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Message Board (37850)
Dentaltown Magazine (455)
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Message Board
Views: 229 | Replies: 4
Every Dentist in US needs to write their congressman to get support for this bill Dental Insurance Fairness Act of 2015. Congress finds the following: (1) Dental coverage helps approximately 173 million Americans get the dental care that is vital to ensuring good oral and overall health. (2
August 17, 2016
Claims Processing
Message Board
Views: 106 | Replies: 1
If You Live HERE, Get (Lots of) Insurance! If you live in Texas, you had best make sure your homeowner's insurance is up-to-date. Why? Texas has experienced more major disasters than any other state; specifically, the Lone Star State has been hit with at least one every calendar year. Over
February 07, 2014
In the News
Message Board
Views: 280 | Replies: 11
For years my wife and I have had our personal health insurance through her job. Now as she is preparing to retire I will need to find health insurance for us both but to be brutally honest I don't know where to even begin to look? You will not need to go to the Exchanges that some sates have set
June 11, 2015
Medical / Health Insurance
Message Board
Views: 772 | Replies: 23
We get some accounts where checks have been cashed but we never got. When my front office calls insurance company to request both sides of the checks to verify our stamp and bank, they won't release is saying it is confidential matter though it is my banks formation. Is there a specific way for us
December 05, 2019
Practice Management & Administrative Forum
Message Board
Views: 191 | Replies: 6
I would like to hear comments about how other Dental offices will handle the new United Concordia for Active Duty. The fees are very low in general. Is any one dropping the insurance? Thank you for your feedback and Happy Easter! VA Dropped UC. Effective this month. I sent them my Term letter
April 15, 2017
Claims Processing
Podcast
From terrified dental patient to popular international speakerand dental consultant, Lois Banta, CEO of Banta Consulting, Inc., has been involved in dentistry for more than 30 years. With extraordinary insight into the dynamics that make a practice successful, Lois delivers her message with...
May 01, 2019
by Jordon Comstock
Message Board
Views: 1953 | Replies: 69
How to save a FORTUNE on medical insurance – with simple math. Posted on October 12, 2011 by The Dental Warrior Deductibles, deductibles, deductibles. My entire family is insured for about $250 / month. How do we do it? EASY. High deductible. $5,000 individual deductible. $10,000
September 30, 2013
General Health
Message Board
Views: 102 | Replies: 7
I'm just curious here. How many practices are billing the third insurance for patients if they have 3 insurances? How does your office handle this situation if the insurances the patient's are signed up for, are insurances you are contracted with? I keep getting different answers here from Blair
July 17, 2018
Claims Processing
Message Board
Views: 97 | Replies: 2
Anyone have one? need a name. My wife is doing now and her policy/company doesn't cover (same company wouldn't cover me when started placing implants) so looking to switch or get stand alone. medical protective Thanks. That's actually who I switched to when placing implants. Will actually...
January 21, 2016
Botox & Dermal Fillers
Message Board
Views: 234 | Replies: 0
Hello townies, can anyone who lives in CT, give the hourly pay/ rate for front desk, insurance co ordinator and office manager. I want to know the present hourly rate for the above. thank you
January 25, 2014
Practice Management & Administrative Forum
Message Board
Views: 242 | Replies: 0
I am currently with Fortress for claims made 1mil/3mil malpractice policy. My employer reimburses up to $1500 of my policy that costs approximately $3500. However, recently they have replaced this benefit with a completely paid for policy through CNA and I don't need to buy tail coverage as they...
January 16, 2014
Malpractice Insurance
Message Board
Views: 1094 | Replies: 41
I recently lost my insurance coordinator who as excellent (we left on good terms), and I'd like to start outsourcing my insurance verification to a 3rd party. Does anyone know of any reliable companies who do a good job? We are also looking for options. Currently using Dentrix version but my staff
January 28, 2019
Front Office Discussion
Message Board
Views: 147 | Replies: 4
I am an independent contractor and was told by the practice owner that I need to carry workers comp insurance for myself? I don't know anything about this and assumed that because I am an IC and aren't entitled to workers comp, this doesnt apply. I carry malpractice obviously but can I get a little
May 03, 2018
Dental Insurance for Dentists
Message Board
Views: 274 | Replies: 1
Dental Insurance.. It is a ''Necessary Evil, or is it?? What are the Dental Insurance Trends occuring in the dental industry now? Does your dental team know what these trends are? The ADA published an article in 2013 that has shown, there is a New Normal to dental spending. The per capita per
October 16, 2015
Claims Processing
Blog
March 15, 2017
by Kirk Behrendt
Message Board
Views: 1134 | Replies: 37
Assuming you are not contracted with the patient's insurance company...what is the best verbage the front office can use with a patient when they are asked if you take their insurance? Josh Belof posted this on one of my threads and I thought it was pretty good: Maybe something like
October 01, 2016
Ask a Dental Consultant
Message Board
Views: 203 | Replies: 2
to help him claim for this implant and crown to his insurance. Huh? This is the letter he took a pic of with his phone and forwarded to us: So let me get this straight: this insurance carrier wants me to somehow guess what treatment this patient had done, and when, and where, and spend my time
May 10, 2019
Implantology
Message Board
Views: 112 | Replies: 0
Greetings, I was just wondering what the general consensus is on Dental Coding and Billing versus a contracted insurance company's interpretation of CDT. Who wins when you have coded the case correctly but the insurance company says that it was billed incorrectly (because it's a Non Covered
November 18, 2014
Coding Q&A
Message Board
Views: 83 | Replies: 2
One of our patients has two insurance Delta (prim ins) and Cigna (sec ins) and would like to submit her cleaning appts in this order: -1st to prim ins, -2nd to sec ins, -3rd to prim ins and -4th to sec ins to be cover her cleaning appts by both insurances. Is it OK to submit claim to sec ins
January 06, 2014
EagleSoft
Message Board
Views: 559 | Replies: 15
an approximation? Ask to collect 50%? pay in full then reimburse whatever insurance repays? Have one appt, then approve during the week and have another tx appt on the next sat? please enlighten me to the best strategies. I've read a bunch of threads and I get the pros and cons of sats, So let's not go
July 25, 2014
Ideas To Make Your Practice Grow
Message Board
Views: 174 | Replies: 0
New patient to my office complaining of pain in the #14-15 area. Why did he come to my office?----a treated his friend with immediate implants. <br/>HIs insurance now cover implants and that is what he wanted!<br/>Due to the maximum allowable benefits we placed implants on a staged
June 30, 2017
Implantology
Message Board
Views: 96 | Replies: 2
If insurance denies certain procedure like a crown, can we apply our fee schedule to collect from the pt? What's next when they say no we don't pay for that? Can I give pts discounts? Does the insurance still dictate the fee we need to collect from the pt? If you live in a state with a NCS law, you
August 02, 2018
Delta Dental
Message Board
Views: 1353 | Replies: 44
(i'm a PPO office and as a courtesy we file the insurance on pt's behalf) #2 crown insurance denies payment because they said poor prognosis.....(I did not do crowns #3 nor #4) We have appealed it twice and same answer.......Pt won't pay bc says maybe they won't pay bc maybe we shouldn't have
April 16, 2015
Front Office Discussion
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: 166 | Replies: 1
Hi townies, I'm considering taking an insurance class, any reviews on the following companies: Versatility Claims Resources, Inc. and National Provider Compliance Corporation. Thanks all. M. Just came from a seminar today. It's a 4 hour long sales pitch on their $600 products. When I told
October 15, 2014
Practice Management & Administrative Forum
Podcast
Life and Disability Insurance Every Dentists Shoul In this week's episode of the Associates on Fire podcast, we have Brian Leet. Brian is a non-captive insurance broker with many years of experience in the industry. Brian's been working with dentists and dental specialists since he started in the insurance industry. He shares his insights for how dentists should navigate one of the most critical financial planning elements of their career, insurance.
November 16, 2020
by Wes Read CPA CFP
Message Board
Views: 774 | Replies: 13
How much disability insurance do you guys carry? I have $10,000 a month which will just cover our living expenses. This is a graded policy that will get more expensive buy in 8-10 years I won't need the disability insurance and it will cost a lot more up front to get a level policy. You should
April 13, 2019
Personal Finance
Message Board
Views: 1749 | Replies: 81
And that's by design. It's the big insurers that receive optimal results as a result of their lobbying $$$ Not sure why your father did not have health insurance, but agreed thats not how the system is suppose to work, certainly not a good sustainable business model, only buy it when you get sick
September 12, 2018
Personal Finance
Message Board
Views: 2171 | Replies: 37
to your area. Think a second third and even forth time before signing up with them. Sad thing is they are going to be the insurance company for military dependents. I love the military but sorry I am not seeing any dependents as long as UC is their insurance. Who do you think is the worst Ins co. you
January 25, 2018
Claims Processing
Message Board
Views: 119 | Replies: 0
Edit: Added new chart on Dentist Pay. We all know insurance companies want to manage doctors in order to lower reimbursements, increase their competitiveness, and increase their profits. We can all sit back and admire the wiliness of their business acumen, and how deftly they succeed on all
May 26, 2014
Dental Insurance for Dentists
Message Board
Views: 2993 | Replies: 59
Heck yes it depends on saving and investing your money. You could still starve to death even with insurance is you manage your money poorly. Most people have no disability insurance, heck most people have little or no savings. Yes, I had life and disability ins for 20 years, but I no longer need
May 26, 2015
Personal Finance
Blog
Congratulations on your new dental practice! At Dental Insurance Credentialing, we work with many start-up practices that are trying to decide which insurance plans their office should accept. It’s important to remember to plan ahead in order to be able to make your decisions without feeling
October 17, 2016
by Dental Insurance Credentialing
Dentaltown Magazine
Welcome to the new world of dental insurance. The days of being able to contract only with the insurance company directly are gone. With the exception of Delta, every major insurance company now
June 2014
by Sandi Hudson
Message Board
Views: 558 | Replies: 18
An insurance insider reviewed my predictions and called them accurate. I periodically send emails to our groups that detail changes in the industry, much the same as I do on DT. The email, far below, made its way to a DDS that was a previous CDO for insurance companies, and is now a DSO consultant
February 28, 2017
PPOs and HMOs
Blog
of this process is informing patients of their dental needs. Many individuals who are paying for dental insurance do not realize that their plans provide coverage up to a certain dollar amount annually. Consequently, some patients are not scheduling for dental treatment they need, deserve, and have insurance
November 14, 2013
by Kevin Tighe
Blog
Consumers anxious to browse for individual health insurance options and determine their eligibility for financial assistance to purchase health insurance, and those ready to initiate the application and enrollment process, have already experienced many bumps in the road. Much of the frustration
October 24, 2013
by Bill Hockett
Message Board
Views: 352 | Replies: 9
the wrong way? Is this the way we are to be judged now as dentists? Do our social values need to be subject to the opinion of a credentialing committee of an insurance company? Full disclosure: I hate dental insurance companies! Does it also ask if you are friendly to those of us who aren't LGBT?What
October 17, 2015
Delta Dental
Blog
. But unlike the scenario with the air filter, patients tend to say no to any additional care we recommend because in their mind, they only came into the office for a quick oil change (their six-month hygiene appointment). They want the basic maintenance package with no frills...and they want their insurance
January 08, 2019
by frontofficerocks
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: 198 | Replies: 1
Health Insurance Company CEO's Total Compensation in 2014. Physicians for a National Health Program is a single-payer, national health insurance advocacy organization made up of more than 18,000 physicians, medical students and health professionals. The mission of PNHP is to educate physicians
October 27, 2015
Medicaid and Welfare Issues
Blog
The languages dentists have to learn! Do you-speak 'insurance company-speak'? Do you speak 'parent-speak'? Do you-speak 'child-speak'? Today I am looking at insurance company-speak. And btw (by the way - that's 'text-speak') - corporations here refer to insurance companies, big box and other
April 13, 2018
by drchrisbaker
Message Board
Views: 118 | Replies: 1
It is fairly safe to say that people are more likely to seek dental care when they have dental insurance. Even if the plan is limited and the per calendar year maximum is anemic, patients value what they have and want it to be maximized. The following graph in the attachment below illustrates
November 16, 2015
Claims Processing
Blog
Private practice dentistry has in the past been the most popular model for delivery of dental care in this country. For the most part, the profession has fought against the insidious invasion by insurance companies into dentistry, as we have all experienced in medicine. Insurance companies have
September 17, 2014
by Greg Auerbach, MBA
Message Board
Views: 381 | Replies: 3
Background: I'm leasing a 2000 sq ft space that's currently in construction, neighborhood is a bit sketchy, possibly break-ins in the future. I already have malpractice, and general liability established. The landlord has insurance on the building. What types of supplemental insurance should I buy
October 27, 2014
Dental Liability Insurance
Message Board
Views: 525 | Replies: 15
I am curious how others feel about direct deposits from insurance companies for paid claims. Do you prefer it over waiting for the check in the mail? And if you do, how do you balance your deposits with the day sheets? The bulk check goes into your account on one day and is posted to the patients
May 10, 2016
Ask a Dental Consultant
Podcast
How to Education Patients on Insurance Yolanda Mangrum, DDS, MAGD has been a practicing dentist since 1997 and practice owner since 1999. She is the founder of Plan For Heath (PFH), co-founder of Virtual Training Innovation (VTI) and the owner/CEO Petaluma Dental Group (PDG). Plan For Health
April 01, 2018
by Drew Byrnes
Message Board
Views: 374 | Replies: 4
As some of you may have heard, The Professional Protector Plan formerly underwritten by CNA is now changing to Aspen Insurance Company. Without me reading into this stuff too deeply, does anyone have any information on this change or an opinion on the matter? I am in the process of getting new
August 12, 2020
Malpractice Insurance
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: 319 | Replies: 4
Just wanted to find out if there is a course to learn about how claims are processed and billing in... Front desk rocks has great training videos.. It also tests them on what they learned. I believe claims are processed using a magic 8 ball. Dental insurance navigator has training videos
May 16, 2017
Claims Processing
Message Board
Views: 201 | Replies: 6
Why It’s Important to Report Your Standard or Regular Fee on insurance claims It is wise to review your standard fee schedule yearly to verify costs to produce the services that you provide. If in doubt to whether your fees are within the realm of reasonable and customary for the area
April 28, 2016
Claims Processing
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