July 16, 2024
Billing
Message Board
Views: 321 | Replies: 15
this comes down to three aspects: 1) Estimate better 2) Document better for less denials from insurance 3) Collect money sooner (at the minimum, at the beginning of the appointment) Now once the source is fixed, then focus on the cleanup that won't be continuing. Yes, your team is right, calling
December 11, 2024
Billing
Message Board
Views: 334 | Replies: 13
told The Post. Patients arent the only ones using AI to their advantage doctors are also reaping the benefits, leveraging the high-tech smarts to push back on insurance companies when denials leave them with uncollectible debts. Bryan Rotella is an attorney whose practice specializes
March 09, 2025
Billing
Message Board
Views: 559 | Replies: 6
A new law in California bans health insurance companies from using AI to deny care or coverage. This is a major win for patient advocacy and puts decision-making back in the hands of humans, where it belongs. Why it matters: No more automated denials without human review. Patients' care decisions
February 10, 2026
Billing
Message Board
Views: 614 | Replies: 14
Hello Townies, I am considering outsourcing billing insurances. I've heard bad things about eAssist. I talked to Dental Claim Support (DCS) and I liked them. Of course I spoke with a salesman so naturally he'll make it sound amazing. I want to ask yall about any personal experience yall may have
March 05, 2026
Billing
Message Board
Views: 209 | Replies: 5
Has anyone used it? Overjet is one of those companies that offer the AI xray reading. Im not really interested in that part, what im more interested is theyre saying now they will look at your insurance submissions before you send them in, first with AI, and then if it needs to, to one
January 10, 2026
Billing
Message Board
Views: 115 | Replies: 3
How long does delta typically take to pay for a conventional fixed bridge. It always goes to review..... Does anyone have the answer on this? Thanks! Within 30 days, if they have everything they need to process it. Every insurance company has to follow the same state rules: Respond to a claim
December 09, 2025
Billing
Message Board
Views: 373 | Replies: 10
any openings for their first, 2nd, 3rd, or 4th preference - then apologize but they have to attend to something and don't call them back I am confused about what actually happened. Did he pay twice? The insurance paid and he paid as well? It is confusing, I know. In short, he paid his portion
May 06, 2026
Billing
Message Board
Views: 1231 | Replies: 45
that has insurance. Just wonder how long we can continue to put up with insurance dictating fees as costs continue to increase? I'm sooooo glad to be on my way out but I feel bad for my son who will be taking over the practice and unfortunately will have to deal with these issues. What codes did you bill
May 04, 2026
Billing
Message Board
Views: 417 | Replies: 6
Hello all, I am sure this has been talked about ad nauseam but does anyone have any recommendations for a 3rd party company to take over my insurance claims and billing. I am OON with all insurance companies, I am a Dentrix user, and I do not like Henry Schein so E assist is out of the question
May 04, 2025
Billing
Message Board
Views: 371 | Replies: 29
So I need some input here. I am in the process of acquiring an office and getting credentialed with insurance companies. Of course I am not completely credentialed yet because the process takes quite a while, but I have been working on it for over a month. Me and seller currently have
April 24, 2026
Billing
Message Board
Views: 399 | Replies: 11
operating procedures for how to conduct the billing of dental insurance for each practice. 5. The dental billing company should vet the dental billers on their platform. 6. The dental claims specialists should promptly follow-up with denials. 7. The dental billing company should aim to get
September 25, 2023
Billing
Message Board
Views: 217 | Replies: 8
copayments at time of service. So, you can learn not just billing, but also the nuts and bolts of insurance verification and estimating. It is not hard. Time consuming, yes, which is why I pay my staff do it, but I know how it is done. I've got access to all the websites. I've got the lists of phone numbers
June 11, 2024
Billing
Message Board
Views: 537 | Replies: 17
Hello,Does anyone use Delta Dental website to submit claims? We use Dentrix and currently submit claims via that. Also the X-rays, narrative needs to be printed out and sent via mail. Any suggestions on how this could get better. I accept almost 11 PPO insurances at my practice.Thank you WE PREFER
April 11, 2024
Billing
Message Board
Views: 74 | Replies: 5
For those that have Dentrix. How do you post your office fee on the ledger but still get accurate treatment estimates? If I put a delta fee schedule in for a patient I can estimate their portion with the treatment planner but then it also posts the insurance fees to the ledger (I'm not talking
October 22, 2024
Billing
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: 141 | Replies: 2
reports. 2. I cross check daily reports. 3. She takes care of all denials, resubmits, etc and gives me all the entered claims and deposited checks to review. She's been doing a great job and our A/R is amazing so is there any reason for me to put eyes on the hundreds of claims per week if I've already
August 31, 2024
Billing
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: 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: 342 | Replies: 12
have paid me on appeal for 6 month prophy denials. Guardian and United Concordia are not appeal-worthy. Either way make your employee write the letters. She will be sure to get better at checking. Standards should be without specific insurance policies in mind. The reason for 6m +1d always is so
January 21, 2024
Billing
Message Board
Views: 309 | Replies: 11
who know too little about how insurance works and/or working off not enough information about the policy breakdown of benefits. Insurance estimates work the exact opposite of the judicial system: guilty until proven innocent. There are many ways insurance policies cover less than the standard amount
October 17, 2024
Billing
Message Board
Views: 55 | Replies: 4
. If that is the case, we charge what we want and do not send in to insurance. I guess if retainers years later are a covered expense I would charge the patient a extra specialty fee since Viveras are a special item. Go read post 6. If pt already maxed out here ortho coverage, then you charge whatever you want
April 14, 2026
Billing
Message Board
Views: 376 | Replies: 9
A patient who had not been in for 3 years was in today. He was seen, a radiograph was taken, a 3rd molar was extracted and a single surface composite that was planned 3 years ago next to the 3rd molar was filled. Will the insurance company (that I participate with) pay for a limited oral exam
November 08, 2022
Billing
Message Board
Views: 960 | Replies: 37
This family has been with us for over 10 years now. Last few years they have a new insurance and we don't have assignment of benefit. Since they have been with us for a long time, and can not pre pay for their services, we allowed them to get the work done and bring the check in when insurance
September 02, 2025
Billing
Message Board
Views: 997 | Replies: 57
it fit and send her on her way. I did not answer the survey because I don't have enough information from the op. Questions for OP: 1. Did you send the patient to collections for the entire amount of the crown procedure even though you only did the prep/temp? 2. Is insurance involved
June 28, 2023
Billing
Message Board
Views: 546 | Replies: 20
... Your super hack is InsideDesk. We either use our own software for claim tracking or InsideDesk if our software isn't compatible with the PMS. It updates outstanding claim statuses every night and even pulls in the EOBs/denials for most major payers. You can email Whitney for more info
May 11, 2023
Billing
Message Board
Views: 1933 | Replies: 59
with new insurance. Some companies will also give the option to include copays calculated for the scheduled procedures for restorative Core Billing Services:Submissions, Posting, Aging Claims (denials/appeals) -Most billing companies work these parts of the rev cycle together because they are closely
October 03, 2023
Billing
Message Board
Views: 135 | Replies: 6
I have a patient that would like veneers on 7 and 10. I was trying to have her do 7-10 but she is not interested. My issue is that apparently her insurance will cover the veneers, but at half the price. Does anyone know a way to get around this? I was just going to tell her I could not do
October 01, 2025
Billing
Message Board
Views: 64 | Replies: 2
Is it legal to bill your spouses dental insurance for work you perform on them? Anyone have input on this? Thanks! Depends on your contract, some specifically say you cannot bill for working on family. If you are OON, you don't have that restriction HOWEVER, it is fraud to bill insurance for a patient you are not intending to collect money from if insurance does not pay, so keep that in mind.
January 12, 2026
Billing
Message Board
Views: 224 | Replies: 19
that have to mail statements because, if patients get texts, they start calling and yelling about hacking and scams. I honestly think this is a regional thing. Try it all and stick with what works for your patient demographics. When we find out a patient has a balance (such as if insurance came back
March 17, 2026
Billing
Message Board
Views: 134 | Replies: 7
I learned some patients of mine have a contracted rate for an after hours service call for a dental 'emergency.' In one specific insurance example the reimbursement rate is $100. Well, guess what, I won't go in for that rate. We all know even to get a plumber after hours we're probably paying
October 06, 2025
Billing
Message Board
Views: 136 | Replies: 5
What is the protocol when you receive a letter from an insurance company that they have overpaid you for a service? In both recent cases, we've already cleared the account balance to $0 with the patient and this would either force us to give the patient that service at a lower fee (we are FEE
May 11, 2023
Billing
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: 1473 | Replies: 39
the new FD start with the basics: answering phones, collecting all required patient info, confirming appointments, filling the holes in the schedule, etc. Once she's mastered those tasks: have her start learning the insurance part: revenue cycle management cycle - insurance verification, claim
December 05, 2023
Billing
Message Board
Views: 173 | Replies: 4
We've always done our billing in-house. Now I'm interested in at least reading about having a third party do the billing. We use Carestream Practiceworks, if that matters. We are by and large a insurance-based practice, with about 2000 active patients, and growing. The vast majority of the front
March 21, 2025
Billing
Message Board
Views: 179 | Replies: 14
Hey All, I have a patient on my schedule this coming Monday that is a new to me patient. The patient states that she was in a MVA and that her auto insurance is paying for her to get a dental crown and needs quotes. My question is whether or not I have to accept the payment from the patient's
October 24, 2023
Billing
Message Board
Views: 337 | Replies: 10
Patient has 100% insurance but Insurance didn't pay fully for few procedures. Is it legal to not charge the patient and write off the remaining balance? In case of 80% insurance, patient was supposed to pay 20% but in this case, I am wondering can we write off or waive the remaining balance
May 12, 2025
Billing
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: 138 | Replies: 3
I'm looking to outsource dental insurance collections in my office. Does anyone have any suggestions towards a company they recommend? Billing in general? Tom Lee outsource his to the Philippines and it works well for him. Mark Im looking for an outsourcing company to take care of my insurance collections and posting. The pt collections we could probably take care of.
March 21, 2024
Billing
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: 169 | Replies: 8
Hi! I have a question about patients with 2 different insurance plans. This is a bit complicated, but I will try to be clear. Normally we submit to the primary, then once paid, submit the EOB from the primary with a claim form to the secondary. What has raised some questions recently
February 21, 2023
Billing
Message Board
Views: 279 | Replies: 10
what will they owe out of pocket after insurance and then we take the check from insurance . it takes a lot effort for staff to do that . is there a better way ? can we charge full fee upfront and send them their insurance check ? the front desk is arguing that patients will be upset if the ended
May 25, 2022
Billing
Message Board
Views: 42 | Replies: 0
Good morning. I am looking for a good CE course for my front office on posting and cleaning up claims.
May 11, 2022
Billing
Message Board
Views: 256 | Replies: 5
Trying to learn more about the front office/OM responsibilities. Would anyone recommend Understanding Dental Insurance: A guide for dentists and their teams or Ultimate Guide to Dental Billing and Reporting? Peds resident if that makes any difference. Thank you. I have been working in dentistry
March 18, 2022
Billing
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: 81 | Replies: 4
Hi, So we are having trouble with filing with the secondary insurance. We only have a handful of patients that have double insurance. We normally file insurance claims with our contracted fees. In the case of double insurance, what is the right way of filing? We file with the primary with our
June 24, 2021
Billing
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