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Searching: insurance denials
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Message Board
Views: 431 | Replies: 2
claims to be created through their programs. PM me if you want more info!Send a claim to the insurance company. We rarely need a.medical denial. I almost never do full boney, but do my share of pbi We usually include a panoramic and/or digital photo with the claims
September 19, 2015
Medical / Health Insurance
Message Board
Views: 3156 | Replies: 84
insurance, get the denial, then we can bill the dental. These are all from plans purchased on the exchange. What a joke! They admitted it will never cover these items but we must always bull the medical first. Waste of time and energy for the dismal reimbursement we get. The worst part is it is mostly
December 27, 2016
Medical / Health Insurance
Message Board
Views: 473 | Replies: 12
, but most of my patients are regular folks. I don't make more money than when I was in the insurance world, but I get paid something for everything I do. With insurance, there are so many denials for legitimate claims that it made my head spin. The insurance world is about running the hamster wheel faster
May 25, 2017
Medical / Health Insurance
Message Board
Views: 317 | Replies: 8
these out of control insurance companies (yeah, right). They might get a slap on the wrist, if anything at all.1. The medical director will be fired. 2. Aetna will now have a paragraph explaining why the claim was denied maybe with the name of the M.D. who authorized the denial but don't hold your
February 12, 2018
Medical / Health Insurance
Message Board
Views: 60 | Replies: 1
more transactional because somebody in an insurance cubicle chose the wrong noun. The economics changed first. The language followed. Then the language started reinforcing the new reality. That distinction matters because dentists love a clean enemy. If the problem is the word, then the fix feels
April 22, 2026
Medical / Health Insurance
Message Board
Views: 358 | Replies: 22
people avoid it until it becomes a crisis. A practical path forward looks less ideological and more mechanical. Separate insurance from routine care. Use insurance only for catastrophes. Move primary care, labs, imaging, and mental health into transparent cash or subscription models. Break hospital
February 06, 2026
Medical / Health Insurance
Message Board
Views: 95 | Replies: 5
in red ink (like the misleading paper seemed to say), Then I get another denial and realize they want to have the exact form (no copies). Buy those from amazon, no big deal. Complete the form the same way. Another Denial!!!! This time, the provider NPI (in the lower right corner was missing
November 26, 2018
Medical / Health Insurance
Message Board
Views: 230 | Replies: 4
Anyone hear about this medical billing company in Orange,Ca? They claim to preauth, bill, and collect from medical insurance and Medicare on general dentists behalf for implant/grafting for 10% of collections. Sounds pretty shady to me. I m thinking to sign up. Does anyone have experience? From my
July 28, 2021
Medical / Health Insurance
Message Board
Views: 690 | Replies: 13
to not have to be the collection agent, is always make sure the patient has paid enough that you are 99% sure insurance will pay AT LEAST the remaining balance, if not more. The only times an office should have to collect from a patient after the fact should be a flat denial (which should be rare if your FD
November 19, 2018
Medical / Health Insurance
Message Board
Views: 459 | Replies: 11
else have experience with Medicare documentation requirements and...Many of the Medicare fees are ridiculously low meaning that you actually can lose money on those patients. The documentation rules are actually the same as with any insurance with the big difference being audits. With private
September 19, 2015
Medical / Health Insurance
Message Board
Views: 236 | Replies: 3
to do this for you. It will cost about $500-1000 for them to do it. Mistakes cost you a deley and delays with them is for ever. It can also cost you a denial. With Medicare you want everything perfect. I do know a few people that did it on their own. You need part A and part B to be doing sleep
November 16, 2015
Medical / Health Insurance
Message Board
Views: 2818 | Replies: 189
of denial of claims? Several witty comebacks have popped into my head but I always try to keep the discussion on an elevated plane. Because our field is failing! Dental insurance is a full time job if your office is doing it right. It is a leap of faith for you but I have seen it done over and over
November 08, 2013
Medical / Health Insurance
Message Board
Views: 785 | Replies: 51
Is anyone else noticing how chaotic the Obamacare Marketplace is getting for 2026? What is everyone doing for their offices? I have a hygienist considering going to a DSO just so she can get health insurance. She said her policy is going from $100 a month with the subsidies to $1750 a month next
November 18, 2025
Medical / Health Insurance
Message Board
Views: 434 | Replies: 7
I want to start offering health insurance to my employees, but I'm not sure where to start. Is there any resource I should look into or specific person I should contact? Do you offer health insurance to your part time employees as well? Are you member of ADA? They can help with getting a group
July 22, 2024
Medical / Health Insurance
Message Board
Views: 785 | Replies: 51
Everyone and their brother thinks that they are the ones that will be buying up assets in a fire sale, and it will be all of the other guys that are either afraid or can't qualify for financing. Im getting my annual email from the Government trying to get me back to Obamacare. Telling me I may...
November 19, 2025
Medical / Health Insurance
Message Board
Views: 262 | Replies: 5
Hi Everyone, I am a recent grad just over a year out of school. I recently had a patient file insurance complaint after root canal done on #28. Just a brief summary : Rc done in Jan,2018. Gave her clindamycin after.. she has lot of systemic issues so couldn't tolerate .. told her to stop taking
June 23, 2018
Medical / Health Insurance
Message Board
Views: 132 | Replies: 3
Hi There, We do I begin to learn how to verify/ submit to medical insurance. Mostly for sleep apnea appliances, but also OS or perio? Any suggestions on where to start? TIA I don't have an answer, but make sure you get paid by the patient, and their insurance reimburses them. Dealing with medical
March 14, 2024
Medical / Health Insurance
Message Board
Views: 5023 | Replies: 260
Just because some people don't understand the difference between our small, family-run business and a giant, politically-connected corrupt hospital system doesn't mean that I need to dilute my stances on the issues. Hospitals, insurance companies, and the government are not acting in good faith
November 03, 2020
Medical / Health Insurance
Message Board
Views: 117 | Replies: 0
Binge watching Breaking Bad. Season 3 episode 9 about Hank's insurance being unacceptable. The show did a GREAT job illustrating the reality of plans. I hope TV and the movies make this subject a more common topic to undo the misconceptions. Mac
August 16, 2015
Medical / Health Insurance
Message Board
Views: 81 | Replies: 0
For Ohio dentist getting their health insurance through the ODA is there a reason to switch to their new program. They are really pushing it, but is there any benefit to switching? Any thought's out there?
February 23, 2015
Medical / Health Insurance
Message Board
Views: 176 | Replies: 10
Has anyone received a premium rebate from their office health insurance plan?I received a rebate check because the insurer did not spend 80% per the medical loss ratio regulation. Im not sure how to calculate how much is due to each employee and how much is due to the employer. Any help appreciated
October 12, 2024
Medical / Health Insurance
Message Board
Views: 481 | Replies: 1
So I just graduated a few months ago. I am a healthy 26yo male. I was given a quote from this agent on the different life and disability insurances. I need help and advices on if I should go thru with the contract. Please view pdf of rates below and let me know if the rates are fair or not since I
March 06, 2014
Medical / Health Insurance
Message Board
Views: 3683 | Replies: 139
26. Much needs to be improved, but much has been gained to those of us who were fit and healthy but couldn't buy a plan because of some trivialexcuse for denial. What state are you in? Prior to the Affordable Care Act, New York required insurance companies to insure everyone. No pre-existing
September 10, 2016
Medical / Health Insurance
Message Board
Views: 367 | Replies: 14
Which of the two health insurances would you choose through your employer? Why? Let's say you are a single young and seldom see a doctor (no chronic meds), but you may see a few (elective) specialists, such as for routine eye exam or do blood work.. What would you look for in deciding? Plan
June 25, 2020
Medical / Health Insurance
Message Board
Views: 852 | Replies: 21
I feel like it's groundhog day again. We are looking at our health insurance options for 2019. We currently have BCBS through our state dental association. It's over $2100/mo. Thinking about MediShare/Liberty etc? Anyone have any good options for 2019? I am signed up for liberty, haven't had to use
November 27, 2018
Medical / Health Insurance
Message Board
Views: 203 | Replies: 6
Has anybody besides me ever wondered why dental insurance exists? Why is third party reimbursement for dental procedures not part of health insurance? If you go to a podiatrist and have foot surgery the podiatrist gets paid by the patient's health insurance company. Is this correct? If so, why
July 22, 2017
Medical / Health Insurance
Message Board
Views: 51 | Replies: 0
Does anybody know the CPT codes for implant, bone graft and IV conscious sedation? I'm also trying to figure out ICD-10 codes for congenitally missing teeth....
January 10, 2017
Medical / Health Insurance
Message Board
Views: 304 | Replies: 5
sharing. I can't take$1,200/month for insurance we never use.Thanks everyone. I didn't know that there were so many organizations like Medishare until we started investigating it. I have several friends locally that are using Liberty and seem to be pleased. To further cement my frustrations
November 28, 2016
Medical / Health Insurance
Message Board
Views: 27 | Replies: 0
Hello all, I am about to lose my healthbenefits through my residency and my wife does not have health insurance as an independent contractor. Can anybody recommend a health insurance planfor a husband/wife expecting a new baby in July? Any advice orthoughts regarding a particular type of policy based on experience? Thanks Grady
May 18, 2016
Medical / Health Insurance
Message Board
Views: 94 | Replies: 2
be providing. Do you have workman's comp insurance? That would be the extent of coverage I would provide for disability to an employee.Is the concensus that short term disability is being overinsured? It just seems wasteful to me to make this monthly payment when at best you may collect a portion of regular pay for a short period of time.
December 08, 2015
Medical / Health Insurance
Message Board
Views: 153 | Replies: 0
Hello everyone! I have a general question. I am in the process of purchasing a practice. The practice in which I am interested takes basically no insurance but Aetna (0.5% actice patients have this). I am a young dentist and will be taking over a practice in a saturated area. I am not naive enough to think that I will be able to be FFS as well. Any advice on the top insurance providers to take? I am thinking Delta Premier. Any others? Thanks...
November 16, 2015
Medical / Health Insurance
Message Board
Views: 477 | Replies: 12
Hi all, Would like to see what some practices are doing for their employees regarding health insurance. I have two staff members, one has kaiser through her husband and the other just turned 26 so she is no longer under her parents coverage. I was planning on getting health insurance for the 26
November 06, 2015
Medical / Health Insurance
Message Board
Views: 160 | Replies: 2
We filed our first insurance claim, called the insurance company prior to filing and did everything that we needed to for our predetermination. We just received a response and the insurance company stated that they would only pay $1000 and that we could not charge the patient for the remainder
January 23, 2015
Medical / Health Insurance
Message Board
Views: 395 | Replies: 8
What percent of premiums do you all pay for your employees health insurance? Thanks I capped it at $350 per month per employee. I add it to payroll and unfortunately have to pay all the payroll taxes on it. No way to avoid payroll taxers as far as I know. There may be a tax credit available
January 06, 2015
Medical / Health Insurance
Message Board
Views: 88 | Replies: 1
Hello Townies!!! I am inquiring about ANY ideas for small dental offices in the state of Maryland for health insurance?? Any suggestions on what you are using?? I really appreciate any feedback!!!! Thanks KRV I don't know what is going on in Maryland, but my suggestion is to get out
July 28, 2014
Medical / Health Insurance
Message Board
Views: 259 | Replies: 1
surgeon in Austin, Texas with a practice primarily devoted to breast reconstruction, I have provided access to the most advanced surgeries, in network through insurance for over 12 years. I have been a safety net for patients across the country, accepting any insurance payment and not turning patients
August 16, 2025
Medical / Health Insurance
Message Board
Views: 104 | Replies: 0
We received notice that the Medical Insurance plan that we offer through the office will be going up 16% for 2023. The office pays a percentage of the premiums and the employee has the rest deducted from their pay. We are in the process of hiring another assistant. Thoughts on offering 2 options
November 11, 2022
Medical / Health Insurance
Message Board
Views: 2818 | Replies: 189
medical billing so I am aware that I can't just submit my usual D8080 on an ADA claim form to the patient's medical insurance company and expect some results. I know there are procedure codes and diagnosis codes and a different type of claim form and a bunch of other stuff I have notes on but am
November 09, 2013
Medical / Health Insurance
Message Board
Views: 222 | Replies: 1
Seems like most of the threads related to medical insurance options / health sharing ministries are pretty old. Wondering if anyone has anything new to offer regarding creative medical insurance options to keep the premiums down. I've personally been very glad we went to Liberty Health Share
December 08, 2021
Medical / Health Insurance
Message Board
Views: 162 | Replies: 2
I'm buying a practice, and the seller currently does not offer health insurance to staff. My spouse will be working with me at the same office as my associate. Is it possible to get health insurance only for myself and my spouse through my entity? Maybe a CPA can chime in here. But in my opinion
July 30, 2021
Medical / Health Insurance
Message Board
Views: 320 | Replies: 3
I started a group health insurance benefit through a broker last year for the office. After a year, the premiums were going to go up, but the coverage was decreasing, so I looked at other options. i signed up with Insperity solely because they offered group health very inexpensively because
August 16, 2019
Medical / Health Insurance
Message Board
Views: 225 | Replies: 5
I know very, very little about health insurance. My wife and I have had coverage our whole lives and neither of us have had to use it much, thankfully. We're about to lose our coverage starting in July when we take on new associateshipsas 1099 contractors. We're both in our 30s, very healthy
May 16, 2018
Medical / Health Insurance
Message Board
Views: 86 | Replies: 1
income and will be taxed on it. Any suggestions will be helpful. Thanks! You are right to be concerned. If an employer provides any payment towards health insurance (and you want it to be before taxes), it has to be properly set up, and not just added as a bonus or additional compensation. Hopefully one of the compensation exports or accountants can add additional info, but do check out this thread, which has some valuable info:
December 01, 2017
Medical / Health Insurance
Message Board
Views: 2818 | Replies: 189
I was trained by a Medicare auditor. Where were you... I don't know about Bruce, but let me tell ya' something……I was trained in Vegas by Vivid. That's right, a top notch porn filmmaker. Sure, I don't know jack about insurance, but I can do it like a champ. Seriously Danielle, when
November 10, 2013
Medical / Health Insurance
Message Board
Views: 36 | Replies: 1
Moving out to Montana and looking for health insurance options. Any one know if the Montana Dental Association has a health care plan for members? Probably going on the Liberty health share plan if... There was one until last year. They had to discontinue it.
May 16, 2017
Medical / Health Insurance
Message Board
Views: 268 | Replies: 11
I am interested in accepting medical insurance at my office when possible for the follow services: sleep apnea, 3 D scans, comprehensive exams Can anyone offer me any guidance? Should I consider a third party to help me with billing or should I learn how to file on my own? Any other miscellaneous
January 18, 2017
Medical / Health Insurance
Message Board
Views: 388 | Replies: 18
My current Individual Health Insurance Plan is getting cancelled at the end of this year. I found a new plan offered through my state dental society, but it is a Group Plan that MUST be offered to all of my employees. So, if I sign up with their plan, am I required to pay for their premiums
December 09, 2016
Medical / Health Insurance
Message Board
Views: 121 | Replies: 1
Ive been listening to some podcasts, Howard and others, and I've just come to realize something. I've heard a lot of talk about insurances looking for ways to reduce spending by increasing prevention. On the surface it makes sense that insurance companies would want to pay more for prevention so
October 01, 2016
Medical / Health Insurance
Message Board
Views: 118 | Replies: 2
I am in dire need of some help, guidance, direction, answers .... I have been in the dental field for 17 years and have prided myself on being able to get dental insurance to pay claims timely and efficiently. Sort of my claim to fame if you will! Well, with all the new changes I am lost
June 26, 2016
Medical / Health Insurance
Message Board
Views: 59 | Replies: 1
Anybody know of medical insurance paying anything to help treat this genetic condition. I was thinking the ICD-10 code would probably be K00.5. I've seen oral surgeons gets their dental implants covered in situations where genetic disorders like ectodermal dysplasia resulted in oligodontia
February 18, 2016
Medical / Health Insurance
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