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Searching: insurance denials
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Message Board
Views: 1330 | Replies: 55
Alright, let it out. What's one thing in your practice that's been driving you nuts lately maybe it's a system that won't work. Patient situation or team dynamic vent it out here we're all ears. Fickle patients, insurance denials, training staff, clinical decisions, Adult male patients with wives
July 09, 2025
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
symptom in the books. Transillumination showed cracks clearly. Photos taken. Explained everything. Onlay done. Symptoms gone. Insurance denial. Appeal letter written. Denied again. Appeal letter #2 send. Denied again. DD of RI- apparently thought that I should have just filled the tooth. It is like
August 18, 2015
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
thinking of just having a DISMISSAL stamp made...I seriously already bought one that says WTF for the office manager to use for insurance denials. Holy crap... you ARE on a roll! I just don't get many of those kinds of crazy patients. And, I surely wouldn't tolerate them. You yell at my staff, you're
February 08, 2013
Just Plain Bitching and Moaning
Message Board
Views: 6260 | Replies: 138
have patients who come for 3 or 4 wax try ins and still not happy with the plastic teeth in their mouth. Occaltional file separations while during endo, occasional pain after fillings, insurance denial of payments, patients who don't pay all are stressful. i know that people who sell stuff
February 23, 2014
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
and going on a rampage. The only one i'd like to punch was the last one. All of this was occuring with various computer networking issues throughout the day and some particularly frustrating insurance denials. Thank god 95% of my patients are wonderful.
April 03, 2012
Just Plain Bitching and Moaning
Message Board
Views: 3549 | Replies: 163
for a buildup/crown compared to other insurances/previous fees" that yes indeed that is bad. Analyze your fees based off your overhead and costs and don't compare them against other low paying insurances to make them seem worth it. In my opinion, anything below a $1000 for a buildup/crown is unacceptable
May 12, 2026
Just Plain Bitching and Moaning
Message Board
Views: 246 | Replies: 2
to an office I had sold and left in 2009. I never saw the notifications requesting the dental license renewal. Unbeknownst to me, by December of 2016, they had kicked me off the network. I had no idea that I was out of network until the February 2017 claim denial. I had reapplied for network status when
April 28, 2018
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
replacement. WHen I examined her the fractured porcelain was deeply stained and I knew the porcelain had fractured long ago. In the process I lost the patient who threatened to file a law suit for supporting the insurance company. Who cares? . Denial is thick. Deeper than the river in Egypt. Ed
October 07, 2014
Just Plain Bitching and Moaning
Message Board
Views: 906 | Replies: 25
). Haven't had a problem yet - knock on wood. Every single denial I have had has come from United. They are without a doubt the worst. They are using third party companies paid on the number of denials they obtain. What was the explanation given for denial? Cheryl The request is denied. The x-rays
January 21, 2014
Just Plain Bitching and Moaning
Message Board
Views: 2301 | Replies: 130
commissioner to me...my guess is that their lobbyists know them. Almost 17% of medical insurance claims are denied. What do you think the denial rate is of Medi-share/CHM? . That's lawyer language...of course they have to say that. The only thing that really matters is who is more likely to pay
December 30, 2023
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
coverage to help with the $700 lab bill. So, we do the bridge, and get a denial from the insurance company for frequency. Checked with insurance, and Cigna now has an 84 mo frequency on crown and bridge. So the assistant comes to me and asks if she is responsible for the lab fee- which she knew
January 05, 2010
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
molar and extraction of the adjacent third molar, (at my request) at my periodontist's, office, gets a denial from the insco,, the insco saying that the third molar didn't need to be removed, she then calls our office, saying that since I was the one who'd requested the services be done, it's my/our
December 20, 2016
Just Plain Bitching and Moaning
Message Board
Views: 364 | Replies: 12
remember correctly and his malpractice insurance paid it. Still, just goes to show how f--ked up this profession is. I Rx antibiotics after every surgery. I know it's not needed. I tell patients exactly that and that I don't care if they fill them or not. Most don't fill them.Why get yourself stressed
December 15, 2017
Just Plain Bitching and Moaning
Message Board
Views: 1367 | Replies: 35
of the post for me. Patients always think they have sinuses in their lower jaw. *beats head against desk I will gladly handout amox and hydros.....for 1000 bucks a pop......I gotta git out this gig asap.........dagone....you guys are...Clearly, this is an (insurance) case by case scenario. In my
March 19, 2015
Just Plain Bitching and Moaning
Message Board
Views: 6202 | Replies: 111
Lighthouse 360, having Dentrix verify insurance, etc etc. Computer programs don't bitch about doing their job.Oh yeah..... we've all had times like this. Put at least a winged rubber dam clamp on whatever tooth you'r working on. You will have a MUCH easier time than you think and 2 cotton rolls
March 22, 2012
Just Plain Bitching and Moaning
Message Board
Views: 242 | Replies: 6
Just had a thought today that Im paying close to $5000 per month on all of these various insurancesHealth insurance for a family of 5Home insuranceAuto insuranceMalpractice insuranceBuilding insuranceContents insuranceWorkers compDisability insuranceLife insuranceWho knows how many more policies I
March 26, 2025
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
This remind me of my visiting a major dental insurance company headquarter. Hugh building... no visitors except me. All employee were holding claims in their hands and looking at dental x-rays above their heads, including receptionists.I had to visit the headquarter, asking for the immediate
November 11, 2008
Just Plain Bitching and Moaning
Message Board
Views: 158 | Replies: 2
We had an off-the-wall insurance come through on an awesome patient. We verified the insurance (100% preventative, 80% Basic, 50% major), and it seemed normal. They sent me 3 letters stating that they could not process the claim because my provider ID was not on the claim (it was there, then I
June 27, 2017
Just Plain Bitching and Moaning
Message Board
Views: 510 | Replies: 10
I'm the Debbie Downer in my office. There I said it. Whenever insurance denies a crown, I down. When my assistant starts creating drama with another assistant, I down. When my patient complains, I down. When my schedule is empty, I down. I never used to be this way until I got a few GTFO
November 03, 2016
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
cant stick the shit back on your teeth if your insurance doesnt pay enough. No premed for aortic valve stenosis I think it fits in this thread because it is quite annoying when the patient comes in for a cleaning and says oh my ortho wants me to take medicine, I just had my hip done Usually
August 23, 2023
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
and look at her.....It's for being a good boy and going in the potty! I guess her pregnancy not only sucked all the calcium and insurance out, but brain cells too....and the day is only half over.We have a major no show problem in my practice. I have been in denial so far about my FD being part
May 22, 2014
Just Plain Bitching and Moaning
Message Board
Views: 404 | Replies: 5
.... You can only care as much as they do. She is obviously in denial and is fishing for a provider to continue to enable her. KUDOS TO YOU for doing the right thing.markI'll bet they could fix that in Molar...I had a guy come in once with a crown/post in his hand. New patient. It was a central
August 11, 2017
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
own a dental office. He tells her, that dental insurance doesn't pay for anything, so he goes to Mexico for his dental work. It is sad how people have no concept of things they probably should just keep to themselves, especially in a business situation. He is lucky I wasn;t there. Don't worry
May 18, 2023
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
consulted with about their bp---and give them a phone... worse is when mr crazy high BP guy... ..is an MD, or one of the mid level versions.... ...too often..... MD, or any other highly intelligent people, ourselves included, are more than capable of being in a state of denial. Speak
December 04, 2015
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
I always tell patients that have self-funded plans (not through an employer) that insurance companies aren't in business to lose money- in fact they make massive profits. They aren't going to pay out more than you pay in. You give them $750 total for the year in premiums?? They ain't paying out
December 13, 2024
Just Plain Bitching and Moaning
Message Board
Views: 152 | Replies: 2
then minor chips. since then he never saw a dentist again. today he has a bunch of cavities. And he wants the car accident insurance to pay for it. Nope. Not going to happen. I explained to him that they won't pay for anything without x rays and the x rays are clearly showing obvious decay. Day after day
July 27, 2017
Just Plain Bitching and Moaning
Message Board
Views: 2301 | Replies: 130
plan is to work for a company big enough to take the money pretax and pay some of the premium! Unfortunately, most of us in private practice don't have that luxury. Spouse getting a job that has benefits? Wait, you're paying almost $3K per month for health insurance? Why? Average monthly premium
December 10, 2023
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
you send your ENTIRE record to him. As it is part of the record and such. He'll be happy for the heads up. Larry She REQUESTED we send the entire record, not just x-rays. All the commlogs, all the phone calls, all the insurance notes, all the crazy quotes, all the complaints, all the denials
June 21, 2016
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
full I have no idea why I'm sitting here on DT. Have one family about to lose their insurance at the end of the month (so that's today for our office) who wants to get all their work done TODAY. One patient got confused of the time of the appointment. Supposed to be here at 2, but they thought
November 30, 2015
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
) Sometimes, I think it's denial that a family member is so close to death that we don't need to worry about organ damage or addiction. My aunt has lung cancer, and it has spread to bone and will be terminal. She's having so much pain she can't sleep - can't find a comfortable position. I asked my dad how
August 08, 2023
Just Plain Bitching and Moaning
Message Board
Views: 199 | Replies: 5
I carry Anthem Blue Cross insurance and sought to obtain a few prescription items recently and am witness to a disturbing trend. We all know about Martin Shkreli, who jacked the price of a drug. There;s a lot more of that out there. I wanted to procure some Nasonex. Not covered by insurance. Cost
December 21, 2016
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
sure but most is past time where insurance will cover anything. She finally gets the denial back and called back pissed.......... at us because we should have known she had insurance. I'm not suppose to be responsible for all this. I want my money back , its your fault the insurance didn't pay
November 03, 2015
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
fillings touched up! As I walked out, in more pain than I went in, I was given my referrals, and said I needed to pay an amount of about $80 before I left. Why? I have delta dental, although not super amazing insurance, they pay $1,000 of dental work every 6 month's. So, not only did they take
May 09, 2016
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
to just take it from her. She chose to go somewhere else for about a year because of her insurance and then decided to come back. She is really in love with me now that she has an appreciation for our level of service. Every time she's in now, I JUST LOVE YOU and then comes the rubbing... She
October 03, 2012
Just Plain Bitching and Moaning
Message Board
Views: 2301 | Replies: 130
of retirement so Millennials and Gen Zs can count on it as well. But, Timmy, lets not get this thrown into the political thread eh? Do you have an out of pocket maximum with Medishare? Thats the only thing I want with health insurance. Protection against financial ruin. How dare you!This is a public website
December 12, 2023
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
or if most of the reviews were fake. The person I spoke with said that the doctor does consultations for free, no insurance needed. So I schedule an appointment for next week. I go in there and the lady at the front desk asks me if I have insurance. I said I have recently purchased one
January 26, 2017
Just Plain Bitching and Moaning
Message Board
Views: 100 | Replies: 0
I got this e-mail today. The insurance company that I am most frustrated with is the one that sent the e-mail. Delta Dental of RI created Chewsi, a discount dental program and they are looking for dentists to sign up. I guess when you don't increase fees for 10 years and create new rules to restrict claims payout, then you have a few extra bucks to create some for profit businesses.
April 05, 2018
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
treatment is going to bite him in the *ss one day when someone gets really pissed that they spent $$$ on an implant that could have been spent saving some of the other teeth. Please don't be quick to blame the oral surgeon for a patient showing up like that. I have had many patients who are in denial about
May 13, 2017
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
price to every patient in our office. Says dental offices like ours are the ones that perpetuate the bad insurance economic model. But, he says, it's nothing personal... (oh phew, because we usually have trouble wondering if ultimatums are personal) HERE'S THE BEST PART...today we get the info
August 09, 2018
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
A collection of them today. Husband and wife screaming at each other in the waiting room. Start the day with a gagger who has to stop every min. The lady with 10 teeth in her head all decayed. You can save them with fillings. Patient: But is it worth it. With your insurance it'll cost you $20
November 19, 2015
Just Plain Bitching and Moaning
Message Board
Views: 10073 | Replies: 639
wheels. We are all dentists here affected by the lack of compensation for our workmost of us that are reliant on insurance companies dictating our compensation in one way or another. I applaud those that have created situations where that are less affected by insurance (looking at you Tommy).Do you all
April 07, 2025
Just Plain Bitching and Moaning
Message Board
Views: 499 | Replies: 23
Since I live in California I have had Anthem Blue Cross Health Ins. through the California Dental Assoc. A few months ago they sent me a notice saying that due to Obamacare my insurance would be cancelled and I could get a new Anthem Insurance that would be just as good and would qualify
March 24, 2014
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
so what does the assistant do who is covering the FD while the other one is at lunch (tues-thurs we have an 11-8 crew as well as a 8-5 crew)...she lets a $1250 procedure walk out the door with no payment and a hygiene pt w/ no insurance walk out w/o collecting payment....WTF!??!?!?!?!?Some folks
September 13, 2013
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
I had one who had two done elsewhere, and she's been featured on this thread. First one was to replace #30. Went to India. Got the implant placed and restored with a PFM in one day. The crown (at least) is currently mobile, but she is in denial. I told her I wouldn't maintain the implant, so
October 19, 2024
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
We just got a call from one of those I have $1000 on my insurance and I would like to use it before the end of the year patients. Told him we could see him on our allocated emergency slot and see what we can do. Here is the kicker, he tells my FD that he cannot take time out of work so he wants us
January 07, 2013
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
, sounds great. Guy comes in for an emergency with a broken cusp and recurrent decay. We had seen his wife and kids previously, but went out of network with their insurance last year. We treatment plan and schedule a crown, go over fees and estimates including that we are OON now and he agrees. Day
January 30, 2025
Just Plain Bitching and Moaning
Message Board
Views: 10073 | Replies: 639
disturbing than Al Sharpton or Trudeau or Macron or Newsom No more disturbing than Biden or Camel-ah or the border lies or the denials Disturbing is the concept that men can be women or vice versa or pronouns All of it.... You realize that the horsesh*t flows more from one direction than the other
May 08, 2025
Just Plain Bitching and Moaning
Message Board
Views: 10073 | Replies: 639
, if thats the case, then 2024 same result,, thats why I said 2032. 2028 is not that far off, to still be in denial. I mean look at last night, I was embarrassed for them. I may be the only one here without a clue, but I honestly had no idea sex and gender were different. I thought they were different
March 07, 2025
Just Plain Bitching and Moaning
Message Board
Views: 1374825 | Replies: 39855
thing, two RCT's and later he wanted to schedule two crowns. I asked him what happened to need two more RCT's, to which he replied, I have real good dental insurance and I figured that sooner or later every tooth I have will need to beRCT'dso while I have this great coverage I'll take care of it now
August 24, 2016
Just Plain Bitching and Moaning
Message Board
Views: 894 | Replies: 29
minutes if you let them. She needs bailed out daily. New pt calls and asks if we take xyz insurance. FD: We accept XYZ insurance, BUT we are NOT in network. I about passed out. I literally cant think of a worse way to answer that question. At least it's honest. And I can think of a worse way: Yes
January 19, 2025
Just Plain Bitching and Moaning
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