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Searching: insurance denials
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Message Board
Views: 268 | Replies: 4
days, with taking into consideration the attempts of collecting the balance. If any balance has to do with an insurance denial i personally think that waiting would be best. Ive went into an office and worked one month of collections and was able ti get them back 90k of collections by fighting the insurance company. You just have to.find someone/a company that will fight hard before resulting to a writeoff
June 30, 2015
Patient Finance Plans
Message Board
Views: 220 | Replies: 12
it, they were free to pay out of pocket for whatever treatment they preferred (i.e. ins pays for RPD and pt wants implants). As long as you set patient expectations at that first consult appt that it will take a couple weeks for insurance approval and that any acceptance/denial is completely out
July 02, 2019
Patient Finance Plans
Message Board
Views: 295 | Replies: 7
, but why possibly pay interest when I can use their money for 12+ months? Maybe I buy a larger TV? Or in your office, maybe I accept the full treatment plan rather than only accepting what my insurance will cover? Just a thought.... I agree that it makes it easier for patients, and I agree that I
January 27, 2016
Patient Finance Plans
Message Board
Views: 192 | Replies: 6
Hello to everyone! I live in Canada. Recently I had the problem with Insurance. I will explain it. I had the patient with two Insurance coverage: one her own and second from her boyfriend. We have done treatment for her in August/2016. Her Insurance covered the treatment 80% and left over I have
October 05, 2016
Patient Finance Plans
Message Board
Views: 320 | Replies: 2
Does anyone have experience with... It's HMO but you can set up your fees. The way I understand it, for example: Regular HMO's copay for a crown is $300 ProCare let you set up you fees and then discount it. Let's say you want $1400 for a crown and then you have to give 80%off, this will end up at...
September 10, 2017
Patient Finance Plans
Message Board
Views: 374 | Replies: 6
I have 2 different insurance companies who are requesting a refund from 2 years ago. What is the legal way about handling this? By state law (PA) are we suppose to refund the insurance, even after this... We are not in network with any insurers... so I am wouldn't know what your contractual
December 07, 2016
Patient Finance Plans
Message Board
Views: 335 | Replies: 5
I have 2 insurance companies requesting refund after work has been completed and paid for. When tx was done we have confirmed that pt has dental benefits. Metlife and Aetna one case was completed 2 months ago, one was 6 months ago. We are talking about $800 their reason is that pt did not pay
July 17, 2017
Patient Finance Plans
Message Board
Views: 582 | Replies: 49
you handle it. I'm considering implementing. Do have to pay tax on that 3%? I haven't had anyone complain to me about it, but I'm prepared to tell them that it's either the 3% or I'm going out of network with their insurance...which one would they rather have? It would be interesting to learn how many
February 11, 2026
Patient Finance Plans
Message Board
Views: 45 | Replies: 0
Hi all,Im looking to send an email that discusses end of year and using benefits.But its sort of a tacky subject and I dont want to sound sales-y.Do any of you do this? Thoughts? Thanks
October 06, 2020
Patient Finance Plans
Message Board
Views: 163 | Replies: 14
How does everyone treat young adults still on their parents insurance? I have several 18/19/20 year old patients who are still on their parent's insurance and still live at home. I know that usually when a patient turns 18, they are responsible for their own finances legally but what
March 16, 2016
Patient Finance Plans
Message Board
Views: 214 | Replies: 4
I have heard dentists in Washington state, California, and Arizona say that dental business in those states is dominated by insurance (Delta). Are there any states where insurance is less dominant? Thank you As a general rule, the more rural you go, the less dominant it seems to be. I started
November 26, 2015
Patient Finance Plans
Message Board
Views: 501 | Replies: 14
For those of you who are using Comprehensive Finance, are you using their Insurance as their down payment, or are you making them come up with the 20% cash/cc? We've been using CF for about 6 months now, and have done more dentistry and helped more people because of it. But today we got burned
April 15, 2015
Patient Finance Plans
Message Board
Views: 1653 | Replies: 79
. What do you mean by getting a cut of the down payment? If I do 2 grands worth of dentistry on someone, would you pay me the full percentage owned and your practice takes the risk of financing or not? The only time I consider collections is whenwe have a denial of paymentthat is based on poor diagnosis
February 16, 2017
Patient Finance Plans
Message Board
Views: 505 | Replies: 12
I have many patients who do not have dental insurance but desperately need teeth extracted. These patients are in pain and only want extractions. They thought that they were going to be covered when they bought into the Affordable Care Act only to find out many plans do not cover dental. I
May 08, 2014
Patient Finance Plans
Message Board
Views: 538 | Replies: 19
HiOne of my patients had a crown done by me. Now insurance is not covering it, we asked for the payment from the patient.He threatened us he will take legal action as I wrecked his tooth.He came to me several months back had a huge 37 dovl amalgam that was chipped and dislodged . I had given him
April 01, 2023
Patient Finance Plans
Message Board
Views: 465 | Replies: 30
I've heard this twice now, from two different front desk people who have worked for me. They'd both worked in offices where if a patient had a credit balance, (usually from under-estimating a dental insurance payment), the standard policy was to just keep the money. Both women were directly
October 05, 2023
Patient Finance Plans
Message Board
Views: 1516 | Replies: 43
is changing them. When patients ask if they can pay later, just say yes, as soon as Walmart Lets you walk out with $200 of groceries and pay later we will do it too. Or as soon as the thrift shop lets you walk out and pay later or complain that your clothing insurance doesn't cover the jewelry as well
January 05, 2024
Patient Finance Plans
Message Board
Views: 184 | Replies: 6
Patient needs dentures and full EXT- We would take the impressions for the dentures first which will take 3 weeks to come in her insurance becomes effective 7/1/16. Can We take the impressions now and bill on the seat date after the effective date of the insurance? I have never been
July 16, 2016
Patient Finance Plans
Message Board
Views: 145 | Replies: 5
a couple of weeks ago, and I notice they have a very large outstanding balance, all of which is assigned to insurance. I thought this was very strange, so I did some digging, and we have not received an insurance check for them in over a year. Well, it turns out that mom's dental insurance had
November 06, 2018
Patient Finance Plans
Message Board
Views: 772 | Replies: 21
So here's the back ground. We did filling for a pt and based of her insurance gave her treatment estimates. We always inform them that this is estimate and we are doing it as a curtsy but this is not in writing as we all know how many things they have to read and sign. So pt agrees and pays
March 04, 2015
Patient Finance Plans
Message Board
Views: 531 | Replies: 7
We try and be as efficient as possible. All insurances are verified BEFORE the patient arrives. We don't let patients schedule until they know their insurance information. We are a provider with every PPO and ALL insurance fee schedules are entered into Eaglesoft. The patients breakdown
October 09, 2015
Patient Finance Plans
Message Board
Views: 219 | Replies: 0
I have a teenage patient interested in Invisalign. I have a couple of questions regarding this. 1) Would the code be D 8080 or D 8090? Also 2)- how do I collect? Pt has 50 % ortho coverage with lifetime max of 3000. My in-network contracted amount is 4700.00. I assume, Insurance will only pay
August 23, 2016
Patient Finance Plans
Message Board
Views: 436 | Replies: 13
a discount. Not worth it. Scott, i took 2 courses of breakaway seminars , the last one was 3 yrs ago and we learned a lot of ideas. I know you didnt recommend verifying insurance ahead of time to save phone time etc. But, are you guys currently using any online computer verification system
March 21, 2016
Patient Finance Plans
Message Board
Views: 163 | Replies: 2
Has anyone tried patient membership programs? Our office participates with two insurances and is approximately 40% cash patients. We have more than enough patients and are considering dropping an insurance company and implementing a membership program. Nobody in our area has memberships and we
January 08, 2020
Patient Finance Plans
Message Board
Views: 1276 | Replies: 27
or if a family has 4 kids do they pay for all of them individually? I fear what I offer may be too low. I currently offer no insurance cleanings at $199 for exam/xrays/prophy and a little less w/ no xrays. Finally, 5% off all treatment over $500 if they don't have insurance
February 20, 2017
Patient Finance Plans
Message Board
Views: 815 | Replies: 17
I had a patient come in yesterday who said his girlfriend threw out his night guard and he needs a new one. He's been a patient of the practice for maybe 4 years, a patient of mine for 2. He has an HMO insurance plan. He said its a really bad time for him and he's got several thousands of dollars
August 19, 2014
Patient Finance Plans
Message Board
Views: 662 | Replies: 18
wouldn't put all of this on your FD. I think you need to somewhat explain to your patient what the procedure entails. All that is needed for future is a talk with the rest of your staff so this never happens again. that's it.I have a similar conundrum this afternoon. Difference is, insurance
July 26, 2016
Patient Finance Plans
Message Board
Views: 65 | Replies: 0
We are a start-up practice and most often we see fluoride and sealants are not covered by insurance policies due to limitations. Our practice will usually leave these two procedures at office fees if they are not covered. There is one or two insurance companies that are contracted with a few
March 23, 2018
Patient Finance Plans
Message Board
Views: 184 | Replies: 2
Question for the attorneys out there: I saw a Facebook posting where someone asked about insurance reimbursement and some people freaked out when people posted their reimbursements. I was just wondering (more intellectual curiosity than anything), is this illegal? I wouldn't think sharing what
August 24, 2016
Patient Finance Plans
Message Board
Views: 451 | Replies: 17
like her insurance should cover some of the treatment. This woman tried to present insurance for her daughter in January that was noted as inactive. We checked the same plan again yesterday and still inactive. Apparently the woman feels like insurance should have been active and she is fighting
December 27, 2019
Patient Finance Plans
Message Board
Views: 418 | Replies: 10
not to allow withdrawals from that vendor, only deposits? Do other companies have the same claw back provision? Will care credit mail a check? Thats exactly why I dont allow direct deposit from insurance companies. They claw back their checks, couldnt imagine letting them have access to the bank account. Im
January 05, 2025
Patient Finance Plans
Message Board
Views: 273 | Replies: 12
to be pretty much standard rate. NOW, a few of our insurance companies are paying us by credit card! Last month there was over $4000 on our credit card statement directly from insurance companies, and i'm thinking this is just the beginning. I'm assuming I'm paying another 3
August 14, 2014
Patient Finance Plans
Message Board
Views: 9660 | Replies: 390
payment terms to patients outside of traditional finance but CDF is by far the best and would highly recommend to any practice looking for another financing option. They have a different system for approvals and denials that determines how likely each patient is to pay back a loan based on a several
May 18, 2012
Patient Finance Plans
Message Board
Views: 533 | Replies: 10
exam, X-rays,etc., they have insurance, are not a long standing patient of record, and at check in tell your receptionist I have no money today ? 1. Forgive the copay.....not sure how legal that is 2. Tell them if they don't pay it, they may get turned in for collections and have their credit ruined
June 12, 2017
Patient Finance Plans
Message Board
Views: 1676 | Replies: 34
there is a charge for the consult. In retrospect, I think the patient thought she had enough in insurance to be covered. Even though were are in network with her insurance, we didn't know this info until day of visit. Anyways, we tell her we can bill her insurance as long as she is covered, etc., she
March 10, 2016
Patient Finance Plans
Message Board
Views: 329 | Replies: 10
that have insurance and lean more towards lower cost as a priority, but then you may possibly lose some patients b/c they may see lower prices (and perhaps combined with other sources of information about your practice) make a decision that perhaps you are too low in price and not the style of dentist
July 07, 2015
Patient Finance Plans
Message Board
Views: 182 | Replies: 10
all other retailers? The state of Hawaii requires general excise tax be collected on all services. We add it on the end and show it in the patient statements.In the event insurance will pay for the entire visit, we tell the patients they ONLY owe tax today. Yay!! We've never had anyonecomplain.John
February 10, 2017
Patient Finance Plans
Message Board
Views: 483 | Replies: 12
guess we could just not mention CareCredit.Anything else,like tacking on 10%?Thanks. Jim Jim, Our services allow dentists and other medical professionals to earn interest in addition to their fee, even for your patients who have insurance. Link to our thread below: Thanks for the reply.I
February 16, 2016
Patient Finance Plans
Message Board
Views: 3994 | Replies: 76
before treat. We actually dont even go after patients once their insurance stiffs us. We dont want to risk the goodwill or the negative google reviews. It sucks.Sad reality for many offices. Just the other day a patient came to my office and told my assistant after taking xrays she left her other
July 12, 2019
Patient Finance Plans
Message Board
Views: 2577 | Replies: 207
, and waste more of our money. Scroll down to see entire fax.yep, got the fax today RyanDoes anyone know what happened at the 6-15-07 hearing? Updates?Basically, nothing happened. That is, the Chpt 7 bankruptcy judge denied the motion to switch to Chpt 11, so nothing has changed. Word is, denial
July 28, 2007
Patient Finance Plans
Message Board
Views: 416 | Replies: 15
was completed. We've been sending out statements for dad and son together for the total amount due on the account. Dad brought him to the appointment and is the insurance carrier. It's partially our fault that we didn't collect more up front. Question is - Can we bill the son for the balance he owes? If he
July 17, 2016
Patient Finance Plans
Message Board
Views: 377 | Replies: 9
. The office is closed today. No sorry, no apology, just so rude. It is $290, not a huge amount but it's not like she is going to be a long term patient with this attitude. Family of four. Husband has a different insurance which was verified, active, max of $3000. Received fax back with benefits. Did 2
December 02, 2022
Patient Finance Plans
Message Board
Views: 99 | Replies: 1
I would like your thoughts on what type of Financial Agreement form you have patients sign. I have a more mature patient base which I purchased. Patients who don't have insurance pay in full. In trying to update patients paperwork, some patients are refusing to sign the Financial Agreement form
June 24, 2020
Patient Finance Plans
Message Board
Views: 73 | Replies: 1
For offices that charge interest for outstanding balances not paid by carecredit, other financing or at the time of service. Just curious on opinions. What is a reasonable time after all insurances have paid their portion to be charging interest to the patient? If you're going to charge interest there are very specific laws and regulations that you must disclose and follow. You cannot just make shit up. That can get you into a lot of...
December 24, 2017
Patient Finance Plans
Message Board
Views: 58 | Replies: 2
on Invisalign but as things grow, its becoming very time consuming.I told her that I dont think it is legal. I remember checking a box in my insurance saying that I didnt store CC Info. How do you store your credit card info? Do I necessarily have to use an outside company for that?Thank you! I don't. Too
May 15, 2023
Patient Finance Plans
Message Board
Views: 246 | Replies: 5
just paying cash up front (I'd even give them 5% off for up front debit card and, say 3% for a CC to entice them) or Care Credit. Care Credit takes a healthy chunk of the payment for itself, but my fees will be high enough to handle it somewhat due to my limited insurance involvement and getting
December 31, 2014
Patient Finance Plans
Message Board
Views: 339 | Replies: 1
determine the fee associated with the multiple sites code when insurance companies will only consider 1 fee? Delta dental fee schedule will allow us to charge $29 for this code, but this is just barely covering our cost for the product. At a loss right now. Thanks in advance for the help! I don't foresee you finding much support for your aresrin use on this...
October 23, 2015
Patient Finance Plans
Message Board
Views: 59 | Replies: 0
Let me clarify. I'm an associate. In my contract, it states that my net production means all clinical production generated by me in connection with professional dental services rendered at the practice less discounts for bad debts, insurance adjustments, patient financing programs, etc
March 07, 2014
Patient Finance Plans
Message Board
Views: 894 | Replies: 27
as a patient myself and I do not demand it from patients. No cash up front either for most, but do take deposits for half of treatment for C&B. collections always north of 99.7% Seriously never? How did insurance get filed? PITA? are you joking. i'd love it if all my patients paid cash up
March 27, 2017
Patient Finance Plans
Message Board
Views: 3994 | Replies: 76
wouldn't worry about that at all.Crown patients get seated only AFTER they make their estimated co pay if insurance or full pay if no insurance. No pay, no appointment. Cause once you prep the tooth, your options and ability to collect get much much smaller. Do you make them pay before you take
April 12, 2019
Patient Finance Plans
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