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Searching: insurance denials
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Message Board
Views: 717 | Replies: 18
tab or do batch claims. And it can pull all the patients from your schedule for insurance verification and benefits data. And auto input it into open dental. Does anyone here use this, and can you share your experiences? thsnks in advance! We have open dental and use EDS as well. They integrate
January 06, 2025
Open Dental
Message Board
Views: 1016 | Replies: 31
I apologize for the long post. Within the last couple years I partnered at a practice that used PracticeWorks as their software. I disliked it on the clinical end. My front desk / insurance coordinator loved PracticeWorks. I switched us over to OpenDental. Clinically, I really like it. My front
February 09, 2025
Open Dental
Message Board
Views: 349 | Replies: 19
on the often delayed pre auth.. Do you and your staff a HUGE favor.... QUIT playing the insurance game of pre auth.... Figure out what the approximate co pay cost will be for your patient, get good x-rays and IO pics, and get to work... To an extent but I don't 100% agree. I absolutely preauth any implant
September 21, 2016
Open Dental
Message Board
Views: 281 | Replies: 3
Is it possible to verify insurance eligibility in real time with Open... Bruce Stephenson has a nice video on the subject over on his consulting website that says it way better than I could. Have a look. scroll down to the 7th video. Enjoy!Thank you very much. I will check it out.Yes
July 07, 2015
Open Dental
Message Board
Views: 29 | Replies: 0
The allowable fees are suddenly incorrect in the treat plan module making it pita to give estimates. Not sure what changed or if the FD was tinkering with OD. While I'm searching for a fix, any one else have this issue? quick solution?
January 08, 2025
Open Dental
Message Board
Views: 400 | Replies: 5
. integrateswell with open dental. You don't need NEA. we used it once this year. just do tesia.How well does electronic attachment work with Tesia? We found that many insurance companies did not accept it as well as NEA. Went back to NEA - and we're doing much better now.
December 13, 2014
Open Dental
Message Board
Views: 109 | Replies: 2
There was a thread about using Claim connect to verify insurance and benenfits on Open Dental back in 2016. Now eight years later, I am asking the same question. For everybody who is using Open dental and software to check insurance and benefit, what do you use? I am told that Claim Connect works
February 19, 2025
Open Dental
Message Board
Views: 65 | Replies: 0
Who has the open dental skills? I am wanting to start dropping some of these life sucking insurance companies, but I have to identify which ones are the smallest amount of my practice to start the process. I'm having a hard time finding such a report, can anyone help me out here? Thanks!
September 29, 2020
Open Dental
Message Board
Views: 42 | Replies: 2
I'm looking to run a report that shows who the employers are for a particular insurance. For example, which employers have Metlife as their carrier. I've tried a few different query examples but no dice. Any ideas? you can use query 527 and export into excel. in excel, create and pivot table
June 22, 2017
Open Dental
Message Board
Views: 64 | Replies: 4
Hello all, We use eAssist to process insurance claims. More and more insurance websites require 2-way authentication with text messages. We use OD eservice to do text messages with our office phone number We even receive ads via texts. But somehow, the OD text message service doesn't allow the text
January 02, 2026
Open Dental
Message Board
Views: 332 | Replies: 6
On the Insurance Verification List, the date is listed as 01/01/0001 under last verified. When I select a patient and mark them verified, it doesn't change the verification date in the patient's insurance section. Only until I click the verify now button does it give today's date. Why the double
August 18, 2016
Open Dental
Message Board
Views: 358 | Replies: 2
I heard that Dentrix have a button that lets you verify/check insurance and another one that allows you to receive EOB digitally? This is what I heard recently but I really did not believe it. I want to switch to Open Dental soon and want to make sure that Open Dental offers the same capability
December 30, 2015
Open Dental
Message Board
Views: 208 | Replies: 5
Hi guys, We need to find out what percentage of our patients are cash vs. insurance in Open Dental. Does anyone have a query or know of a report that can help out with this? Thank you so much! I hope you are all have a great week so far :) I'm no OD SQL genius, but maybe this query would work
December 18, 2015
Open Dental
Message Board
Views: 89 | Replies: 1
This may be a dumb question, but I always prefer to look at the procedure date to give us an idea of what the net production and expected collections would be for the day. For what reason(s) do you use the insurance payment date... We are the same as you as we only look at procedure date
March 11, 2015
Open Dental
Message Board
Views: 135 | Replies: 3
From what I understand, pending insurance doesn't convert from PraticeWorks to OD. How is this usually handled? Do we just create a claim and enter the payment at the same time? Print a list of outstanding claims in PW and check them off as they come in? Robert A Scott DDS We converted in November
December 23, 2014
Open Dental
Message Board
Views: 620 | Replies: 26
Hello All! I've been using OD for over 5 years and love it. We use Claim Connect/Dental Xchange for our electronic insurance billing and then also to send patient statements monthly. I recently had to let go of my biller and now I have to do the billing until I hire and trust someone to fill
February 24, 2020
Open Dental
Message Board
Views: 143 | Replies: 2
Hello all, I have a good portion of my patient pool that is non-insurance patients. They don't have insurance and pay fee for service. To have clear communication in the office, in the family module, we decide NOT to leave the insurance plans section empty as that leaves for interpretation, whether
October 04, 2019
Open Dental
Message Board
Views: 35 | Replies: 2
We have a need to generate a mailing/email list for all of our active patients on Delta Dental of MA. I'm assuming there's some way to do this but can't seem to figure it out. Is this a user query type thing? If it is how do I write that to get just the MA Delta patients and only the active ones? ...
February 23, 2017
Open Dental
Message Board
Views: 63 | Replies: 2
For some reason we have 5 un-deposited insurance checks in our deposit slip section. They were from some time ago, but we need to match them up to the correct deposit. The information that is showing is the date, the insurance company name, the check number and amount. Is there a way to search
April 21, 2016
Open Dental
Message Board
Views: 524 | Replies: 24
New user to OD and a Start Up too. Its almost October and been thinking its time to start mailing and emailing those unused Insurance Benefits letters . Whats the easiest way to do it using OD . I plan to Mail them and also snail mail and email patients whose emails we have. Thanks On December
November 22, 2014
Open Dental
Message Board
Views: 100 | Replies: 0
Does anybody know a way to get a report in OD of how many self-pay active patients vs PPO/ insurance patients are in the practice? Thanks!!
June 26, 2015
Open Dental
Message Board
Views: 377 | Replies: 2
We are all familiar with the equation below. If you are out of network with any of your patient's insurance its important to provide accurate estimates and avoid surprise bills. We cant pre-auth everything in time for treatment. As we all know insurance companies do not disclose their contract
September 16, 2024
Open Dental
Message Board
Views: 126 | Replies: 5
I'm about to bring in an associate but have some logistical questions regarding filing insurance claims. If I am billing under my group NPI (I am a sole proprietor right now and I want the checks to come to me) and my associate is IN Network with a particular plan but I am
February 22, 2017
Open Dental
Message Board
Views: 613 | Replies: 8
I know some PM software may have that ability, verification has been difficult lately, does OD have the ability to do a live feed on insurance info / to verify accurate insurance coverage? Yes- Open Dental has a number of different options for those of you who are wanting to utilize . We don't
May 20, 2016
Open Dental
Message Board
Views: 163 | Replies: 4
Today we received a letter from Assurant Insurance and instead of them sending us a check payment, they sent us a Virtual Credit card payment (which is just the credit card number). The patient has an insurance payment plan and the problem is that we cannot create an insurance payment using
November 10, 2015
Open Dental
Message Board
Views: 532 | Replies: 6
we have the Open Dental software and this program actual calculates the patient copay, estimated ins payment and write off. I believe it even calculates the amalgam cost reduction of the insurance so its gets added to the copay. how does most practices calculate the filling copays? do you go
September 09, 2015
Open Dental
Message Board
Views: 241 | Replies: 5
I entered in an insurance check with 430 claims on it. The money balanced so I did the create check after I entered in the claims for each doctor (easiest way for me to see I entered things right is to do it by doctor). But now, whenever I click to run any report, I get the error message
May 20, 2015
Open Dental
Message Board
Views: 66 | Replies: 3
I have a patient with two insurances and the one listed as secondary at the moment is now going to become primary. How do I make the switch in the chart to reverse them? thanks, Jackie In our PMS- you just remove primary and secondary will move to primary. If they will still have secondary
July 19, 2017
Open Dental
Message Board
Views: 167 | Replies: 3
I am processing an EOB and for the first time since I've used Open Dental, the insurance estimate isn't defaulting on the claim edit/payment screen. Have I changed a setting to make this happen? Don't think I've done anything with my setup for this to occur. Does anyone know how I can change
June 30, 2015
Open Dental
Message Board
Views: 368 | Replies: 3
Im having trouble getting my daily production on open dental to adjust for insurance fee schedules.Every patients appointment fee is showing based on my UCR. Even when I assign the specific insurance fee schedule in the patient family file, it doesnt adjust. Does anyone else have this problem
January 23, 2024
Open Dental
Message Board
Views: 77 | Replies: 3
I have assignment of benefits to our office for all insurances. Signature on file for patient and doctor. Some times we have to assign benefits to the patient with secondary insurance and remove signature on file and other info. How do I do that? I tried a few ways and cannot figure out a way
June 03, 2021
Open Dental
Message Board
Views: 766 | Replies: 12
Im having a very time-consuming issue with payments in open dental. I look over the practice in 2014. The previous doctor began using practice software (practiceworks) in 2001. I converted to open dental my first year. So, patient accounts go back to 2001. Payments, both insurance and patient
January 24, 2024
Open Dental
Message Board
Views: 342 | Replies: 12
This is our first month with OD and generally pleased except for one major issue. How can we print out a statement for a procedure that was done, insurance paid, and the patient wants to know their out of pocket?? I called OD tech support, who are excellent, and said that it can't be done
July 11, 2016
Open Dental
Message Board
Views: 192 | Replies: 4
Is there a way to treatment plan a patient for next year and have the insurance information correct? A patient has used up all their benefits this year and wants to postpone tx until next year but wants to have an insurance estimate. Is there a way to do this in OD? You'll have to add negative
October 23, 2015
Open Dental
Message Board
Views: 244 | Replies: 5
How to simplify EOB entries and patient write offs What do you do if the Insurance co (non-PPO) doesn't exactly pay what they are expected to pay ? You have promised to charge the patient a certain amount and you want to stick to it. The difference is not great but you want to write off
October 22, 2018
Open Dental
Message Board
Views: 336 | Replies: 4
with the year end. At the end of the month, you may want to check the following: (although, this can be run as of any date) If you use PPO Percentage Plan Types when you set up insurance plans, you have the option to track write-offs on the date of service or the date of insurance payment. By default, Open
March 27, 2019
Open Dental
Message Board
Views: 114 | Replies: 4
My office manager entered a good size insurance EOB by going into each patient account and the amount on the check doesn't match her entries. Having a hard time finding the mistake. Is there a way to reorganize the Insurance Payment screen so that the claim entries listed match the order they were
August 11, 2022
Open Dental
Message Board
Views: 569 | Replies: 15
Anybody using claim connect to verify insurance eligibility and benefits in Open dental? Is it automatic? What is your... bump...Anyone? Beuller,... It works well with Open Dental. Thanks Sandy, Does it verify benefits daily? Or do you set the parameters? What if we add a new patient same day how
June 29, 2016
Open Dental
Message Board
Views: 276 | Replies: 4
the report. The production numbers are correct. The patient income(collections) was off and all the insurance income section is 0. I'll look at how we are putting in the insurance income. Insurance payments pre-conversion will not show as insurance payment. Any new insurance payments will show up
February 16, 2015
Open Dental
Message Board
Views: 666 | Replies: 13
was transmitted. Numerous insurance companies wouldn't get our claims and we had to keep calling insurance all the time to see if the claims actually arrived. We just started using DentalXChange...so far really nice. I have been using Renessance for 2.5 years or so. Its an extra step but the savings having been
November 11, 2022
Open Dental
Message Board
Views: 174 | Replies: 4
I just converted to Open Dental and I'm trying to change the color of the appointment blocks based on insurance. For example, I want Insurance patients to show up in one color, Medicaid in another color, and cash patients in yet another color. There must be a way to do this but I'm having trouble
March 19, 2016
Open Dental
Message Board
Views: 279 | Replies: 7
Is there way in OD so the fees will be changed to our fees automatically once insurance benefits are maxed out? Right now we change them manually, which is very time intensive. In MA we are allowed to change our fees once the insurance benefits run out. We use dentrix and there is no automatic way
May 07, 2015
Open Dental
Message Board
Views: 159 | Replies: 7
. I still have yet to get it right and send out bills manually, but the feature is powerful and if you put good data in, you'll get good bills out. There's all sorts of questions you have to figure out like whether you want to send bills to patients with pending insurance claims, whether you want
January 01, 2022
Open Dental
Message Board
Views: 330 | Replies: 3
I need to better identify patients whenI have one office but separate patients by their insurance My associate works one day /week and excepts Medicaid. I do not I need a better way of identifying these patients so staff can easily schedule on the correct day Any ideas? Problem solved
November 15, 2015
Open Dental
Message Board
Views: 283 | Replies: 7
to the insurance company when you submit a claim. The insurance claim will only show the D1110. This is also a good way to stay within the requirement of submitting your actual fee to the insurance company. If you give the patient a discount most insurance companies want to know. If you enter a standard
February 05, 2014
Open Dental
Message Board
Views: 41 | Replies: 2
Some patients prefer to file their insurance and recieve a check In order to do that the you have to remove the Sig on file and Dental Office info( lower left side) from the claim form for the patient to recieve the check. How do you disable that in OD? Thanks you can go to patients insurance
April 10, 2019
Open Dental
Message Board
Views: 171 | Replies: 8
Guy comes into the office with a missing tooth (PPO insurance) I want to be able to give him 2 treatment plans 1. with a bridge 2. implant/crown/abutment How do i give him both plans without the insurance maxing out for the year. Lady on help support was clueless. Roca discuss
February 18, 2016
Open Dental
Message Board
Views: 111 | Replies: 3
on the appointment view in the schedule, is there any way to display the patient portion instead? All of this is assuming the insurance information has been set up correctly. When an emergency/new/recall patient calls and asks how much their visit will cost, what's the best way to provide an estimate
November 08, 2017
Open Dental
Message Board
Views: 116 | Replies: 2
is making me go bonkers as i never know what my collection percentage should be as it goes up and down depending on insurance utilization. Id also like to set it so that it still bills insurance our full cash fee. Thanks in advance! Maybe not the answer you want but what I do....I just look at gross
April 24, 2024
Open Dental
Message Board
Views: 331 | Replies: 13
with this process. So this will be a welcome feature over there. Additionally, in PR some insurance company send EoBs sorted by either Name, Subscriber ID, Carrier or Patient names. I don't see a way of sorting EoBs in the Insurance Payment EoB windows in Open Dental. This will make a lot easier
June 05, 2014
Open Dental
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