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Searching: insurance denials
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Message Board
Views: 1804 | Replies: 142
I mentioned earlier are for these reasons: immediate patient education, protection from disgruntled patients, shutting down insurance denials, and better yet for your/staff own education in studying what you missed the first go round and what you might do different. Here's my take on this. A lot
August 22, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 1040 | Replies: 40
. So I ask all this for all new patients FFS or PPO, its best practice to check for patients. Im FFS. But I dont want my patients to get a surprised denial from insurance. An advantage to phone calls is that by speaking to someone at the insurance company directly exclusions and downgrades can
July 06, 2015
Ideas To Make Your Practice Grow
Message Board
Views: 882 | Replies: 42
with radiographs to prevent nearly all denials. But if you dont want to stay on the edge of it, knock yourself out. The problem is charging someone for something and then having to credit when insurance pays or vice versa . No one is saying to do creative billing . But it's good to know beforehand patient
April 21, 2026
Ideas To Make Your Practice Grow
Message Board
Views: 45 | Replies: 3
The revenuewell insurance verification program stinks. For one, it wont give us any data on any out of state Delta plans ( we are in CA) . they often have mistakes as far as flouride being covered when its not. Can anyone recommend anything better Anyone have any recommendations? Thanks ! Check out Practice by Numbers. thanks Sandy, will do
April 20, 2026
Ideas To Make Your Practice Grow
Message Board
Views: 2113 | Replies: 128
comprehensively? Approaching mouths in quadrants when possible? One thing I've found is that patients aren't really motivated/receptive to comprehensive treatment planning unless they come in specifically with plans to seek out that kind of treatment. With insurance maximums sitting at an average
May 14, 2026
Ideas To Make Your Practice Grow
Message Board
Views: 4905 | Replies: 347
to believe someone with a doctorate cant comprehend that. Because a hygienist is on commission doesnt mean they will over treat or oversell. We have virtually no denials from insurance from SRPs. Thats how I usually gage how well thats working cause they usually catch everything. We dont do
February 12, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 10421 | Replies: 529
are talking about. Brilliant move on their end. If they can somehow spend their resources to educate people about a discount plan, I think it could chip away at the dental insurance beast. At the very least, the competition could allow for the insurance companies to re-think their denial and non
March 10, 2014
Ideas To Make Your Practice Grow
Message Board
Views: 11866 | Replies: 318
for the insurance company is we can get people in very quickly and many of our patients called "their dentist" when they broke a tooth but he couldn't see them for a week so we do the BU/crown today for them. WIN WIN they can have them back for the 5 dollar prophy if they want I just dropped all
March 17, 2026
Ideas To Make Your Practice Grow
Message Board
Views: 2113 | Replies: 128
in charts Recall systems that exist but aren't consistently worked Insurance A/R slowly building up and hurting cash flow Doctor schedules that look full but contain low production procedures Practices that seem to break past that plateau usually tighten those internal systems before making big
March 07, 2026
Ideas To Make Your Practice Grow
Message Board
Views: 2709 | Replies: 281
of the operating business. The insurance benefits of captive planning are significant, filling gaps in coverage, which can otherwise lead to high out-of-pocket costs in the case of a loss event. Captives also eliminate the possibility of a claim denial, providing business owners with more control over
December 21, 2023
Ideas To Make Your Practice Grow
Message Board
Views: 2113 | Replies: 128
spoken to over the years who drive a $100,000+ Mercedes or Maserati but down a $150 course with our team. That's actually a pretty substantial front desk structure. It's interesting that three of those positions are tied up with insurance related work most of the day. I see that a lot in PPO-heavy
March 11, 2026
Ideas To Make Your Practice Grow
Message Board
Views: 750 | Replies: 48
. Much more importantly is that every one who went to your office knows people who have good PPO insurance or people with cash. IF they have good customer / pt experience then they will sell your office for you by word of mouth spreading your business for you. Dentistry is a people business. We work
April 07, 2026
Ideas To Make Your Practice Grow
Message Board
Views: 7 | Replies: 0
In 1980, the average dental insurance maximum was $1,500. In 2026, the average dental insurance maximum is... $1,500. If insurance had kept up with inflation, that check should be $5,500 today. By letting patients view the "Max" as a limit, we are neglecting their health. The Breakdown: Patients
January 29, 2026
Ideas To Make Your Practice Grow
Message Board
Views: 254 | Replies: 5
The top 5 benefits to Dental Business Owners because they outsource insurance: Improved revenue cycle: Having a dental insuranceexpert with 10 plus year experience in processing dentalinsurance claims and insurance verification means your practice is more likely to get claims approved
July 02, 2021
Ideas To Make Your Practice Grow
Message Board
Views: 546 | Replies: 3
Hi All, I bought a practice a few months ago and applied for more insurance. I got word from Metlife today that I got rejected for business overhead insurance and supplemental disability. They pinged me for sleep apnea (which i don't have) and spinal scoliosis (which i do have). Should I try
January 27, 2020
Ideas To Make Your Practice Grow
Message Board
Views: 177 | Replies: 6
Hello! Hope someone can address my concern. In April of 2018, we sent out a claim to the patient's insurance for a crown that was delivered and cemented. My staff never followed through with the aging report and come June 2019, we find out the carrier never paid their portion. We called the carrier
July 09, 2019
Ideas To Make Your Practice Grow
Message Board
Views: 272 | Replies: 7
For all of you out there taking insurances, my question is what is the going combinations of code that people bill insurance commonly bundled together in order to get your the maximum benefits out there? I recently bough over a practice and this practice is strictly a Delta Premier office
October 24, 2018
Ideas To Make Your Practice Grow
Message Board
Views: 5611 | Replies: 154
and a career. Certainly there is no denial that this may not work in all markets and that is 100% true esp if you find the outlying examples. But on average, advertising works. Otherwise no one in any industry would advertise. But I'm gonna be on aggregate that if more docs considered this, docs would make
January 06, 2016
Ideas To Make Your Practice Grow
Message Board
Views: 199 | Replies: 8
I don't understand... The purpose of insurance in any industry is risk management for events that can lead to crippling financial situations, and dentistry isn't plagued with such high cost procedures. So how is it that dental organizations (such as the ADA) fails to address the issue
May 30, 2023
Ideas To Make Your Practice Grow
Message Board
Views: 2102 | Replies: 98
There is one FB forum in particular where every post is accompanied by some comment about how viscous and awful dental insurance is. Why the shame surrounding it?Look, I understand the difficulty in working with dental insurance, and I hope the relationship improves over the years, but insurance
July 17, 2022
Ideas To Make Your Practice Grow
Message Board
Views: 1804 | Replies: 142
good But the next question patients always ask is does my insurance cover it? I can't understand why everyone is so focused on what insurance covers in this office vs what they NEED. My office manager has said the same thing to me as well about our patients here. They're just so focused on insurance
August 21, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 1274 | Replies: 23
company you coukd inquire with them. Be sure that your enployee handbook has the details about who gets offered insurance. For example: the employee must work 32 hours a week to be considered full time. Most dentist pay for a plan that has a high deductible which is mainly for something major
September 29, 2021
Ideas To Make Your Practice Grow
Message Board
Views: 434 | Replies: 22
that to be true. Collection issue means that you aren't have consistent and daily follow up on claims. My office runs claims every day. If there is a denial etc, it is follow up upon. You must collect what you produce. Sure you may have a lazy employee, but part of laziness comes from the fact that you
September 04, 2024
Ideas To Make Your Practice Grow
Message Board
Views: 10421 | Replies: 529
Discount Dental Plans At its recent public meeting, the State Board of Dentistry restated its previous position on dentists offering an in-house discount dental plan. The Board determined that a dentist may offer a plan to patients, but that the plan can't be limited to those without dental insurance
March 13, 2014
Ideas To Make Your Practice Grow
Message Board
Views: 8192 | Replies: 280
we estimated, they are happy. In your example, it's not that they should have been only been charged $300 rather than $350. Since we never know EXACTLY what the insurance will cover (even if you're in network, due to many exclusions, denials, etc), we tell the patient it's only an estimate
July 21, 2009
Ideas To Make Your Practice Grow
Message Board
Views: 1203 | Replies: 17
Hi there! Question, someone told me that there is a company out there (online website) that I can send my patients to, and they can fill out their insurance information before their appointment. Apparently, this website verifies it for us, and also syncs in w my management software. This sounds
December 31, 2015
Ideas To Make Your Practice Grow
Message Board
Views: 437 | Replies: 0
Why should you consider outsourcing your insurance billing? It can save you money. If you choose a company that works off of a commission or a flat rate that is affordable versus the costs to hire a permanent office worker that may not be experienced enough to appeal claims and file
June 18, 2015
Ideas To Make Your Practice Grow
Message Board
Views: 2366 | Replies: 75
(Insurance AR way up). We are getting pounded on by MetLife right now. Something very shady is going on with that company right now. Denying EVERYTHING, Do those who are not in network providers have this many denials or is this due to the fact that I agreed to a contract with them. I am preparing
March 19, 2015
Ideas To Make Your Practice Grow
Message Board
Views: 102 | Replies: 9
(Posting this in case anyone else is as dumb as me...) For years I've been receiving payments from various insurance companies via Zelis Virtual Credit Cards. It's a shady practice that is not *technically* illegal for the insurance companies to engage in, but once you get opted in, it's very
December 23, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 1804 | Replies: 142
relationships just to have to be on defense against some of the people I treated for experience. The last thing my office needs is some bad reviews. Reviews and positive word of mouth are the only things bringing people in aside from people finding me on their insurance portals. I want to do more. I just
August 28, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 515 | Replies: 34
scheduling so that high value procedures don't have to wait 4+ weeks? And have you trimmed insurance participation at any point in those 10 years? I am *assuming* that you are putting up much better production numbers than I am, which is the crux of my issue. If I was consistently doing $7,000
March 19, 2026
Ideas To Make Your Practice Grow
Message Board
Views: 193 | Replies: 7
Has anyone used a broker to help negotiate a fee schedule with insurance companies when considering joining... Contact Sandi at Unlock the PPO. She is a well respected Townie.Thank-you!... This podcast was an eye-opener for me. I had no idea this service even existed before I listened
May 02, 2017
Ideas To Make Your Practice Grow
Message Board
Views: 10421 | Replies: 529
there that don't have insurance or a plan. But, the best part is I make the rules. I run the show. No denials. No pre-Ds. No claims. No waiting. No annual max. And, I'M IN CONTROL. The benefits of using QDP are that it's packaged system. The operations manual. The marketing materials
November 22, 2013
Ideas To Make Your Practice Grow
Message Board
Views: 5833 | Replies: 130
. Kidesperanto : i thought you said you will be in north carolina for Chris course, i did not find you ???? so now lets go to the medicaid or stat funded insurance and i see the heat building around it and the big question regarding the scheduling and is it ethical ? so this is my opinion : i never
August 09, 2016
Ideas To Make Your Practice Grow
Message Board
Views: 69 | Replies: 0
Enjoy this guest post from Big Buzz's longtime friend Dr. David Bennett... These are questions that we as independent practice owners ask ourselves and need to answer for ourselves: If I drop a particular insurance plan, will I increase my profits? Whats the best way to evaluate an insurance plan
October 29, 2020
Ideas To Make Your Practice Grow
Message Board
Views: 641 | Replies: 20
clients, and helps creat predictable insurance verification costs each month. Wed be happy to walk you through it and see if theres a good fit for your needs: 1-844-eAssist or sales@eAssist.me is the best way to connect. Another thing to consider for your team maybe insurance verification isnt
April 18, 2020
Ideas To Make Your Practice Grow
Message Board
Views: 2051 | Replies: 79
, good reviews, and a clear plan all help make the transition away from insurance much smoother. And the nice part is you don't have to do everything yourself a good digital marketing team can create the content, set things up, and help you show up well online, while you focus on running your practice
December 10, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 116 | Replies: 2
in-house discount plans, or consider participation with dental insurance carriers. If participation with dental insurance carriers is an avenue that you want to consider as a possible path to generate patient flow, we'd recommend you do a bit of research. Demographics- we do a comprehensive
October 24, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 2917 | Replies: 111
can be dangerous. An example would be a prospective patient calling the office, asking about cosmetic treatment or implants, for example, and the FD follows the scripted checklist by saying, Which insurance do you have? (Sound of game show buzzer for the loser!) I find that simply getting to know
December 16, 2017
Ideas To Make Your Practice Grow
Message Board
Views: 1554 | Replies: 55
love the idea of a FFS practice...It can be done but you gotta have a lot of money saved up to get started...I have been doing dentistry for over 20 years and one thing is for sure is that people that have insurance from their job want to use it...even wealthy people .....I had a neurosurgeon
June 18, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 296 | Replies: 21
ups etc, I never expect anyone else to pay so I'm hoping patients will be ok with it. Especially if they have a low fee insurance,i'm note trying to pay for there parking for sure :( I would probably pay for the parking for your existing patients for 1 year and let new patients pay for their own
June 24, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 83 | Replies: 0
I'm trying to figure out if it's a better idea to hire an associate or phase out insurance companies. I have already gotten rid of Aetna and quotes from all the PPO management solutions. I'm a single-doctor practice and I don't do extractions or endo so I think it might be better to add hours in order to expand patient servies (80-120NP/per month) op booked out etc. It's really difficult to find an associate but I haven't pulled the trigger yet.
March 26, 2017
Ideas To Make Your Practice Grow
Message Board
Views: 844 | Replies: 22
is the easiest thing to do.Lower prices and or do free dentistryYou will be incredibly busy until you go bankrupt.Many dentist favor this business model. They accept Medicaid, all insurances, have all kinds of discounts, offer free exams, free X-rays, etc. You will be very busy.Personally I prefer to make
July 10, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 294 | Replies: 11
I have a fear of patients having buyers remorse on a treatment I recommend. Vast majority of my patients are heavily insurance driven and I know one step to get outside of that mindset is to create value, then often times the price doesnt matter as much. Im afraid if I talk a patient into paying
July 07, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 97 | Replies: 0
fee schedule, we compiled the following strategies. Determining Dental Fees When setting fees, dentists must consider multiple factors to ensure costs are covered while remaining fair and competitive: Overhead Costs: Expenses such as rent, salaries, insurance, equipment, supplies, and loan payments
July 09, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 559 | Replies: 15
an approximation? Ask to collect 50%? pay in full then reimburse whatever insurance repays? Have one appt, then approve during the week and have another tx appt on the next sat? please enlighten me to the best strategies. I've read a bunch of threads and I get the pros and cons of sats, So let's not go
July 25, 2014
Ideas To Make Your Practice Grow
Message Board
Views: 1866 | Replies: 20
PPO plans to drop first. They have been very helpful. I hired them 6 months ago or so. They negotiated some insurances and raised a few. But they also take your top 30 (I think) procedures and show you what they pay you and give you a percentage of your FFS fees you are getting. So using
October 17, 2024
Ideas To Make Your Practice Grow
Message Board
Views: 1004 | Replies: 20
advice to a new practice owner is appreciated. rest of office is FFS. only insurance is cigna, but was at a much higher fee. TIA were you not presented the low fee schedule before signing the contact? How much % of active patients is Cigna? What % of your collections is Cigna? then we can try
July 24, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 4905 | Replies: 347
Fixed cost dont scale to size. You will still pay $350/mo for phone, $250/mo for internet, $800-1000/mo for website/seo, $500ish/mo for IT/PM software/claims submission, $X/marketing, base business insurance/electrical/water etc. The cost start to add up fast. I know I wouldn't invest in it and I
February 11, 2025
Ideas To Make Your Practice Grow
Message Board
Views: 883 | Replies: 22
as they may. If you accept a bunch of insurances, then it doesn't matter if you raise to the moon. For example I raised D1110 from $110 to $135 Jan of 2024, stayed on top of what the patients were saying and how the insurance was paying (I am OON), after the dust settled we are at $125 (insurance
January 06, 2025
Ideas To Make Your Practice Grow
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