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Message Board (37851)
Dentaltown Magazine (455)
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Blogs (1565)
Message Board
Views: 785 | Replies: 19
It seems the ADA no longer goes after the insurance companies, for some reason. These lawsuits show the ADA used to be very active, over 10 years ago. This was a successful suit from 2003: But, this shows the ADA failed, from 2010: The RICO allegations in Plaintiffs' Second Amended Complaint
November 10, 2015
Dental Insurance for Dentists
Message Board
Views: 92 | Replies: 1
What about us??!!! What do we provide?? I was at a meeting several years ago with one of the representatives from Blue Cross of RI. He said, Blue Cross does not pay for good dentistry. It pays for adequate dentistry. I appreciated his honesty. Health insurance companies should pay for adequate
March 01, 2017
Medical / Health Insurance
Message Board
Views: 546 | Replies: 23
hours a day greeting them, presenting treatment, presenting financial arrangements, collecting for today's visit, running the credit cards, closing the day and being friendly with everyone.. She still needs to answer the phones, straighten the reception room, file insurance, verify insurance, follow up
July 18, 2014
Staff Management Issues
Message Board
Views: 347 | Replies: 8
I finally think that I have a grasp on secondary insurance, even though the insurance companies rarely do, and then I get this situation that I totally don't understand. First we are on contract with both insurance companies Primary is Delta: We bill for 3 2391s with a Delta total allowable
December 18, 2014
Claims Processing
Message Board
Views: 139 | Replies: 2
Do you know what the insurance code is for a cavity search which is a manual internal inspection of body cavities for prohibited materials such as illegal drugs, money, jewelry, or weapons. I'm surprised with some of the characters on this site, there aren't more comments on this...
August 19, 2017
Coding Q&A
Message Board
Views: 141 | Replies: 3
Hello,I work in a busy 3 partnered office. Everyday the closing doctor counts cash, checks, and credit card deposits to make sure it matches what our staff is entering in Dentrix.Our aging report is full of Insurance checks and Virtual Credit Card payments that the insurance company is saying
January 07, 2020
Claims Processing
Message Board
Views: 36 | Replies: 0
Somebody recently told me that the average dental insurance plan utilizes about 40 cents of every dollar towards administrative costs? Meaning of course that only 60 cents of every dollar goes towards actual claims. Does anyone know if factual data is actually available? What is the real % that goes towards administrative costs for most dental insurance? Is that data readily available?
February 04, 2019
Dental Insurance for Dentists
Message Board
Views: 161 | Replies: 3
Here is the Scenario. Saw an existing patient for recall with Humana PPO. Same ins for the past 3 yrs. Insurance verified on the day of service. Active per Humana rep , gave ref# , answered questions about coverage of crown etc Send PreD for crown Recall visit got paid few weeks ago PreD came bk
February 06, 2020
Claims Processing
Message Board
Views: 215 | Replies: 12
Hi everyone. Now it's my turn to deal with this. We had a patient show up, mom with 3 kids. Says has insurnace. We call her insurance, confirm coverege on the phone. OK, we are good. Do the work Send in claim, get paid. Two months go by, get letter from insurance, oops we made a mistake, she did
March 16, 2017
Ask a Dental Consultant
Message Board
Views: 133 | Replies: 2
crown this tooth? If you would, is it possible to get flagged by insurance for too aggressive of treatment planning? I am a cerec doc, so you know we are just clowns. having said that, a radiograph would be helpful. Based on the size of the filling, and the limited amount of decay, this is a filling
March 09, 2018
Restorative Dentistry
Podcast
Theresa Narantic, has been in dentistry over 35 years growing dental businesses and dental teams. An expert in efficiency, she has worked successfully to begin practices from scratch start-up, transition and assisted with acquisitions. Theresa shares her understanding in all areas of management and...
May 01, 2019
by Jordon Comstock
Blog
Why Doesn't My Dental Insurance Cover Dental Implants Costs? Your dental insurance doesn't cover dental implants? You're not alone. Most insurance companies don't cover the. But why? What the insurance companies say: Insurance companies often assert that dental implants don't meet the definition
September 18, 2020
by NewTeethNow
Message Board
Views: 417 | Replies: 13
Has anybody had personal experience with Great-West personal disability insurance offered through the ADA? I'm trying to reevaluate all of my insurances and disability is complex and expensive. The discount with Great-West through the ADA can't be beat, but everyone seems to agree Guardian
September 29, 2019
Personal Finance
Dentaltown Magazine
to get where you are. Because of this, you need to consider disability income insurance to protect your most valuable asset: your ability to earn income as a dentist. The disability income insurance marketplace for dentists is changing at a rapid pace. Just 15 years ago, perhaps two carriers would
New Grad Edition 2019
by Jeff Kirshner
Message Board
Views: 545 | Replies: 14
Hi all Thank you for reading my post. I've been charging Invisalign for flat fee even if I am in network with certain insurances. Recently, one of my patient with GEHA insurance said that I was not allowed to charge more than insurance allowable fee since I'm an in-network provider. I thought
June 12, 2019
Coding Q&A
Blog
In our last post, we finished our discussion regarding the investigation and evaluation stage of the disability insurance claims process. Hopefully, once you have submitted the required information and your claim has been evaluated, the insurance company will approve your benefits. This post
October 23, 2015
by Karla Thompson
Message Board
Views: 376 | Replies: 6
Hello, I need some advice on my malpractice insurance, and thought that there is no better place to ask this than Dentaltown My situation I worked for ~4 years and had aclaims-mademalpractice coverage from Medpro. Now my residency started and the program provides malpractice insurance. Idon't plan
August 04, 2016
Malpractice Insurance
Message Board
Views: 50 | Replies: 0
So, can someone please explain to me, how dental insurance does this? (It's a legalized Ponzi scheme, in my opinion.)
April 19, 2017
Medical / Health Insurance
Message Board
Views: 429 | Replies: 13
This is technically an insurance question, but I couldn't find an appropriate sub-forum in that area so I'll ask it here. We recently found out (via the insurance company contacting us) that a patient of ours has a second dental insurance that she was filing herself every time she'd come in. We
April 16, 2019
Front Office Discussion
Message Board
Views: 77 | Replies: 3
, the 1099's from insurance companies are mailed and they are inaccurate because of this. What is the best way to get an accurate figure amount for the difference? Would this be a matter of getting a report in our PMS (Open Dental) of services performed in 2017 after Jan 1st until mid-Feb when we
January 12, 2018
Ask a Dental Consultant
Message Board
Views: 70 | Replies: 0
I am in the process of evaluating a practice to purchase and fold into my practice. The owner is not very computer savy. He told me I could come into his office and use his computers to find anything I want to find. He has been using AltaPoint for keeping his financial records. I wanted to pull a report for production by payer and by insurance company. Can anyone help me with instructions on how to pull that report with that software? Thank you!
September 02, 2015
Software Discussions
Message Board
Views: 581 | Replies: 12
I'm talking about the initial HST that would be given to a patient that has been screened through a questionnaire and consultation and determined to be at risk for OSA. Can I bill their medical insurance for the HST? Thanks. The better question is do you want to bill out an HST as a dentist
September 20, 2019
Sleep Apnea / Snoring
Message Board
Views: 154 | Replies: 3
Hi, I am in the process startup for my practice and now try to enroll as a provider as some PPO insurance. my practice is single member LLC (treated as a disregarded entity for federal incometaxpurposes) and is choose asole proprietorship in w-9 form and provide my SSN in w-9 form according
May 02, 2017
Dental Insurance for Dentists
Message Board
Views: 82 | Replies: 0
I wanted to use Remote Lite for insurance eligibility verification but when I called recently they said they no longer offer it. Uh? Any other alternatives that work well? My front desk is only trained on Remote Lite, she's doing just fine with it, so I only want to change software
October 06, 2018
Claims Processing
Message Board
Views: 413 | Replies: 6
. I would contact a lawyer and not post anything else online. Wise words SEOK. One can't unilaterally decide to change a contract. That's the point of the contract. The owner can't just decide to charge you a rental fee (WTH?) or change your compensation because he feels like it. I don't know how...
July 27, 2021
Legal Issues
Message Board
Views: 123 | Replies: 4
I do not know if anyone has ever had this issue or what steps I can take to stop this. I will never and have never been apart or provider for an insurance company HMO/PPO etc. and I am not arguing the merits one way or the other but I have had an interesting situation happen many times over
October 12, 2021
Delta Dental
Message Board
Views: 28 | Replies: 0
Thanks in advance. My wife is ready to get back to work!
August 19, 2021
CE Comments / Suggestions / Events
Message Board
Views: 357 | Replies: 10
Im trying to buy into a practice and need life insurance to secure the business loan. I have a complex health history and from what I read online, people with my condition are often denied life insurance, even though my condition does not affect my life expectancy. Any recommendations on where/how
August 20, 2019
Life Insurance
Message Board
Views: 233 | Replies: 3
I just saved $500 by switching to Geico! Joking. But I saved a lot more than that on my liability insurance by switching to Professional Solutions and with excellent coverage. Angela Hoaglund was my agent and could have not been more professional and on top of things. Don't know what everyone
February 13, 2015
Dental Liability Insurance
Message Board
Views: 91 | Replies: 5
Quick question: can the insurance companies truly refuse to pay after 1 year if I have submitted multiple claims and they denied for various reasons? What is the next step in the process if they deny based on 1 year passing? Thanks One year is way too long to wait for payment. After 90 days
December 16, 2020
Claims Processing
Message Board
Views: 7532 | Replies: 346
of insurance. Freaking laughable to me. Do you guys also bitch about how low reimbursment rates are for doctors? do you realize the two may be connected? The real problem I've got is how much the medical/dental insurers siphon off, some even masquerading as non-profits simply acting as middlemen and providing
October 12, 2017
Politics - DO NOT Enter if easily offended
Message Board
Views: 93 | Replies: 1
We are talking with a dentist about associating here. He wants to give relatively large discounts (of like 40% or even more) to a few of his friends and family, some of whom also have insurance. Can someone help me to do this properly -- or is this a can of worms that should be avoided
April 19, 2016
Practice Management & Administrative Forum
Message Board
Views: 453 | Replies: 25
how do you place an insurance companies ucr in the fee schedule (I know how to put it in as its own fee schedule)so it will show that amount in your production but submit your actual fee to the insurance... anyone???...I need to get back with you tomorrow when I am on the dentrix program. I only
March 10, 2015
Dentrix
Message Board
Views: 3288 | Replies: 93
and said he hadnt been to a dentist in over a year which made sense given his condition... I took an FMX, did a comp exam and had it sent the claim to insurance... they denied the payment stating the patient has maxed out his insurance for the year. I called the insurance and asked them out
October 04, 2012
Practice Management & Administrative Forum
Message Board
Views: 481 | Replies: 12
her, so we hope the patients will be comfortable with the transition. I am working as an associate for her while we get everything finalized. We are looking at a mid June close date. So I will only be working for her for about a month. She is in network with 7 insurance companies and I am only
May 14, 2020
Practice Acquisitions
Message Board
Views: 288 | Replies: 15
My front desk and I go back an forth ever so often on this subject. I would think patients would be annoyed and think we aren't so compentent SENDING a bill before insurance has been processed. However my front desk (whom is VERY ethical and kind) stands by her thought that she WANTS patients
September 25, 2017
Front Office Discussion
Message Board
Views: 150 | Replies: 6
to the situation. Good luck. People in glass houses shouldn't throw stones. ... 1. Your employee is following your lead. Do you inform the insurance company of your intention to write off the balance because the patient is an employee/relative of an employee? Some companies consider that insurance
January 20, 2008
Claims Processing
Message Board
Views: 118 | Replies: 2
I received a letter that my workers comp insurance charging an audit noncompliance charge. which is ridiculously high. whats the deal with it? what insurance are you using? thank you It depends on goes much your payroll is. I use the company through QuickBooks, they have much lower rates than I
March 16, 2021
Claims Processing
Podcast
to reduce stress and advance patient communication. In this current healthcare climate, it can be a challenge to navigate the murky waters of dental insurance and still achieve fulfillment and life balance. Andrea is passionate about helping dentists and their teams believe in what they are providing
May 01, 2019
by Jordon Comstock
Podcast
that such a future doesn’t exist. Many even argue that the DSO model is the way of the future as solo practitioners simply cannot keep up with the risking cost to deliver dentistry combined with the stagnant reimbursement rates set by insurance carriers. Then there are those who warn
May 26, 2017
by Jordon Comstock
Message Board
Views: 107 | Replies: 3
I cannot find it? I know that there is a separate software that you can buy to analyze plans Hi, you can run the Insurance Carrier List from Office Manager | Reports | Reference -if you check Include All Insured Patients it will show the patient names and how many patients for each plan A to Z
December 01, 2015
Dentrix
Message Board
Views: 108 | Replies: 1
Hello Townies! Please joinSandie Baillargeon,Business Analyst / Dental Practice management Advisor @DentalOffice Consulting Serviceson a complimentary Live Webinar entitled: What You Need to Know About Working with Insurance Companies. When?Monday, December 13, 2021 @ 7:00 PM ET / 4:00 PM PT
November 16, 2021
CE Comments / Suggestions / Events
Dentaltown News
MINNEAPOLIS—. mConsent is a health care technology platform that includes digital patient intake forms, patient scheduling, two-way text appointment reminders, video consults, secure digital billing, payments, and now, insurance verification. mConsent allows all dental practices to verify
August 02, 2021
Message Board
Views: 105 | Replies: 0
There's got to be a better way ... We currently handle almost everything in -house. We submit e-claims and have a 3rd party send out statements, but handle almost everything else. Verification, coverage breakdown, pre-authorization (very limited), following up on claims, ... Is there anyway to...
July 15, 2014
Practice Management & Administrative Forum
Message Board
Views: 944 | Replies: 11
Hello I am purchasing a dental practice. I have signed the letter of Intent but not the purchase agreement yet. Also, I am in the process of getting the loan. I have a couple questions: 1- Can I start the insurance credentialing now even if I still have not signed the purchase agreement? 2
February 26, 2016
Dental Insurance for Dentists
Message Board
Views: 252 | Replies: 4
Here's a question that may be applicable to many of us on the boards here with children of our own. Thanks to ObamaCare, many of the medical insurance policies have now included PPO Dental insurance for children. So now all of a sudden my kids have PPO dental insurance. And I'm paying
June 26, 2014
Pediatric Dentistry
Message Board
Views: 7532 | Replies: 346
an example: We had an orthodontist on staff. The place was setup to service the Medicaid population. Adults and kids. If you had no insurance, you could pay for the orthodontics using the income-based sliding fee scale. If you had a big income, you would pay around $5000 for your kids' braces. If you
October 18, 2017
Politics - DO NOT Enter if easily offended
Message Board
Views: 386 | Replies: 13
later when we have to refund to aetna. thanks no one...Why not communicate your situation with the patient? Has patient paid their estimated portion?You should first call the insurance company and verify benefits and be up front with your questioning ie: What is the max? Can someone please
February 25, 2018
Dental Insurance for Dentists
Message Board
Views: 243 | Replies: 0
Fast Facts about Dental Insurance 50 percent of Americans have dental benefits. (2012 State of Dental Benefits Market Report) The market has changed from 35 percent PPO insurance in 2005 to more than 82 percent PPO insurance in 2015 85 percent of dentists belong to at least one PPO
August 03, 2016
PPOs and HMOs
Message Board
Views: 813 | Replies: 38
Our insurance company is dropping us (our whole state) at the end of this month. I'm thinking of just shopping the marketplace for a policy for my family. Did anyone do this last year? If so, plan to do the same this year? Anyone plan to once it opens on the 15th? Waiting to see answers because
November 21, 2014
Medical / Health Insurance
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