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Searching: insurance denials
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Message Board
Views: 36 | Replies: 4
. The unique part is that obviously I will be looking to grow my new practice and bring in as many patients as possible, but my current practice is also looking to shed patients and drop insurance plans. So if a handful of patients follow me to my new practice that's a bit of a win-win. My current
May 29, 2026
Patient Communication / Education
Message Board
Views: 13399 | Replies: 423
with back peddling to explain differences from estimates vs what insurance pays. We also stress less about insurance denials because they are denials of pre-d's not actual payments. We work with the patient to send appeals to pre-d's and even help to file complaints with the state insurance commissioner
February 06, 2017
Patient Communication / Education
Message Board
Views: 36 | Replies: 0
, competent team gets them back for years. The biggest mistake is treating 'patient ghosting' like one problem. It is not. It is fear, cost, confusion, inconvenience, weak systems, poor handoffs, insurance frustration, and human procrastination all wearing the same Halloween costume. So yes
May 21, 2026
Patient Communication / Education
Message Board
Views: 67 | Replies: 2
wondering: - Do offices handle anything differently when a patient specifically requests a copy? - Do you charge a fee for providing a copy, or only bill the patient if insurance denies coverage? - Do you inform patients upfront that insurance may not cover the x-ray, or only address it if a denial
October 22, 2025
Patient Communication / Education
Message Board
Views: 898 | Replies: 34
to dismiss. I didnt even have to be there. It lasted over a year and was dropped , which means some lawyer actually lost money on the deal. Thats kind of funny. My malpractice insurance did not even go up. ITs been a non event. Case description . I referred a guy with rotton teeth to an oral surgeon . He
May 28, 2026
Patient Communication / Education
Message Board
Views: 2614 | Replies: 162
for the patient that I will reference. Content mirrors my thoughts after 52 years of private FFS practice. It might be time to write one about the Dental Insurance Industry and padded treatment plans. Haha, don't tempt me. There are things that I want to add to my book so maybe one day I write an updated
May 20, 2026
Patient Communication / Education
Message Board
Views: 55 | Replies: 1
, and with what escalation plan? A blanket policy is lazy. No-call dentistry is also lazy. The smart model is simple. Automate logistics. Delegate routine reinforcement. Have trained team members handle routine extraction follow-ups, hygiene reminders, scheduling, insurance questions, and basic postoperative
May 18, 2026
Patient Communication / Education
Message Board
Views: 2614 | Replies: 162
recommendations, why does the title matter? I'm just not understanding these knee jerk reactions talking about the title, what exactly is the concern about the title? Kudos on the new book, Tuan. With all due respect, I still remember the 'we accept your insurance' messaging your FFS office despite being out
May 07, 2026
Patient Communication / Education
Message Board
Views: 154 | Replies: 2
of writing off and having to fight with UHC for payments for services rendered.<br/><br/>I have 90 days until I'm termed. I was not planning on sending out a letter as I feel most people will think we don't take there insurance and will just leave. I'm planning on just reviewing
June 09, 2020
Patient Communication / Education
Message Board
Views: 127 | Replies: 12
that it is not necessary to send a pre-estimate for majority of cases (only the ones where insurance requires it). Told the team to give the plan, it shows the estimate that their insurance carrier is projecting but that is an estimate only, that the patient can call the insurance carrier
March 24, 2026
Patient Communication / Education
Message Board
Views: 398 | Replies: 15
Hey Townies! Wondering if anyone has input on a small situation I have. Even though I am full fee-for-service and out of network with all insurances, most of the time my front desk is quite good at estimating what the out of pocket for treatments for different patient would be. I just got an email
November 18, 2020
Patient Communication / Education
Message Board
Views: 484 | Replies: 26
last year denied, just one. Denials are almost always about not understanding what the insurance company needs to see to cover it. Yes Kevin, I/O photos help a ton, but so does sending the correct data. Mid-op info is FAR more important than pre-op info. There is a reason I put together a CE course
June 05, 2019
Patient Communication / Education
Message Board
Views: 2614 | Replies: 162
there is a little of the part of that Aspen dental comment in all of us? So Nick is a pompous ass that makes his own way in the best way he knows how. More power to him I guess? Takes all kinds...I'm just another idiot insurance dentist...part of the problem, its the best I could do. Hey, I did a nice
May 14, 2026
Patient Communication / Education
Message Board
Views: 13399 | Replies: 423
is dictated by insurance and by predetermination. When the policy quits paying, people still in pain quit treatment. Have a look at, join and share your stories you know to be true, ones that drive a wedge between you and your patients. If all of share your experiences, more and more of the public
April 17, 2017
Patient Communication / Education
Message Board
Views: 658 | Replies: 21
they know it is high. Denial. Avoid lecturing as they will become more defensive and dig in deeper. I do try to make a mental note though, as it is a bit of a red flag in that the patient will also likely to be in denial about other health concerns including their dental needs. These tend
May 31, 2023
Patient Communication / Education
Message Board
Views: 194 | Replies: 8
Hi all, I have not posted on here before but have used much of the information from the gathered minds collected here. I have an established dental practice that is insurance driven. We have so many patients that is it hard to service the ones I currently have. I am looking to drop an insurance
October 02, 2017
Patient Communication / Education
Message Board
Views: 91 | Replies: 2
We are looking at offering a membership discount option to help build the practice for those without insurance and also promote current in network patients to become a member rather than purchase new insurance next year. Please share your feedback and any ideas for questions for our survey we
November 14, 2017
Patient Communication / Education
Message Board
Views: 13399 | Replies: 423
the PPOs. Volume would be much higher but if you don't want to deal with insurance maybe that's what you want??The idea being you get all the money up front. Versus waiting for denials and partial/no pays from the PPOs. I'm just envisioning a total FFS being really successful if you can market low
January 02, 2017
Patient Communication / Education
Message Board
Views: 13399 | Replies: 423
This thread is meant to help dentist who have a long term goal of not having to deal with insurance in any fashion other than help file claims. For those who are interested, it's a great topic for a new year. If you have this goal, it only makes sense to learn from others who have been able
January 02, 2017
Patient Communication / Education
Message Board
Views: 175 | Replies: 5
for one since one would max out his insurance, and billed out for the other the following year. He said that he was annoyed his new dentist wouldn't work with him, and so I said that it's insurance/billing fraud. The guy went on a likely beer-fueled rant about how the dentist offered it in the first
April 12, 2019
Patient Communication / Education
Message Board
Views: 463 | Replies: 16
it in gold and I know she wouldn't want that, etc...). I get this email complaining about the fees she has to incur and specifically, she types I DON'T HAVE INSURANCE. This patient is crazy. She cried in my office -- like wailing -- patient's had no idea what was happening. I left the room to get
May 22, 2018
Patient Communication / Education
Message Board
Views: 248 | Replies: 8
One of the most trying areas of communication with patients is and continues to be about their dental insurance policies. None of us like to give bad news and it seems that is our lot because most patient's perception of their dental policy is a far cry from what it really is. Scripting
February 02, 2016
Patient Communication / Education
Message Board
Views: 810 | Replies: 44
the insurance and verifying who will pay if insurance doesn't cover. dont even respond until they show up for an appointment. Then have them fill out the required paperwork, and explain it is required by law. Obviously if they refuse...send them elsewhere. side note...what a freaking douche bag. gross over
February 12, 2026
Patient Communication / Education
Message Board
Views: 604 | Replies: 27
appointment time'. I thought I had heard it all. "Transportation expenses aren't something your insurance or our office covers!" Or even better Sandy: Transportation expenses is something that your insurance should cover, please call them and request the refund that they ow you directly from them. We
December 31, 2025
Patient Communication / Education
Message Board
Views: 62 | Replies: 1
Hi guys, I want to start showing a short video about dental insurance to all new patients. When I worked at another office we used CAESY and they had a great video, but in my practice now we don't have a Patterson account. Is there another video company or a good youtube video you guys recommend
November 24, 2020
Patient Communication / Education
Message Board
Views: 13399 | Replies: 423
I've been going back and forth between going residency or buying/starting up an office and decided to ownership which I think will be best for the family. I'm starting to plan and look into buying or starting up an office which is Insurance free. My only fear is how hard is it to start up/ run
October 14, 2018
Patient Communication / Education
Message Board
Views: 13399 | Replies: 423
nothing to do with what other out of network providers are doing and what major work they are doing. It simply states that treatment acceptance when taking a patient's insurance will differ from treatment acceptance when not taking the same patient's insurance. Green: Profitability and revenue
May 13, 2017
Patient Communication / Education
Message Board
Views: 13399 | Replies: 423
Your definition and mine of a FFS practice are NOT the same. I collect 100% of my fee prior to any treatment. NO assignment of benefit We fill out insurance claims, you have to, impossible for a patient to file themselves. But no insurance money comes to my office. To me if you accept assignment
January 12, 2017
Patient Communication / Education
Message Board
Views: 13399 | Replies: 423
, (for a fee) if Mr. Patient doesn't pay once he gets his check? Have them take out a no interest carecredit loan. Once they getthe check they can pay itoff.Of course I agree with all of the concerns everyone has about going insurance free. Patients are people. I had to pay $25 bucks to check a bag
January 11, 2017
Patient Communication / Education
Message Board
Views: 13399 | Replies: 423
Mac's got the formula! And on case you missed it, that's the secret to going free of insurance. Unless you don't stop taking ownership of patient's benefits insurance will always be your issue. Stop estimating, stop promising, stop saying your insurance will pay, your insurance covers -- stop
January 06, 2017
Patient Communication / Education
Message Board
Views: 2604 | Replies: 136
next appointment with human to human contact. Agree. I have 3 in each front office. 1 for all phone functions, 1 for insurance verification and 1 for all the functions you mentioned. I hope to one day cut it down to just 1 each front office. That's what all our clients have found too. If no one's
February 09, 2026
Patient Communication / Education
Message Board
Views: 33 | Replies: 0
I am improving the Use it or Lose it email which takes into account more info than just sending a generic email at the end of the year to all patients. That way it only goes out to patients that actually have insurance, and if a plan renews in October, they can get the reminder in August instead
April 06, 2018
Patient Communication / Education
Message Board
Views: 23 | Replies: 1
Capline has been great to work with for our insurance needs! Highly recommend
November 06, 2025
Patient Communication / Education
Message Board
Views: 189 | Replies: 15
employment, $3500 max insurance a year, been to a few offices so they know the needs and want to fix their problems. Next would be retirees with a nice nest egg who tell me they know insurance won't cover everything, but they have the money to fix their teeth. Being friendly to me and staff and being
October 25, 2025
Patient Communication / Education
Message Board
Views: 1559 | Replies: 53
In Seattle, we are a Delta dominated market. All our big employers, probably close to a million people are covered by Delta, who closely set fee schedules. As a result, with no fee raises for years by Delta, my cash fees have risen well above my Delta insurance fees. Cash patients are starting
March 19, 2018
Patient Communication / Education
Message Board
Views: 1485 | Replies: 32
. Mr.Patient, do you want to hear my 30 minute spiel on how good flossing is for your gums? A little bit of self deprecating humor can go a long way, it breaks down barriers. This guy sounds like a dick in denial. Dismiss because they didnt want to hear a prolonged OHI spiel?Whats wrong with people Wow
October 30, 2019
Patient Communication / Education
Message Board
Views: 568 | Replies: 22
Hello,I dismissed a patient family three months ago due to no-shows and an outstanding $1300 bill. Two family members no showed that week, and they ignored our multiple efforts to collect on the bill. Essentially the dad patient had a tooth break - they had dental insurance. They paid
January 04, 2024
Patient Communication / Education
Message Board
Views: 680 | Replies: 30
This guy walked in one day to make an appointment. Slightly difficult to communicate because he is one of those who do not listen ever and just rambles on and on. There was miscommunication with the insurance (of course) and the guy is not happy when we tell him he has to pay for his exam because
December 26, 2024
Patient Communication / Education
Message Board
Views: 411 | Replies: 14
was OON and didn't file insurance for their patients. They gave their Tax ID to everyone so they could file their own claims. I dunno... Wow. This patient is in network and her procedures were fully covered. She wants to submit the same claim to her company for extra cash for herself :) Say No --, my
October 18, 2022
Patient Communication / Education
Message Board
Views: 730 | Replies: 18
. If they don't fill out the forms they're not coming. If they claim to have insurance but don't give you the insurance info the 24 hours before they're not coming either or we take them off the schedule. A patient that has insurance has in their mind that they don't have to pay. Most 3rd party communication
August 12, 2025
Patient Communication / Education
Message Board
Views: 641 | Replies: 17
Patient called at around 6pm friday night because of a broken crown, wanted to get it fixed for a meeting next day (saturday). Told patient we can't verify insurance and that we will do work as a cash patient. Work was completed and patient resides in arizona, he got work done at our office
January 24, 2018
Patient Communication / Education
Message Board
Views: 2614 | Replies: 162
far its... 1) Faux unpaid internship at private equity trying to help them form DSO's 2) Chatgpt write a book titled "Is Your Dentist Lying to You?" and having it posted on a Dental forum So next up has to be something in the realm of either Delta dental insurance claim reviewer or State commission
May 05, 2026
Patient Communication / Education
Message Board
Views: 1405 | Replies: 74
) step two: I did not return her call today. step three: I advised the receptionist to call her back tomorrow to inform her we will take payment in full up front, and her insurance will reimburse her. hopefully between steps 2 and 3 she found another sucker. If not, step 3 should weed her out
September 18, 2025
Patient Communication / Education
Message Board
Views: 357 | Replies: 20
telling me the same thing: that I need a night guard. (Maybe because that is what is indicated? and its obvious to everyone?) But my Delta insurance doesn't cover, and your guys cost is way too high. So I don't want to get one. I had to leave my last dentist becuase they didnt take Delta......I am so
September 24, 2024
Patient Communication / Education
Message Board
Views: 1175 | Replies: 40
Had a patient call the other day upset that her insurance wouldn't pay for a periodic exam. Her insurance is terrible and only pays for 1 exam per year, but two prophys per year. She was extremely rude to my front desk person and was adamant that she didn't get an exam when she came in to do her
February 14, 2023
Patient Communication / Education
Message Board
Views: 1559 | Replies: 53
Tell the patient they are welcome to join the PPO to get the lower fee and then just listen to them squirm. All they want is the lower fee without paying for insurance..Delta patients pay premium every month. So cash patients do not actually pay more. Good point.
March 19, 2018
Patient Communication / Education
Message Board
Views: 287 | Replies: 5
At least twice in the last week I have had patients ask me why we are not in-network with their insurance. One went so far as to imply that due to the cost of the treatment he would likely be seeking treatment from an in-network provider. A little background about our office, we aren't the cheapest
March 27, 2019
Patient Communication / Education
Message Board
Views: 1636 | Replies: 56
My only question is - if you offer a 10% discount to cash patients, then who actually pays the full fee? No one, right? Also, not that insurance companies would ever find out, but doesn't claiming your full fee is $1500/crown and then offering 10% off to every cash patient actually mean that your
October 23, 2023
Patient Communication / Education
Message Board
Views: 791 | Replies: 29
appt. She said she knew, but he went along with her denial to make it easier for her to accept treatment. After all, 4 is much better than 10. Bugged me most just because I felt like she was basically saying, I don't trust you,and I think you're being overly aggressive in your diagnosis
May 10, 2018
Patient Communication / Education
Message Board
Views: 360 | Replies: 4
Every month I have a monthly staff meeting (which you should too) and I like to go over a topic or two of importance. Recently this month, I heard my front desk say something like this: Your insurance only covers 2000 of your braces. WTF. Of course I addressed that immediately and the next morning
March 06, 2015
Patient Communication / Education
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