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Searching: insurance denials
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Message Board
Views: 211 | Replies: 3
Collection - money actually collected. So if someone does not pay, you don't get paid Production. It can be difficult to obtain 100% collection from production(clerical mistakes, insurance downgrades, delay or denial of claims, secondary insurance, write-offs).A FFS office collecting 100% upfront, then it does not matter. you understand the first sentence makes the term collections turn into production.
October 18, 2022
Dental "Pearls"
Message Board
Views: 371 | Replies: 23
that they give zero $hits what your states laws might be, esp. if their BS gets no pushback. It's one of the D's, Delay ask chatgpt to give you a template for notes that an insurance proof. it will give you a template that covers everything. Yes, and the "wordier" the better! I'd bet one could make a 5000
April 29, 2026
Dental "Pearls"
Message Board
Views: 178 | Replies: 5
I always hear people say to take advantage of your associateship to learn the business side of things, insurance, etcWhat are some questions about insurance I should be asking? Our insurance coordinator is open to teaching me.Thank you! It's hard to learn as an associate, you'll have to pay
December 30, 2024
Dental "Pearls"
Message Board
Views: 3187 | Replies: 110
Is there any "retirement" program in the school ? Thanks for sharing this. I have not seen this before. Have you had any issues with finding providers? No issues with providers, as I am basically a cash paying patient. I tell them to submit to the insurance company, they are not going to pay
February 11, 2026
Dental "Pearls"
Message Board
Views: 284 | Replies: 1
Anybody recommend a company for disability insurance? I'm not a member of TDIC. Best Companies in my opinion are Ameritas, Guardian (though tightening underwriting guidelines) or Mass Mutual.
September 21, 2022
Dental "Pearls"
Message Board
Views: 666 | Replies: 15
(but in denial) Gentleman Patient replied with Oh yes, a few years ago I developed an allergy to Viagra, and so you know, I started using this pump.. etc etc.. Too much information !!! If she got the implants to which you refer, no one will be looking at her smile!
October 17, 2021
Dental "Pearls"
Message Board
Views: 11442 | Replies: 489
because they are cheaper and more easy to mold into their aggressive philosphy. We haven't even hit the peak. Will get much much worse. Dsos over time will be the dominant form of delivery of dentistry. Patients now see dentistry as commodity. Number 1 decision maker for many is which insurance plan you
March 09, 2020
Dental "Pearls"
Message Board
Views: 269 | Replies: 3
Delta has a way to check eligibility on the website. But is there a faster way to check for eligibilities, current remaining benefit, and a full comprehensive breakdown of coverages including downgrades? Wondering if calling insurance companies still the best way. Thanks! for the morning folks
February 03, 2021
Dental "Pearls"
Message Board
Views: 119 | Replies: 2
Do hygienists need their own professional liability insurance? They are licensed providers, after all. I'm in Illinois, fwiw. -M bump YesIts very inexpensive for them
July 16, 2023
Dental "Pearls"
Message Board
Views: 325 | Replies: 15
actually had a different deductible than my building and roof. It took six days untill we had cell service and even longer for internet so communication with your insurance might take as long as a week to get started...... Now the important part of salvage after a day or two of sunshine there should
October 06, 2022
Dental "Pearls"
Message Board
Views: 1051 | Replies: 31
for pts from other insurances and cash. My schd and hyg schd are still full. I'm in a saturated city market btw. I'm not in fly over country. Also, check how many new Delta pts you're getting. I was getting flooded with them last year, when every decent office around me dropped them. Now they can go
October 12, 2025
Dental "Pearls"
Message Board
Views: 3187 | Replies: 110
years before 65), how do you plan to pay for your health insurance? I am 54 and currently paying $2300/month (or $28k/yr). And the premium goes up $2-300/month every year. In 5-10 yrs, my health insurance will probably be over $40k a year. It doesn't feel a lot now because I am working and have
February 09, 2026
Dental "Pearls"
Message Board
Views: 298 | Replies: 6
I'm on the threshold of going OON with insurance for my practice. However, my front desk needs more training before I pull the trigger and I am at a loss of how to prepare them. Perhaps more preparation is a better way to say this... -Scripts for the most common questions asked by existing
February 18, 2023
Dental "Pearls"
Message Board
Views: 608 | Replies: 21
I understood would happen... the goal is to minimize it. To put it bluntly, and excuse my ignorance... all insurance carriers (MetLife, Aetna, etc...) have 2 fee schedules... one is the in-network fee schedule that providers know about, and the second is the UCR fee schedule for OON providers. My
June 16, 2024
Dental "Pearls"
Message Board
Views: 225 | Replies: 6
by billing it? I doubt a solo doc has insurance and he isn't going to charge himself. Insurance through spouse . An interesting question, but I don't think it would be worth the hassle if the insurance company noticed. Do you treat your wife? Kids? Nope, I'm a straight cash-patient. I like to keep my
October 17, 2024
Dental "Pearls"
Message Board
Views: 4172 | Replies: 101
in network to completely FFS. But if you improve your practice by 1% every month, over time it makes a massive difference.Maybe you drop just one insurance to start with that pays too low. And start training staff to be less insurance driven with patients. Maybe start doing more digital smile previews
February 20, 2024
Dental "Pearls"
Message Board
Views: 58 | Replies: 2
Very tired of deleting 1-5 voicemails a day from robocallers asking about my student loan (don't have one), health insurance, or some other junk call. I am on the national do not call registry. Recently switched providers and have NOT setup voicemail and I don't know if I'm going to. It's nice
September 15, 2025
Dental "Pearls"
Message Board
Views: 478 | Replies: 24
elective treatment, improve perio acceptance, reduce insurance driven thinking, or position higher value dentistry? The content should align directly with your production goals and case mix We have seen simple, procedure specific loops tied to monthly focus metrics outperform generic educational playlists
February 23, 2026
Dental "Pearls"
Message Board
Views: 681 | Replies: 21
I understand dentistry is a cottage industry, but there must be some published economic data detailing the amount of dentists moving OON. The number of in-network providers is the holy grail statistic for dental insurance companies... in-network reduced fee schedule higher profit margin It also
May 11, 2024
Dental "Pearls"
Message Board
Views: 111 | Replies: 1
. What do you guys offer? What kind of fees and terms do you guys use/pay? Thanks a lot! I will probably not be much help; I do not accept Care Credit or anything of that nature. I am only a provider for indemnity insurance ( insurance pays 80%, patient pays the rest). I will make a payment plan for a good patient of record but mostly patients pay what their insurance wont, period. Im spoiled.
November 28, 2023
Dental "Pearls"
Message Board
Views: 526 | Replies: 15
me that they couldnt take pano because pt took pano in other office and the insurance doesnt cover pano. In this case, can I ask my staffs to take FMX instead? Seeing a new patient for a limited exam is perfectly fine. I certainly recommend to them to return for comp care, especially if I can
October 23, 2020
Dental "Pearls"
Message Board
Views: 4492 | Replies: 131
slowly die from the inside out!Gr8 Yes. We're like the canary in the coalmine (maybe more than medicine because of how dental insurance works and how personable we are supposed to be) because we work with the general public. Most of my family/friends either work remote or work in a position where
July 07, 2023
Dental "Pearls"
Message Board
Views: 1953 | Replies: 90
Jason must like doing work for less than insurance fees. What do you bill for an srp? like 20 bucks? Sorry but who does work for 1/9th the in-network fee? IF I am making you a temporary crown and you have insurance, you are paying the insurance fee contracted......which is usually about 65
July 09, 2024
Dental "Pearls"
Message Board
Views: 196 | Replies: 6
United Healthcare has to be the worst insurance to be out of network with... They not only have dropped maximums but played other games like preventive and basic being 50% and deductible going from $50 in network to $200 out... I feel so helpless... Tough telling a patient that the ins paid $12.50
December 16, 2021
Dental "Pearls"
Message Board
Views: 4423 | Replies: 95
scheduling Saturdays came so easy... what else are they up to? I'd be running reports on insurance adjustments, looking at insurance company portals to make sure that reimbursement is coming to you and that they are patients of the practice. If you see anything suspicious contact Prosperdent or another
February 04, 2024
Dental "Pearls"
Message Board
Views: 613 | Replies: 15
a way around this that will hopefully help everyone reading this! Unfortunately,. I am sorry to say its not me lol:) The senario is (pick your favorite insurance company to hate) but I book an hour of chair time to do a surgical extraction, bone graft and tissue regeneration for a patient
November 06, 2020
Dental "Pearls"
Message Board
Views: 348 | Replies: 13
on your insurance, insurance companies investigate prior to cutting a check. Your policy may require electrical appliances carry recognized safety agency approval, the local building codes also often require genuine safety approvals. A US based manufacturer of dental equipment would not DREAM
July 26, 2024
Dental "Pearls"
Message Board
Views: 894 | Replies: 24
Did anyone else get their annual too many fillings letter from MetLife? Seems to be a scare tactic to wait longer and do more crowns. Scare tactic to wait longer and do nothing lol Your insurance believes we are too conservative. Would you like a crown today or next time? They should be sending
March 03, 2020
Dental "Pearls"
Message Board
Views: 537 | Replies: 11
COVID-19 surcharge PPE dental fee Quick summary... 1- New York dentists, who are in-network, cannot charge PPE fees. 2- Any PPE fee previously collected must be refunded to the patient And what is the ADA's response?? Nothing -M Too lazy to read. How about the insurance company? Probably because
August 13, 2020
Dental "Pearls"
Message Board
Views: 476 | Replies: 13
to code cleanings for kids, who are in the mixed dentition stage, as D1110? Happy Friday! -M yes, transitional dentition is considered an adult prophy D1110 Thanks for the response. I appreciate it! -M For insurance purposes, it's delineated by age. 13 or above, it's adult prophy. Less than 13
August 12, 2020
Dental "Pearls"
Message Board
Views: 557 | Replies: 32
what are her finances. That's the insurance plan. Is this person's complete desire/ability to pay for their oral health totally dictated by the quality of insurance coverage their employer subsidizes for them? Yes she is dictated by insurance Dictated by insurance Sedation for ext Dentures
July 05, 2023
Dental "Pearls"
Message Board
Views: 1272 | Replies: 48
her that she got a filling done and in the past its always been cleaning and exam . She said , I dont think why such a small area to be patched would be this expensive .She does not have insurance and apparently the previous owner used to only collect from her PPO fee . There isnt a million
July 14, 2023
Dental "Pearls"
Message Board
Views: 755 | Replies: 33
data on growth, practice acquisition or demographics and how does PPOs work there?Does anyone tried this route or been through this? Any information will help.Thank you!! Dentistry is very similar in Canada, insurance is NOT. We do not have PPOs yet, or HMOs, etc. Patients get billed for whatever
September 02, 2022
Dental "Pearls"
Message Board
Views: 185 | Replies: 5
it to you, but I don't think they are your friends. Friends don't walk out the door without trying to settle up first. Even my siblings stop at the front desk. Do it for free or do it full cost. Technically insurance fraud if you give them discounts that you are not extending to all your other
July 11, 2023
Dental "Pearls"
Message Board
Views: 450 | Replies: 11
months just because I put an ad out. Its absolutely draining on me. For what its worth... I am currently dropping all my insurances by the year end, but currently still contracted to date. I cannot drop these insurances fast enough to keep up with wage inflation. With the low fee reimbursements, I
July 11, 2023
Dental "Pearls"
Message Board
Views: 324 | Replies: 16
are OON in a super rich area. Whats wrong with you. I know you like referring to that....but lets go all the way back in time....what came first insurance or no insurance....? Where did the fees come from...? I dont think thats how it works. They would ask which state (i.e. Delta IL) that I am
January 28, 2022
Dental "Pearls"
Message Board
Views: 343 | Replies: 6
teeth paid by insurances. It will be interesting to see how the industry will evolve with private equity involved, and insurance changes. No. Better buy your btc now so you won't have to drill teef in 6 years to feed your family. Don't let doom and gloom rule your mind. No way the vast majority
February 11, 2024
Dental "Pearls"
Message Board
Views: 319 | Replies: 5
benefits. Also depends on your w2 employer if they are providing benefits such as paying for your CE courses, health insurance, etc Pro: Lots of Tax Deductions From home office maintenance to equipment depreciation to travel, there are literally dozens of tax deductions you can use to reduce
August 25, 2022
Dental "Pearls"
Message Board
Views: 581 | Replies: 10
for the overdenture itself, and $412 for each locator hook-up.... totaling $3536 for the whole sha-bang. Thoughts? -M I charge around $2000 -2200 for the denture and then 600ish for each abutment. So same balllpark (if there is no insurance benefit.) Im in a similar range as well. $2100-2200
September 05, 2022
Dental "Pearls"
Message Board
Views: 839 | Replies: 16
IMO. Just do supermarket trick raise fee by 5% then subtract 5% discount to get original fee True. Also, no insurance if you normally file that. Oh, and no ppo write off! When people paying with their own hard earned cash they want a little discount. I am actually concerned when they don't care
April 18, 2022
Dental "Pearls"
Message Board
Views: 274 | Replies: 7
. Thanks Busted my right foot and was not allowed any weight for 3+ months - I risked a fusion or amputation if it didn't heal. So I was careful. I referred out 100K plus that year. FML Sadly, I have experience with this. Broke my money arm radius in 2014. My advice is to call your disability insurance
September 14, 2023
Dental "Pearls"
Message Board
Views: 372 | Replies: 14
lease, you pay the property taxes and insurance and maintanence for the building, so unless the lease is less $ than purchasing it is a poor financial decision. In denver, and I can't say it is like this everywhere, but here lease rates are such that you can purchase a 1.2 million dollar building
October 14, 2020
Dental "Pearls"
Message Board
Views: 157 | Replies: 3
to pieces and you do it. For years, I have been okay to do lots of Let's just try it, but as I get to a point where I'm still taking some insurances that really rub it in when I take twice as long, I want to hear from those who have scripts or ways that get them out of more of these. The soft
August 07, 2023
Dental "Pearls"
Message Board
Views: 438 | Replies: 16
almost every new patient exams Ive been doing! For the miracle of god, they now have insurance after waiting for 10-20 years to see the dentist and want to know their options. They have lived that long without their teeth. What has changed? Someone gave them the idea that things can be free. Im
August 21, 2023
Dental "Pearls"
Message Board
Views: 365 | Replies: 6
until kids happened its hard to let it all go . How about insurance company dental advisor? Thanks for your reply ! Where and how do I start regarding that ? By calling insurance companies? Is that my only option I am in a similar position and am curious as to what opportunities exist as well. Thanks
August 15, 2020
Dental "Pearls"
Message Board
Views: 397 | Replies: 14
. It is more efficient tho. -do you throw out Ball-park estimates for prices (with no insurance coverage it's $__ ~ $__ thousand) and then make a specific TP print/sign/sched they select? do you do this yourself? -make multiple TPs, have someone else educate a patient that is very low dental IQ, like say
May 09, 2020
Dental "Pearls"
Message Board
Views: 623 | Replies: 7
is mechanical, how the teeth fit. Only infection is taught in dental school. Occlusion and TMD are not taught and not even covered by insurance. If you do not understand the way the teeth and upper and lower jaw fit, frustration will always be looming. Look into programs like Pankey, Dawson, or Kois
January 03, 2022
Dental "Pearls"
Message Board
Views: 559 | Replies: 6
Inflation is here to stay, staff wages are sky high, elevated PPE costs, but most importantly... insurance fees refuse to raise fees and accept a new reality. Business is business... and I have started charging for codes that I used to write off before. It used to be a courtesy, but after visits
January 03, 2022
Dental "Pearls"
Message Board
Views: 70 | Replies: 1
What is the code for removing a fixed hybrid denture (ie all-on-4) denture for maintenance? D6080 doesn't differentiate between a single implant crown, bridge, or an entire hybrid denture. Major differences between the aforementioned examples. Thanks Let me know when you find out, and let me know if insurance paid for it. Thanks
May 16, 2023
Dental "Pearls"
Message Board
Views: 11092 | Replies: 265
familys needs are being met... Where is the maths. Did we forget to learn percentages in elementary. Ownership vs DSO. Just wait until you give it a try. What was your take-home production.... AFTER insurance adjustments? Thats the question... my crowns are $1300 but I only get paid $770/crown because
April 04, 2021
Dental "Pearls"
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