Search Results

Searching: insurance denials
Results: 367
Displaying 1-50 of 367
1 2 3 4 5
Page 1 of 8
Message Board
Views: 17741 | Replies: 1414
Healthcare CEO killing reveals lack of trust and accountability in US insurance industry: I get it | Brian Thompson shooting | The Guardian Americans are sharing stories of heartbreaking insurance denials ones that led to worse illness and death in the aftermath of the killing of Brian Thompson
December 23, 2024
Dental Insurance for Dentists
Message Board
Views: 159 | Replies: 3
typically gets addressed last as it relates to any type of legislation, but isn't a missing tooth a pre-existing condition? We are doing away with insurance denials because of pre-existing conditions right? So if they have implant coverage and a missing tooth clause with their plan
May 02, 2014
Dental Insurance for Dentists
Message Board
Views: 413 | Replies: 19
My wife showed this to me the other day. I'll bitch about work and insurances and she just nods, but I think this was pretty eye opening for her on how big of a racket it is. A while back I looked up delta of colorado. The CEO only made 500k/year. BUT then when I looked deeper it was for 4-5 hours
May 29, 2026
Dental Insurance for Dentists
Message Board
Views: 85 | Replies: 4
PSA for every dentist who has ever worked for a DSO. Go look yourself up. Right now. Open Google, search your name plus 'dentist,' then go to the provider directory pages for the three or four insurance carriers you take. I'll wait. Did you find yourself attached to offices you haven't set foot
May 18, 2026
Dental Insurance for Dentists
Message Board
Views: 72 | Replies: 0
population in my practice by current contracts Percent of fee-for-service patients Average percent of claim denials broken down by insurance company or some type of ranking on ease of working with a particular carrier/network/umbrella(any place to get these numbers?) Average expected percentage
February 25, 2021
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
DR. W you accept insurance? So as soon as the denial comes through, the patient is killed by the denial? Or is the patient still alive. Then the Dr. has a decision, be driven by profits, or do your job and save someone's life regardless of making money, which they didn't do. So why are you against
December 12, 2024
Dental Insurance for Dentists
Message Board
Views: 237 | Replies: 8
I had to fire my insurance lady - poor attendance. Got help wanted ads out but slim pickings these days. Im going to be doing the posting! Yay me. Does anyone know of any any resource like a book, webinar, pod cast to help me learn. You know info about write offs, denials, resubmitting claims
September 14, 2020
Dental Insurance for Dentists
Message Board
Views: 241 | Replies: 10
Has anybody had any success renegotiating fees with an insurance company that they participate with? Curious because I wanna know if I'd be wasting my time to attempt to do this Absolutely-it's something you NEED to do. You should absolutely do it every year. It's not that much work. Some
May 20, 2026
Dental Insurance for Dentists
Message Board
Views: 114 | Replies: 4
some light on this particular question. Thanks, Mary B. Most insurance policies specifically exclusive cosmetics or electives from reimbursement. Flippers, by their name sake, are more cosmetic in nature than functional. Hence you will find many policies that would not pay them, Delta or many other
March 09, 2026
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
individual.That is all. Absolutely. This is the response of a composed and rational individual. I get so frustrated with insurance companies for some of the denials and shenanigans they pull. It's ridiculous. And most of us operate on relatively low stakes matters like SRP and crowns. I can only
December 05, 2024
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
aspects of those decisions. Im all for AI, but not when used for BS stuff. The three Ds of insurance are Delay, Denial, and Defend and has become something of a rallying cry for insurance critics referring to insurers delaying payment on claims, denying claims and defending their actions. Delay
December 09, 2024
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
their deductible and coinsurance. Or the coverage was denied for some reason. I'm not saying bullshit denials don't happen, but it's hard to take at face value when I have patients complain insurance didn't cover it when they did, they just expected it to be free, or it was written in the policy
January 03, 2025
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
are suspects for insider trading. It was taken down likely due to the outrage he received. Most dentist understand that anger as we see the denials and delays with insurance companies daily. I Have they? Or is this like the classic I hate congress but love my congressman.? The stats.. Quality
December 17, 2024
Dental Insurance for Dentists
Message Board
Views: 463 | Replies: 6
There is a huge problem with letters sent to dentists and patients from insurance companies. Recently, we appealed a denial of scaling and root planing to Principal Life Insurance Company. The letter sans patient specific information is attached. I'm totally fed up with denials that appear
May 02, 2014
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
, so there will be a bigger price to pay.Imagine calling your local PCP or hospital, and telling them you have UHC insurance. It will be an awkward conversation for the weeks and months ahead, knowing media keeps talking about how they abuse the system with denials. This is all speculation based upon
December 18, 2024
Dental Insurance for Dentists
Message Board
Views: 97 | Replies: 6
I recently bought an office and I'm embarrassed to say I really have no idea when it comes to everything insurance. Words like 'clearinghouse' go right over my head. I have a biller on my team who is competent and seems to really know her stuff. Could anyone kindly point me to a resource
April 12, 2026
Dental Insurance for Dentists
Message Board
Views: 176 | Replies: 9
they call? And can't answer the phone What if you're on the toliet everytime they call? And can't answer the phone The mute button helps a lot in that situation. Ha, have they earn the polite courtesy of the mute button? I did one of those calls a few years back, and there was a number on the denial letter
January 23, 2026
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
is is crazy does, thats just hitting the insane patient jackpot and its a tragedy, it could happen to a dentist that offers free dentistry 1 day/week, every week to their poorest pts, vs the multimillionaire CEO of a major insurance company with some of the highest rates of denials, but yea... Im
December 05, 2024
Dental Insurance for Dentists
Message Board
Views: 1196 | Replies: 57
billers on their platform. 6. The dental claims specialists should promptly follow-up with denials. 7. The dental billing company should aim to get the practice's outstanding insurance at zero or trending towards zero. 8. There should be ongoing communication between the denial billing specialists
June 28, 2023
Dental Insurance for Dentists
Message Board
Views: 176 | Replies: 5
Let me tell you something that took me way too long to figure out: insurance companies behave exactly as badly as you let them. Wrong fee schedules. Messy EOBs. Provider directory listings that haven't been updated in over a year despite multiple notifications. We've all been there. Most of us
April 24, 2026
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
predatory policies of insurance companies) and is a political loser for anyone to make it go without replacing it with something nearly universally accepted as better. Surely, the USA can figure out something reasonable between free healthcare for illegal immigrants and tax paying hard working American
December 05, 2024
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
to be shot because his insurance company denies claims for $850 MRI and is withholding healthcare from people for money The next thread: only hacks stay in network, patients should be able to afford $5000 for implants out of pocket, get paid what you're worth! And if they don't pay in full then don't do
December 05, 2024
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
for insider trading? Didnt United have the most claim rejections/denials? LOL why are you so angry? He relates more with the rich guy than the guy who is unhappy with the system and wants to bring about change Not quite the John Q figure. This thread was interesting to say the least years ago
December 10, 2024
Dental Insurance for Dentists
Message Board
Views: 566 | Replies: 5
estimate or a denial that goes into the details of why it is not covered, and I'm pretty sure the insurance contracts don't go into it either. Also each plan within an insurance group is different as well This info exist on book form: Coding with Confidence by Dr Charles Blair. He's got everything
April 22, 2020
Dental Insurance for Dentists
Message Board
Views: 137 | Replies: 3
be surprised if this causes denial. I think their credentialling process is mostly a way to make sure you're really a dentist and to make you feel privileged for being accepted. Even if there was a complaint against you and you were found at fault, I think insurance companies want as many
December 29, 2017
Dental Insurance for Dentists
Message Board
Views: 335 | Replies: 5
). Resubmitted claim with narrative...still denied. Insurance also says it is a non-billable service to the patient since previous payment was made on the crown. Has anyone else experienced not only denial of payment by the insurance, but also not being allowed to bill the patient for this procedure
September 29, 2015
Dental Insurance for Dentists
Message Board
Views: 299 | Replies: 7
So I've about had my fill of poor fee schedules and denials of claims. What's the process of dropping UC? I feel bad as we have a large number of teachers, cops, etc who are great patients but I'm sick of UC's games. We called and they said it takes 60 days from the time they receive notification
April 21, 2017
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
shouldn't be FFS...I hate UHC, I think they know what they are doing with denials and games and BS, and they should be invesitgated and charges filed likely. I don't think execs should just be assassinated in the streets. Anyway I'm not defending insurance companies AT ALL. I'm saying that I literally
December 12, 2024
Dental Insurance for Dentists
Message Board
Views: 263 | Replies: 13
Hello, Does any one have pros and cons about using Zelis for insurance re-imbursements? What is your experience if you are using them? Why would you NOT want to utilize them. Thanks Mark There are 2 Zelis. The third party administrator/umbrella company that gets you higher fees that direct
April 08, 2026
Dental Insurance for Dentists
Message Board
Views: 131 | Replies: 7
What recourse do we have with an insurance company giving us the run around saying they've not received materials from us when clearly they have and we've sent them multiple times? Do state insurance commissions do anything about these matters any more? It's been a while since we've experienced
August 22, 2019
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
the insurance system but no way should this guy be celebrated the way he is. Book review this guy wrote earlier in January. And you thought he was popular before Suspect in UnitedHealthcare CEO shooting taken into custody after being recognized at McDonalds, named by authorities as Luigi Mangione, 26
December 10, 2024
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
, right now, like a gun, it's operated/guided by humans. If the very same AI/algorithm had told UHC to start approving more claims, ***the CEO and board would have gotten rid of it***. It may be a mistake to think there was a 90% error in how it instructed denials, it seems to be literally by design
December 16, 2024
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
CEO Brian Thompson. The suit claims the company underestimated the impact of public backlash over its aggressive claims denial practices, which intensified after Thompson's death. UnitedHealth maintained its optimistic guidance in January 2025 but revised it downward in April, citing increased
December 10, 2025
Dental Insurance for Dentists
Message Board
Views: 56 | Replies: 0
Hi All! I need help with two insurance scenarios! patient 1-due for her recall exam and xrays. 4 bw 2 pa. hygienist takes those and a pano to evaluate her 3rd molars. She has a recent history of FMX so we know they wouldn't pay for the pano. Front desk accidentally billed insurance for pano
December 18, 2018
Dental Insurance for Dentists
Message Board
Views: 547 | Replies: 24
covered after 1 year! Good thing we have medical insurers running the show. Nothing physicians have to deal with Retroactive denials and the like. Them insurance cos are doing a bang up job fer sure
February 07, 2020
Dental Insurance for Dentists
Message Board
Views: 561 | Replies: 9
Hello all, need some help. I have 13 families at my office who have Guadian PPO insurance who we have always been in network with. We just recently started getting denials because apparently these patients have Medicare dental/Liberty dental plan and because 1.5 yrs ago I opted out of medicare
December 14, 2018
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
with using Cigna? Any major issues with not paying for big things etc? He's being manipulative, he's creating false equivalencies on purpose, because that's what people like this do, then he tells you to lighten up about it. He's pretending that you and the insurance company are the same thing
January 09, 2025
Dental Insurance for Dentists
Message Board
Views: 1196 | Replies: 57
and standard 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
June 12, 2023
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
I have no idea how he will pay for his legal expenses. Family help or not, he has other options.You seem upset about this, but a lot of people with medical conditions (and their families) who were screwed by the insurance companies want Luigi to be free. What would you say to them
December 13, 2024
Dental Insurance for Dentists
Message Board
Views: 660 | Replies: 25
requests a fax and uses it update coverage books and give estimates. They are running into problems with a large increase in EPOs. On the faxes they don't say it (they say PPO), but on the claim denial it states the patient has to go in network for any benefits at all. I don't know much about
October 22, 2014
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
the society with harmful chemicals etc) Americans (per capita) began spending more money on healthcare and living shorter lives for it, meaning they got less for their money. The rest of those countries (if I'm not mistaken) have some form of universal basic health insurance for its citizens
December 07, 2024
Dental Insurance for Dentists
Message Board
Views: 424 | Replies: 12
prices. National network of 113,000 unique dentists it is bullshit. Is is even legal to offer discounts? fortunately, i don't think most patients go to their insurance website or pay much attention to what their coverage is, they usually just count on our offices to tell them what their insurance
October 10, 2017
Dental Insurance for Dentists
Message Board
Views: 6417 | Replies: 269
denials? Would this make your application an overly expensive one, compared to normal marketing investments? You are discussing the cost of acquisition. Could that also be the insurance mantra, a false narrative? If everyone is reducing their fees equally to attract patients from the same market pool
April 06, 2015
Dental Insurance for Dentists
Message Board
Views: 1753 | Replies: 62
insurance coverage for this particular procedure so there is no way I can do this for you. Something along those lines. Just my thoughts.Thanks. I agree I worry too much about this type of shit all the time. Damn UC, wish I could drop it yesterday. I hear you man. We're all in this together
November 09, 2015
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
...and the people are MORE dead than the ones who die from denial of treatment....yeah....thats it. Unless we have unlimited dollars to spend on healthcare, isn't some entity going to have to ration it? If not the insurance companies then the government? No one deserves to be gunned down, no matter
December 04, 2024
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
and insurance company have potentially done their damage to a persons life) our approval of this guys behavior and justifications means jack This will all blow over, the denials will continue to happen and dentists will continue their participation because the DDS is amazing at complaining. Wake up people
December 06, 2024
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
one, not one set up by the insurance industry Apparently Luigis attorney looks like a solid guy.Some interesting questions reporters asked the attorney today:Reporter: what did he plead?Attorney: I told him absolutely not guilty.Reporter: why bail was denied?Attorney: In Pennsylvania, only capital
December 11, 2024
Dental Insurance for Dentists
Message Board
Views: 17741 | Replies: 1414
this idiot does not spend a couple decades in Jail. The problem with healthcare in the United States is that about 50% of the country gets it for free. Another 30% wants it for free. Not enough people willing to pay. Makes it expensive for the ones who have to pay. Shooting insurance guys
December 19, 2024
Dental Insurance for Dentists
Message Board
Views: 57 | Replies: 2
the more restrictions there are, the less chance the patient will use that maximum. Keep in mind insurance knows the stats. So to give you some simple basics: 50% of patients don't use the policy at all in a year 25% use hygiene only 20% use more than just hygiene, but do not max out 4-5% max out
February 26, 2026
Dental Insurance for Dentists
Message Board
Views: 1499 | Replies: 34
all the time but to get top dollar for your services without dealing within insurance (beyond filing the claim for the patient or at least giving them the means to file it on their own). It's hard to pull off. Hard, but not impossible. It is getting more diificult due to the amount of debt that new
September 14, 2015
Dental Insurance for Dentists
Displaying 1-50 of 367
1 2 3 4 5
Page 1 of 8
Sponsors
Townie Perks
Townie® Poll
What’s actually driving most of your new patient flow right now?
  
The Dentaltown Team, Farran Media Support
Phone: +1-480-445-9710
Email: support@dentaltown.com
©2026 Dentaltown, a division of Farran Media • All Rights Reserved
9633 S. 48th Street Suite 200 • Phoenix, AZ 85044 • Phone:+1-480-598-0001 • Fax:+1-480-598-3450