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Message Board
Views: 732 | Replies: 10
time comparing the insurances because the nuances of each plan so make sure your agent explains each plan well to you before switching. I have a mass mutual policy at 4k a year for 8k a month. Can add 5k without med exam. Yours doesn't sound terrible. Don't know if you'll get cheaper at this point mid
April 24, 2023
Disability Insurance
Message Board
Views: 136 | Replies: 5
What is the protocol when you receive a letter from an insurance company that they have overpaid you for a service? In both recent cases, we've already cleared the account balance to $0 with the patient and this would either force us to give the patient that service at a lower fee (we are FEE
May 11, 2023
Billing
Message Board
Views: 255 | Replies: 4
I am in the process of acquiring a practice (only the LOI has been signed). I am starting to look at insurance credentialing. The owner IS NOT staying on after the closing date. How do you go about billing to insurance with the previous owner out and the new owner being in the middle
May 12, 2023
Practice Acquisitions
Message Board
Views: 110 | Replies: 5
Hello.If a patient has dual insurance, do you have to submit to the secondary?I have a patient whose primary insurance is Delta thru her. She has a secondary policy through her husband called Beam. The last time we billed to the secondary/ Beam ; it did not pay anything towards her Perio
July 06, 2023
Claims Processing
Message Board
Views: 126 | Replies: 1
I work as an independent contractor and have an S-Corp, for past 2 years registered to my home address. I am in the process of acquiring a practice. Should I wait on insurance credentialing (1-2 months), until after changing my Corp address to office address with IRS (the insurance company said
June 22, 2023
Practice Management & Administrative Forum
Message Board
Views: 567 | Replies: 24
Is it ever a good idea to join insurances? I have an office that is currently only in network with delta. We have about a third cash patients, and another third various out of network insurance patients. The office has decent numbers and we are on track to collect over a million this year as it has
August 11, 2023
PPOs and HMOs
Message Board
Views: 152 | Replies: 6
implant consult with an OS but ultimately pt wanted to keep teeth and so elected to have bridge placed. Thought the least invasive approach would be a bridge 6-9. 6 and 7 would benefit from crowns and act as stabilizers for loose 8 and 9. Insurance denied treatment saying it was not medically
August 14, 2023
Coding Q&A
Message Board
Views: 87 | Replies: 2
Hello.Does anybody know if a patient has dual insurance and the primary covers of the total cost of treatment do you have to build a secondary for any reason? No reason to bill secondary if you were paid full office fee already by primary. Thanks insurance guy. You are the best
January 13, 2023
Claims Processing
Message Board
Views: 2871 | Replies: 80
I went to lunch with a dentist down the street who has a very successful practice. I asked him how he was navigating increases in overhead with insurance reimbursements. He basically said he hasn't worried about insurance reimbursements for 15 years because he charges a la carte. Basically, if he
January 17, 2024
Coding Q&A
Message Board
Views: 129 | Replies: 1
I am selling my office. Last year I renegotiated insurance rates and dropped direct contracts to pick up TPAs for higher rates. How does it work for the buyer? Will he get the same rates I had? When I purchased, I didn't check to see if I got the same fee schedules as the previous owner. I had
March 02, 2024
PPOs and HMOs
Message Board
Views: 353 | Replies: 11
I am buying my first practice and need to be credentialed with insurance companies. Would you recommend CAQH service? If not, what's your recommendation? Thank you in advance! CAQH like the program through your ADA login? You don't have to be an ADA member to utilize the CAQH part. I found CAQH
February 18, 2022
Practice Acquisitions
Message Board
Views: 149 | Replies: 4
I recently bought into a practice. I do my malpractice through a different carrier than my partner. He has malpractice insurance and insurance on the building through his company. My malpractice company suggested buying multidoctor entity insurance. They said that if the business was sued
April 21, 2022
Dental Liability Insurance
Message Board
Views: 109 | Replies: 2
There is a lot of room between taking all insurances and not taking anything. With consideration of Demographics, location, age of practice and our preferences we can be in network with some insurance in a smart way. There are companies that will help you decide what insurances to take based
April 27, 2022
Going Out of Network
Message Board
Views: 128 | Replies: 1
Hi,I am Looking to buy a practice.How much is approximate time insurance Credentialing in Texas.And if its Medicaid, If I am already a Medicaid provide I assume its just a transfer,How long does that process takes ??Thank you
May 10, 2022
PPOs and HMOs
Message Board
Views: 259 | Replies: 16
The practice insurance company is hitting us hard for cybersecurity insurance. Here is my question. Is it necessary? How many offices in the USA have been shut down and they had to pay a ransom? And of course would insurance even pay for this? I guess the ADA got hit with a cyber attack. Did
May 18, 2022
Practice Management & Administrative Forum
Message Board
Views: 460 | Replies: 15
. Respondent number 1..I wanted to be totally oon..meaning basically my private fees give or take... I will check these tpas tomorrow Ur rite. I took a breath See below Thank you cupcake You are so helpful many thanks Many insurance companies will network lease and put you in-network with another
April 19, 2024
Claims Processing
Message Board
Views: 137 | Replies: 2
I am in need of life insurance. But, due to a few medical issues, I am limited on who will accept me as it is rather large amount I'm getting. I'm looking at term policy, but one company (that is more lenient on underwriting) brought up the idea of convertible insurance. for an additional $1350
August 01, 2024
Personal Finance
Message Board
Views: 498 | Replies: 19
Hello, Im closing my practice at the end of August and taking a year off. Im a little burnt out and financially secure enough to have a gap year. (Please dont make the conversation about this!) I am looking at health insurance options. Im 54, very healthy- Im tempted to totally skip health
August 24, 2024
General Health
Message Board
Views: 167 | Replies: 4
Can someone recommend a company that can help me negotiate with insurance companies so I can get an increase in my reimbursal rates? If you are a solo office, Unlock the PPO. Cant recommend them enough, by far and away the most professional group I have ever worked with, and the results were
May 30, 2024
Claims Processing
Message Board
Views: 164 | Replies: 8
For those that purchase tail insurance , is it really expensive ? one year premium only, covers indefinately until dollar limit of claims would have been met. Definitely worth piece of mind. So it should be similar to what my yearly premium is now? Is it a one time premium or every yr?Im going
November 17, 2022
Dental Liability Insurance
Message Board
Views: 168 | Replies: 4
Patient has two Insurances. Delta and Aetna Medicare. Patient is getting an implant bridge. Delta always downgrades it to a partial. Aetna will pay for it but Delta is the primary. If I submit it to Delta and they downgrade it to a partial , will Aetna always pay for it as a partial or when we
September 16, 2024
Delta Dental
Message Board
Views: 43 | Replies: 0
Hi,I had old gendex panoramic X-ray which got damaged in the month of May.I had business advantage insurance,I claimed for replacement since it cant be repaired.After a struggle I received a coverage For a brand new equipment.Which I am looking forward for.But its got super delayed yes I bossed
September 22, 2024
Equipment
Message Board
Views: 197 | Replies: 4
Is this just me or do you all feel this way Have you ever felt like the organizations that are supposed to represent uslike the ADA and local dental associationsseem more aligned with big insurance companies than with the actual dentists? We work hard every day to provide the best care for our
February 17, 2025
PPOs and HMOs
Message Board
Views: 35 | Replies: 3
Hello all, I am in need of some advice. I need renters' insurance for the office space I am currently in. Is this a general liability insurance? Any companies suggested? I 'googled' renters' ins and was overwhelmed by the options. Thank you in advance and have a great day. Charlie Ya- I am
November 19, 2024
Practice Management & Administrative Forum
Message Board
Views: 560 | Replies: 15
How often does your practice verify a patients insurance coverage? What if any third party do you use to assist with this? We feel like we have used them all (probably not) but would like feedback on any that you've had great experiences with. We currently use Vyne and then go to ins websites
July 28, 2025
Practice Management & Administrative Forum
Message Board
Views: 1473 | Replies: 38
Has anyone had success with outsourcing insurance verification and has the juice been worth the squeeze? For our small 3 op practice, I would estimate at least 2 hours a day is spent on insurance verification. For the size of your practice, I wouldn't recommend outsourcing. I would recommend one
July 28, 2025
Front Office Discussion
Message Board
Views: 81 | Replies: 6
the option to opt out? I did too but they said we arent getting paid if we dont do EFT. Is that even legal? It is the only insurance we do EFT with. Yes, it is legal. HIPAArequirescarriers to offer EFT forfree. It is the only payment method they're mandated to honor. Checks are not part of that equation. Here is a detailed FAQ on why they require EFT and how you can manage it.
June 26, 2025
Claims Processing
Message Board
Views: 532 | Replies: 18
Ive read that some may call it unbundling to code D9215 administration of local anesthesia in conjunction with operative or surgical procedures. Is it considered insurance fraud to routinely code this? Seems to me the code exists to use it. Looking for guidance please. Bump I don't think it's
July 05, 2025
Coding Q&A
Message Board
Views: 557 | Replies: 10
Any luck finding a company that is able to verify insurances and enter in breakdowns into the PMS? I have reached out to a few companies and they tend to be pretty pricey. I would like to outsource this task if possible so that way I can ensure that it is being done correctly each time. It seems
January 25, 2026
Front Office Discussion
Message Board
Views: 32 | Replies: 1
I am wondering if many of you have cybersecurity insurance for a data breach or ransom attack? I've never purchased, however my general liability insurance provider is recommending. sounds like it's $2000 to $2500 a year? I don't know anyone who has been affected, however I know our office emails
December 07, 2025
Malpractice Insurance
Message Board
Views: 72 | Replies: 2
Which company do you use for Life insurance? I had a plan with protective life as part of ADA membership which I did not renew this year. Now I need to replace my Life insurance policy. You can have your insurance guy shop for you based on pricing and ratings. You just want term. If you have
April 01, 2026
Pediatric Dentistry
Message Board
Views: 2484 | Replies: 100
. Anyone doing this? A deal with the devil? They have now taken this to the boss level.This is absolutely brilliant.This is where the now squeeze out the other insurance companies by dangling this tiny carrot in front of you.At the same time, they are likely going on a HR blitz to undercut other plans
December 23, 2021
Delta Dental
Message Board
Views: 1374828 | 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: 162 | Replies: 1
I make payments on the co-payment? Or “Can’t you just write it off because $375.00 is a lot of money?” Sound familiar? Educating patients to the limitations of their “dental insurance” is the bane of the dental practice and a constant source of stress and frustration
August 11, 2015
Front Office Discussion
Message Board
Views: 221 | Replies: 2
So I moved counties and let my malpractice insurance as well as added procedures back in June. Paid my balance. This month Following that my mal insurance premium has another bill for over $700 and one rep said it was due to switching counties. I know Wayne county in Michigan is known
November 30, 2020
Malpractice Insurance
Message Board
Views: 546 | Replies: 3
Hi All, I bought a practice a few months ago and applied for more insurance. I got word from Metlife today that I got rejected for business overhead insurance and supplemental disability. They pinged me for sleep apnea (which i don't have) and spinal scoliosis (which i do have). Should I try
January 27, 2020
Ideas To Make Your Practice Grow
Message Board
Views: 171 | Replies: 5
I'm about to start a fairly long residency. Wondering if I should get personal disability and life insurance now or wait until after residency. An agent informed me that the default insurance plans offered by residencies are usually pretty bare-bone. I'm on a tight budget, and I am not sure if I
May 24, 2019
Residencies, AEGDs and GPRs
Message Board
Views: 254 | Replies: 5
The top 5 benefits to Dental Business Owners because they outsource insurance: Improved revenue cycle: Having a dental insuranceexpert with 10 plus year experience in processing dentalinsurance claims and insurance verification means your practice is more likely to get claims approved
July 02, 2021
Ideas To Make Your Practice Grow
Message Board
Views: 74 | Replies: 4
I'm fairly certain I know the answer but I wanted to double check. I had a new patient called up today saying he was in a car accident and that he had some teeth that were broken as a result. He doesn't have regular dental insurance so my front desk explained to him the costs yada yada yada. He
July 08, 2024
PPOs and HMOs
Message Board
Views: 4443 | Replies: 66
out of Network just got a little harder... I had the pleasure of spending about 5 hours on the phone Monday morning calling a number of insurance companies researching something that I heard and was NOT clear on, so I was forced to keep calling until I got clarification. It started with a phone call
November 30, 2017
Practice Management & Administrative Forum
Message Board
Views: 213 | Replies: 6
voluntarily quitting as of the date she gave you. When she says yes, hand her a piece of paper and a pen, and ask her to put it in writing. If she refuses, have the witness document the denial. If you want to let her go right the way, you can do it. I don't think you'd be on the hook for unemployment
February 23, 2019
Practice Management & Administrative Forum
Blog
to perform the modern treatment. Conclusive words Finally, if you want to get rid of gum disease and chronic infections then it would be better to choose a denial specialist. You should always choose a doctor according to their knowledge and experience as well.
September 02, 2019
by woodleighdental
Message Board
Views: 124 | Replies: 0
to grind down the code. The following morning, Mallory and Foster were questioned by an angry colonel, but with the coded message removed, denial was a possibility. So that's what they did. The young officer never received any form of reprimand for his prank and, when he returned to the United States
November 16, 2018
Dental History
Message Board
Views: 355 | Replies: 11
week? How many of those got paid? No hygienist? You prob want to look at their claim denial rate and A/R. Look into perio charts and compare with X-rays. Also look for crown delivery X-rays, see if those are actually there. If you suspect fraud stay way, that's prob not the only thing they may
November 15, 2019
Practice Acquisitions
Blog
. That's precisely what a Distributed Denial of Service (DDoS) attack entails. This is problematic because you want real people to interact with your online business presence, not bots. After all, you've invested significant time and effort into creating and promoting your company. Viruses
October 25, 2023
by GraceRizza
Message Board
Views: 890 | Replies: 20
My front office coordinator is not happy right now. And understandably so. A bunch of insurance plans changed on Jan 1st. Specifically the medicare BCBS and Humana plans. A few other networks also changed a few benefits. Not medicare; the supplemental PPO plans. Anyhow, since the benefits have
January 25, 2019
PPOs and HMOs
Message Board
Views: 653 | Replies: 21
of my expectations from when I hired her. Thanks you all for your help and idea. I love that I can vent with you guysAlso mention that insurance these days requires intraoral pictures ... show her denials without so she comprendo Good for you! By the way, staff reporting their stats at a morning
January 23, 2018
Practice Management & Administrative Forum
Message Board
Views: 289 | Replies: 1
insurance industry is to delay, deny and deceive? If this isn't a rogue business plan, then what is? The rogue business plan involves, not paying doctors, not reimbursing patients who go out of network, and retroactive payment denials after a patient has had a hospitalization approved and, in fact has
July 04, 2014
Claims Processing
Message Board
Views: 775 | Replies: 44
, numbers of procedures, and value per procedure lower each year, what has the ADA done? What have they done to protect members from insurance abuse? How about those nasty letters to patients about how their dentist lies to them? What about wrongful down codes and denials? How about practicing dentistry
May 04, 2016
American Dental Association
Message Board
Views: 1020 | Replies: 30
imagine that if there are issues with such a large company like Cigna, there must be issues with smaller companies. Also, because the insurance claims have to get printed to the batch in order to get them to Renaissance, the way they set up the print option to do that messed up printing any other type
June 05, 2019
Claims Processing
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