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Searching: insurance denials
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Message Board
Views: 57 | Replies: 1
Canada's Canadian Dental Care Plan is not socialized dentistry. It is not the end of private practice. It is also not 'free dental care.' It is something much more familiar to dentists: a large, government-funded insurance program with copays, eligibility rules, preauthorizations, fee gaps, patient
May 27, 2026
Canada
Message Board
Views: 155 | Replies: 4
that the denial of coverage was fair. The case stirred debate about the scope of federally-funded dental benefits for First Nations and Inuit children, the criteria for medical necessity in orthodontics, and the wisdom of spending six-figure legal defence funds to oppose a comparatively modest treatment cost
November 16, 2025
Canada
Message Board
Views: 735 | Replies: 1
I currently have Malpractice insurance through CDSPI, and am paying $1630 (2 years out of school, and paid this same rate last year). I assumed this was a standard rate for new grads, but speaking with colleagues it turns out some of them pay significantly less. My question is, why could
June 28, 2016
Canada
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: 544 | Replies: 20
I have patient who is studying in Ottawa. I just saw her today and asked me if I was a member of her insurance plan. She sais that the company has a list of dentists who are members. She was not sure about the plan, as it was new to her, but have a feeling that insurance companies are trying
December 13, 2016
Canada
Message Board
Views: 137 | Replies: 5
Has anyone ever hired a front desk with no previous experience? (new grad, etc.) I'm wondering what would be the best way to train the individual regarding working with insurances, submitting claims, getting breakdowns, and more. The practice accepts assignment so we need to be 100% dialed
August 24, 2018
Canada
Message Board
Views: 149 | Replies: 1
is why I would like to go back and spend some time with family, work for a couple of months, then head down to California for a couple of years and take it from there. If anyone has any information on disability and malpractice insurance that is valid in both Canada and USA please let me know. If you
February 14, 2014
Canada
Message Board
Views: 1435 | Replies: 31
to push for separation. If there are some law firms already sniffing please post updates here. Tweet: Alberta midwives have better insurance coverage than dentists...just ask Amber Athwal's parents . Better liability and better legal coverage...says something about the dual role
April 27, 2020
Canada
Message Board
Views: 1036 | Replies: 114
in the USA where insurance caps our income for the most part. take the money you own in dentistry and buy stocks and real estate or be left behind like in Canada. You can have them. We will keep the good ones. I could easily be a millionaire if I could pay my employees the same that the business
December 21, 2025
Canada
Message Board
Views: 238 | Replies: 11
and guardians of children under 12 years old if they receive dental care and do not have access to a private dental insurance plan. Children already covered under another government dental program may also be eligible if not all dental care costs are paid by that program. Do this mean that we can still
November 30, 2022
Canada
Message Board
Views: 190 | Replies: 14
/Getty Images that the upcoming federal budget will announce the government's plan to tax employer-provided health and dental insurance have generated considerable buzz in Ottawa. It would be a significant change that would affect millions of Canadians and involve
December 24, 2016
Canada
Message Board
Views: 48 | Replies: 1
months, leaving more than one-third without any dental visit in a year. Financial barriers, absence of insurance, logistical hurdles in access, or simple inertia all play their part. Moreover, the program faces evolving challenges. Nearly half (about 49 percent) of requests for 'complex' dental
October 03, 2025
Canada
Message Board
Views: 965 | Replies: 44
at conditioned to the new way. -As of today, as existing patients check out, explain to them that you are changing your billing processes in an effort to keep their fees low. Stress that non assignment keeps accounting simpler and therefore fees lower. Some insurance plans do not allo assignment. Some
April 27, 2017
Canada
Message Board
Views: 93 | Replies: 0
I just found out that your bank account information is clear for anyone to read on their website. We have already contacted them to express our concerns about this private information being visible, as apparently other dentists have as well. Not a huge deal with good staff, but the wrong person...
May 22, 2015
Canada
Message Board
Views: 1036 | Replies: 114
'Medicare for All' plan, a government-run insurance program covering all Americans and replacing most private plans. 65% of respondents said they supported it. That includes 78% of Democrats, 71% of independents, and 49% of Republicans. Next, the pollsters described to respondents what Medicare
December 07, 2025
Canada
Message Board
Views: 1902 | Replies: 104
announced to get the ball rolling for the lowest-income cohort of patients. I guess they;re just going to have to add it as just another insurance plan close to the BC fee guide. Then they are going to find out that the patients can't get in to a lot of the local clinics like ours that are full and can't
September 02, 2022
Canada
Message Board
Views: 292 | Replies: 3
that these are usually paid out by private insurance. How many patients are usually from private insurance? 2) I heard that Canada has its own version of Medicaid for low income population. Any source on what the fee schedule may be? 3) Are there regulations on Canada on how much you can make? I heard
January 17, 2018
Canada
Message Board
Views: 108 | Replies: 0
, feescehdulesetc). What we found is that the timely filing for many Canadian insurances is much shorter some are 7-10days,but range up to 1 year. So it is important to find out this insurance specific information right away, as we target those unresolved claims first. At the same time, once claims are filed
September 13, 2018
Canada
Message Board
Views: 201 | Replies: 10
sure you have a physician involved. 1. Are we allowed to treat all levels? 2. Does a physician have to diagnose? 3. If so how is the easiest way to get the diagnosis? 4. Are you billing medical insurance? 5. Are you treating sleep apnea or are you treating snoring?? 6. Which codes are you using
July 06, 2016
Canada
Message Board
Views: 106 | Replies: 3
it for years, had previous training and they, themselves still don't understand it. I feel horrible and I can usually play enough with any system and eventually find out what I need. I am stumped here! For the life of all ( the Dr. staff and myself) we are having the hardest time posting insurance checks
June 28, 2017
Canada
Message Board
Views: 1902 | Replies: 104
disparities in practices in downtown Toronto versus rural practices. Their reluctance and unwillingness to provide adequate representation for the dentists of Ontario in so many different aspects of our practice begins to question why are we spending over $2K/year for essentially to submit insurance
March 29, 2022
Canada
Message Board
Views: 332 | Replies: 21
$on, and Benco. It's not real. It's like the boogey man. Product is product. You could be right but aren't there potential legal differences? Meaning liability insurance considerations if something goes wrong? Not saying one way or another just curious. The manufacturer's have proven that counterfeit
February 20, 2025
Canada
Message Board
Views: 564 | Replies: 16
up the government several more years the NDP got the Liberals to agree to bring in national government Dental Care and Pharmacare. What that will mean for us on the ground is a big unknown. Will it just be another added insurance plan for a small percent of the low income population like medicaid
March 29, 2023
Canada
Message Board
Views: 178 | Replies: 2
. NIHB which runs the insurance coverage for indigenous and First Nations tends to audit very often and claw back for work done. I would enquire how many times has the office been audited and what amount has been clawed back. One office was asked to pay back over 150k. BC is much better now because FNHA has handed the insurance over to Pacific Blue Cross.
November 03, 2020
Canada
Message Board
Views: 299 | Replies: 9
am also assuming that Canadian dentists don't take US dental insurance. What do you guys think? I probably would not worry about us. We don't take US plans. Our dollar sucks, so you likely won't be drawing from across the border. I am not sure that there is enough to be concerned with. Although, we
March 07, 2017
Canada
Message Board
Views: 128 | Replies: 2
I currently use CDSPI for malpractice with $2 million coverage. I'm considering upgrading it to the maximum $25 million in this post COVID-19 world. My concern is that a patient who arrives at the practice who may already have the virus or contracts it during their treatment may file a complaint...
May 14, 2020
Canada
Message Board
Views: 82 | Replies: 1
Are you going to do anything about it now or in the close future? Is there anything your are going to do differently about investment income? Will you consider Individual pension plans or a whole life insurance policy. Anybody?
March 04, 2019
Canada
Message Board
Views: 504 | Replies: 19
it will be when things go back to normal? People bitching about how they hate dentists to your face. Complaining about why insurance doesn't cover anything. The usual complaints. Right now is been pretty great as people are literally begging to be seen. I am only doing emergency and patients are super
May 05, 2020
Canada
Message Board
Views: 54 | Replies: 1
Thoughts and prayers to those people affected by the wildfires. I cannot even begin to imagine what they are going through right now. Glad to hear from a Ft Mac doc who says his insurance cheques are coming in to cover his losses...gets back to work in...
May 23, 2016
Canada
Message Board
Views: 3685 | Replies: 114
How does this impact those looking to purchase? Everything is expensive now. Just looked at my triple guard insurance and had to up it by 3x because my office replacement value is way up due to increased construction and equipment costs. It's crazy. Any buyer of a dental office will have to take
October 08, 2025
Canada
Message Board
Views: 14434 | Replies: 737
If you want to trigger the best coverage it is time to raise hell: I suspect the some dental authorities are colluding with their cdspi (insurance) buddies NOT to order a complete shutdown to trigger the coverage...bank accounts offshore...free booze and dinners for council/board members
June 19, 2021
Canada
Message Board
Views: 1405 | Replies: 70
? Is there not a set fee guide from insurance companies? If so could anyone post a copy of it? insurance companies usually follow the _provincial_ fee guide.i know quebec fees are generally lower than the rest of canada.quick sampler:01130 complete exam = $65 - $10701300 emergency exam = $3111300 prophy = $6043411
May 25, 2021
Canada
Message Board
Views: 101 | Replies: 3
plan to pay monthly covering prophys exams and possibly some fillings. Used for patients without insurance. I've heard of this only once. Years ago, maybe 30 or so one office was doing this in a nearby city. Seems like more trouble than it is worth, unless you are not very busy. I could see
April 09, 2019
Canada
Message Board
Views: 275 | Replies: 5
Ontario). Total $3800.00. Wish it were a lot less! Are both mandatory (I believe RCDSO is)? Is malpractice insurance and disability insuracne included in any of them?RCDSO is mandatory. ODA is not. Mapractice is included with RCDSO. Disability- have to find your own.NB Dental Association around $2900. Nothing is included with that. We even have to pay for our yearly dental...
May 06, 2016
Canada
Message Board
Views: 71 | Replies: 1
Hello all, It seems like opendeantal is widely used in US market. I did some DT search on open dental user experience for Canadian dentist but most of feedbacks were prior year 2013 and the only negative I found about Canadian dentist using opendental is that electronic insurance submission
October 24, 2018
Canada
Message Board
Views: 3685 | Replies: 114
business.The public has been trained by insurance companies since about 1967 that they need dental insurance and that good, honest dentists take their insurance whereas the rip off guys try to charge above insurance. Of course, those of us who actually practiced for 20 or more years know its usually
November 25, 2022
Canada
Message Board
Views: 14434 | Replies: 737
whatever they like. Normal to be above fee guide in signif portion of dentists in all provinces but what Id like to know - how does this affect insurance claim payments in AB?? Is this a case of the silly NDP government thinking they are giving folks a break on dental coverage costs when it is actually
March 23, 2018
Canada
Message Board
Views: 538 | Replies: 27
for government employees or patients on some sort of assistance program? Or are you required to charge these fees for...For everybody except governement assisted people, such as your equivalent of medicair and other programs. Each province has a fee guide with suggested fees. Typically most insurance
July 22, 2016
Canada
Message Board
Views: 335 | Replies: 4
through as insurance or the patient pays your fee and the lab fee, they're not lumped together.Hello Ascension: are you licensed to practice in Canada? Income will depend on: overhead (rent salaries), income, fee guides, and how busy you will be. Many markets are saturated. There seems
August 11, 2018
Canada
Message Board
Views: 507 | Replies: 7
% to CRA. I believe you can make more money if you can practice in midwest states since there is demand for dentists in rural area of midwest. maryland, dc, virgina are good since most ppl work for government and has good ppo insurance. since you are 50 , why not considering practice florida
August 07, 2017
Canada
Message Board
Views: 172 | Replies: 7
treatment. It is also spelled out that outside such circumstances, we would not be allowed to share his medical info with his insurance or any other party unless we specifically ask his permission. The info would only be shared incases where his own lively hood would be at stake and he wouldn't
August 25, 2014
Canada
Message Board
Views: 442 | Replies: 5
been really helpful in working out issues as they come up.Electronic pre-auth works like any other PMS, via Ethernet. Among the Canadian insurance companies, SunLife and BC Life & Health (CA) can have attachments via NEA fastattach http://www.opendental.com/manual/eclaimsattachments.html but so far, we have found the cost not worth the savings from submitting manually. Greenshiled has e-claims attachments via their www.providerconnect.ca.
July 26, 2014
Canada
Message Board
Views: 400 | Replies: 6
, insurance changes, general frustrations working for them, etc.) I'd also see if you could buy if interested, but the two offices likely come as a package deal. You could ride it out and see if you are okay with the changes or get out now. Either way, I'd keep an eye out for other opportunities
May 15, 2020
Canada
Message Board
Views: 198 | Replies: 7
get a great rate on dental insurance and access to good care. The plan lowered the cost for their dental care and I would give them a discount which amounted to around 30% from what I remember. I told him: So you need me to not make any money so that you can make money? I would rather sit
May 07, 2014
Canada
Message Board
Views: 39 | Replies: 1
While on council I overheard a 'upper level' snickering that the tribunal conviction could help the patient nail the dentist with a malpractice suit (I was arguing for better legal insurance - which was denied- and later revised YEARS later...still sucks). Anyway according to page 10
January 24, 2020
Canada
Message Board
Views: 923 | Replies: 28
to go to US dental school before getting certified. Practicing dentistry in Canada is nice and probably best place to practice for average dentist because we only have on set fee guide and it pay well and fee guide is determined by our dental association, not some jackass insurance company that devalue
July 26, 2021
Canada
Message Board
Views: 14434 | Replies: 737
CDSPI> (read the fine print and guess who asked for this) Because legal proceedings can be very costly, many individuals simply cannot afford to have their day in court without considerable sacrifice. With Legal Expense Insurance, it's financially easier for dentists and their families, who
September 30, 2016
Canada
Message Board
Views: 735 | Replies: 43
. There will be many people that tell you they're safe, I always Rx xx #'s as I never want my patients in pain, I've never had issues with patients and addiction. Dont listen to them; with all the lawsuits coming to light and OD deaths every day - those are the people still living in denial. IMO theres no place
January 24, 2020
Canada
Message Board
Views: 691 | Replies: 31
at dividing the association and college to avoid conflicts of interest. The ADA&C already collects fee info and has an unpublished fee guide that is provided to insurance companies... it comes from the survey they send out. The ADA&C sets a fee guide for social services, etc. I've been told
September 29, 2015
Canada
Message Board
Views: 175 | Replies: 1
capability. If that had not happened, there would've been no capability to deal with the 1972- mandated split or the1974dental insurance crisis, or the many situations that have occurred (often suddenly) since. In1972, theOntario government passed legislationthat required the RCDSO to separate from
April 13, 2017
Canada
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