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Searching: insurance denials
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Message Board
Views: 53 | Replies: 0
I just heard an interesting webinar from henry schein. They had on an insurance adjuster forgot his name but here is the link:. He said that many policies cover business insurance loss and that loss that occur due to corona virus and gov shut time are not necessarily excluded. The insurance
April 22, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 8891 | Replies: 289
the insurance agreement. Im all for charging insurance, but the conversation with the patient that follows the insurance denial will be uncomfortable. But Im a small town small rural practice and a people pleaser to boot - not a good combination.Am interested in seeing how this mess all unfolds. Why charge
May 06, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 1989 | Replies: 64
these insurance companies. I have never navigated how one becomes part of a class action lawsuit. I was told by my CFP that as my first step I should go ahead and file a claim with my business interruption insurer to get the denial. Is this something the ADA or our state dental societies would
May 23, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 137 | Replies: 4
. Is every state different for the major insurance companies? I know Delta is different in different states. We started Monday 6/1 so I will post as soon as I see. We have not decided to send all through insurance. I started with a simple in house code and told patients they had to pay
June 03, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 4323 | Replies: 121
PPOs to improve the bottom line and maintain our sanity and the health of the staff and patients. I think that's exactly WHY you drop the PPOs. I am adding the cost of extra sterilization protocals to the cost of tx's to counterbalance the extra overhead. Cant do that w dental insurance ;) Who says
May 15, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 1082 | Replies: 34
Which of the 5 stages of coronavirus grief are you in: denial, anger, bargaining, depression, or acceptance? Denial Anger Bargaining Depression Acceptance Bargaining. But I have been all my life lol. To me thats like constantly using my second favorite organ.Laz I moved through all 5 stages
March 23, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 12071 | Replies: 397
+1. It's legit. Is the 3.75% interest I pay on the EIDL loan tax deductible? The email I got said I have to accept the final disbursement within 30 days. Of course I received a denial email notification. They said I hadnt suffered enough losses to allow me to take a loan. Thanks,wanted
July 01, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 8891 | Replies: 289
and account for the actual hours seeing patients. Delta pays $60 for a cleaning. -Delta is my lowest paying PPO. All other insurance are at my UCR under the Careington umbrella. We get (I mean collect, not produce) $1426 from non-delta PPOs. Delta pays $720. This means I have to grind out 3 Delta
May 15, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 5148 | Replies: 248
just did a second opinion and the lady had insurance. The insurance doctor was billing a 3 surface filling, caries detection, Bond fee, and PPE fee. A bond fee? WTF??? After all his BS fees, I was a better price and yes it was a very nice patient. Think what you want, but why can't I tell people I
June 06, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 2181 | Replies: 65
guessing granting to dental offices is not as attractive as granting to small cafes, barber shops and coffee shops. Same here. No grant for me. I havent received a dime from EIDL grant, PPP either. No word on either of those. Also received a denial email that they had already given away all funds. Oh well, was worth a shot. Other than unemployment, are there any loans/grants that a W2 employee (associate) can apply for?
April 26, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 2261 | Replies: 84
down 80% since March 16...I still have not received written denial. Wait a minute...what?!?! The only thing I have seen is a credit check early last week I applied in March and havent heard anything. I see my credit was pulled at the beginning of april but I have not gotten anything. nothing
April 29, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 795 | Replies: 16
applied with Kabbage 2 weeks aga, nothing I applied with Citizens bank last week, nothing. Applied with Paypal WEDNESDAY, received closing docs on docusign TODAY! Keep trying. Call the small banks and apply to as many as you can if they say it can be processed with a denial or SBA number today
May 04, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 827 | Replies: 10
Hi all, didnt know where to post this question. Does anyone know if business insurance cover loses if we are forced to shut down because of this coronavirus scare? Thank you. Was just discussing this. In the past there has been such a thing as overhead insurance. What I have no clue about is what
June 26, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 126 | Replies: 5
Hi, this is the 2nd time I submitted my weekly claim for unemployment insurance. It says failure to report # of hours you worked last week is fraud and you can get penalty for lying. I looked at all the questionnaires before I submitted to make sure I don't submit any false information. The only
April 19, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 4380 | Replies: 119
the insurance or patients. Tough situation for everybody. very serious question here. If the board of dentistry in each state changes the dental law and closes loopholes, then it forces all the DSOs illegitimate to 'support' dental offices right? I'm sure some will be 'grandfathered' in but I
June 14, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 126 | Replies: 2
I filed a claim with my insurance company for business income loss during the shutdown. Anyone else? Ive looked into it and did not qualify because my insurance does not cover pandemics, per my agent! Who knew we needed a pandemic coverage!!! My agent said the language in my policy is vague, but I
March 29, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 315 | Replies: 8
it, then go for it. I think the logic behind dropping the Low paying PPOs is that they require volume to make a profit and everyone is thinking our volume of procedures will go down. They want to get paid well for the patients they do see. In addition, people have lost their jobs and their insurance so
April 12, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 256615 | Replies: 26933
wrong. This is the extremely narrow education discussed on the how many books do you read thread. Its fascinating reading the evolution of this thread from the first post in late January 2020. Its a written journey into the Five Stages of Grief. From originally downplaying it by many (Stage 1-Denial
July 05, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 199 | Replies: 1
Hi, townies Do you know any dental insurance pay D1999 for PPE? thanks Just got this from Principal. I am sure more will follow suit.... I am happier if they dont cover !!!!!!!!!! I can then charge what I think is reasonable than be forced to take their handout. . Giving back to you as you
May 07, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 84 | Replies: 0
is the ada in pressuring insurance companies to just allow a 2 cleanings in one year policy like lots of them do. I know the answer unfortunately. Cleanings are not essential dental treatment. Something I am not sure why the dental hygiene wet panties are not up in arms against, rather they want
April 30, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 729 | Replies: 6
Has anyone gotten any sound guidance from their accountants or HR company regarding what to do with staff if we are recommended to shut down for 2-3 weeks or more by our state? Should staff be laid off (furloughed) and apply for state unemployment insurance? If the dentist is set up as an employee
March 25, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 256615 | Replies: 26933
become less unlikely. I bought a face sucking machine from the AMD laser company.. like an overpriced insurance policy. I posted an article yesterday that explains that Sweden is not any closer to herd immunity than other countries despite their approach. But they have a much higher death rate
May 26, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 256615 | Replies: 26933
. People need to be educated and led adequately. When a big deal happens, even the USA, coast to coast, mobilizes. It does happen. There just needs to be a call for it, and a justification. Our leaders failed us big time. There was no call to action. Just a scream of denial, and then a call to hide
April 21, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 127 | Replies: 3
Looks like Independent Contractors can apply for CA PUI at this point. As an independent contractor, I already applied for PPP but have not heard back from SBA as of yet. I am assuming: All PPP funds used to pay myself the average of my last year's weekly income for 8 weeks will be forgiven...
May 01, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 3898 | Replies: 292
for the wage subsidy for that 4 week period that the CERB applied to. I think you won't find out about the denial until 6 weeks later when the money is supposed to flow out. That would suck if you have been paying their wages all this time until then find out they weren't eligible after all. I would
April 07, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 256615 | Replies: 26933
that is a hoot! Look it up yourself. The info is available at your fingertips. Try googling Germany's response to covid 19. I just did...lots of reading to be done beyond a short DT post. Interesting how the countries with leadership most in denial have had the most fatalities. Boris Johnson had
June 08, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 3902 | Replies: 259
understandable . That's not how you fight a pandemic. When dentists go back to...their ....normal has zero to do with what dentists think now. It's been taken out of your hands. Based on what I read here..maybe a good thing to protect the public. Lots of denial..and bargaining...not based one bit
April 08, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 2593 | Replies: 85
Insurance plan worker. Looks at it. Laughs out loud. Crumples and shoots it into garbage can and goes back to declining claims. What if they deny any consideration? Then what??? Then have to consider leaving the network. When this first broke out, I stated that after covid it wouldn't
April 22, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 156 | Replies: 3
if the insurance company denies payment? Thanks. Its simple: Insurance companies care more about their members than they do about their providers. But its even simpler than that: insurance companies care about maximizing profits. If an insurance company denies a claim and allows us to bill the patient
June 02, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 8891 | Replies: 289
Just charge the patient what you think is right. What do you think will happen? The insurance company sue you?? I highly doubt it. We charge $25 per pt interaction no matter what. We did it all last week and no one complained. Honestly if someone doesnt like it, its time for them to find a new
May 12, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 582 | Replies: 19
Seriously where would you even start? What does insurance even cover? I dont imagine much. Would it release you from your practice and building debt? I dont have any debt so Id light a fat J on the embers asking for a friend? ;) Make sure my alibi was airtight No just asking in general. I have debt
June 21, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 4323 | Replies: 121
dropping PPOs!!! sent our letter of separation yesterday. Absolutely! Grow a pair, rent a spine, or do what you have to do to get out from under the weight of the third party crumb distribution. This is Professional Prostitution where the insurance company lines up the Johns and Janes for your services
June 20, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 8891 | Replies: 289
the board. Gonna charge out PPE fees to PPOs as a 1999 and use that as a building block to tell patients this is why your insurance sucks while simultaneously starting a in-house membership plan. I have a good number of folks that are retiring or close to retirement and want to ditch insurance
May 10, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 687 | Replies: 31
as the verbiage, we are telling patients that do to new PPErequirementsfor masks in Texas (N95 or KN95) that we are adding an additional fee, We will file it with the insurance, however, we will be collecting this nominal fee at the appointment time since the insurance will likely not reimburse. We have been
May 13, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 1393 | Replies: 84
of us and accelerating since the 2008 blowup were made quasi employees of the dental insurance industry and where are they now to help the providers that provided the massive profits for these paper pushers? If we were a market that was 100% direct to the consumer than I could get behind your sentiment
March 24, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 256 | Replies: 2
is anyone billing or going to bill D1999 for the cost of ppe ? if so, how much? every visit? My neighbor is an Endodontist and his office has been billing $25 under the code d1999. He said he has heard anywhere from $15-40. Hope that helps. My thought is if you take insurance its better to bill
May 05, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 83 | Replies: 1
We tend to dump on insurance companies (rightly so) but once in awhile they surprise us. Just received a check from Altus for $1300 to help with PPE costs. Drop in the bucket of course to what we've spent but first insurance company I've seen come up with any assistance. I received $2300 from Delta
May 29, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 2593 | Replies: 85
to keep changing between pts. i will tell pts there is this charge and if they choose not to come in then I am ok with it. saravs Is it legal from perspective of the insurance company? To be honest, I could care less. Its like charging for flouride. The insurance company doesnt cover it and we
April 19, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 384 | Replies: 10
covered by insurance,and which policy?One more thing to worry about when ever the powers that be allow us to reopen. How could they prove they got it at the office? That being said everyone sues everybody for everything. Sure. U can always be sued Are we covered by insurance if we are sued? Some people
April 29, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 303 | Replies: 5
My state recommends to stay home until end of this month unless it's emergency procedure. My boss contacted me and asked if I could come once a week to see emergency patients. I have two problems. 1) I don't feel safe to go back to work. The virus is spreading exponentially and we don't have N95...
April 15, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 953 | Replies: 23
have a beer and play in the yard. You can only fight so much before you have to walk off the field. If new regulations make it impossible then that's what it is. Most of us are insurance driven offices. No doubt, the PPO's will not do anything insofar as fee increase to offset what is headed our
April 09, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 340 | Replies: 5
Hi everyone, I see a lot of Medicaid and PPO patients. With all of the extra PPE , thermometer, using more disposable gowns and the rise in the cost of masks and other stuff, I see myself loosing money probably. especially with the current pathetic insurance fees. How can I charge for that? I'm
April 27, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 14387 | Replies: 849
, my first phone call when I get back to the office is I'm cancelling my Tripleguard insurance. I think all dentists in Canada should cancel their Tripleguard insurance if we don't get paid. And dont just cancel TripleGuard, cancel all insurance and move any investments away from CDSPI. I think
April 01, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 1172 | Replies: 21
We are at the highest risk of contracting this virus. We are going to be saddled with increased regulations that will make us massively less efficient in treating patients/hour. We are maybe a 90% elective service. No insurance company is offering to offset the increased cost of care. The timing
May 17, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 1074 | Replies: 48
with the rich people you may not be affected as much. I think this may be the perfect time to change everything wrong with dentistry especially how insurances have us by our balls and control what we do. Why would a PPO office struggle? As long as your patients have jobs, then I don't see how
March 29, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 305 | Replies: 8
that 90 day period. About 28% of our patients have Delta Dental insurance, I'd have to plan for the worse that half or more of them would probably leave. One of the biggest sticking points being the loss of ability to assign benefit to the office and that they'd have to pay upfront for treatment
April 10, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 8040 | Replies: 220
Im looking on advice on how to approach it. May question is how do I collect? Upfront and have the insurance send the pt a check? Can I have the insurance send me the check (assign benefits) and I collect the difference upfront? Can I give a little discount at the start to ease my patients
May 10, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 2697 | Replies: 89
, no matter what floss bar says. Good point. I am in Canada, where our fees are more realistic for dental hygiene services. I think that in the US the dental profession has allowed the insurance companies to dictate these fees, and undervalue hygiene. Actually, I wish Dentaltown was around in the mid
April 01, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 143 | Replies: 2
Looking for a concise pre-appointment phone screening protocol. I thought I saw some stuff Sandy put in a thread but cannot find it. Just looking to train front desk tomorrow. Would appreciate some lists other than ada. thanks Same I received screening forms from Medical Protective my malpractice insurance carrierI am sure all malpractice insurance carriers are developing screening questionnaire forms
May 03, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 264 | Replies: 6
participate now and getting enough cap dollars to cover fixed overhead are having a little less of a struggle than FFS and PPO only offices during this Covid 19 silliness. Cant imagine accepting DMO insurance, especially under the present circumstances. Most dentists net more on an anterior root
May 03, 2020
Coronavirus (Covid-19, SARS-CoV-2)
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