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Message Board
Views: 333 | Replies: 9
I have seen a few patients coming into my office that have specific and separate implant benefit with their dental insurance. Has anyone had any experience with this? For example: My patient has a yearly dental insurance benefits of $2000 per year with Cigna. On the Cigna Website, it also
October 08, 2023
Implantology
Message Board
Views: 146 | Replies: 4
For a surgical extraction, bone graft, and membrane.. what code is the best or most appropriate to use for the membrane? And how much are you charging? I dont know the codes off the top of my head, but you need to get a CDT code book regardless. D7956: Guided tissue regeneration, edentulous area -...
October 02, 2023
Coding Q&A
Message Board
Views: 179 | Replies: 14
Hey All, I have a patient on my schedule this coming Monday that is a new to me patient. The patient states that she was in a MVA and that her auto insurance is paying for her to get a dental crown and needs quotes. My question is whether or not I have to accept the payment from the patient's
October 24, 2023
Billing
Message Board
Views: 147 | Replies: 10
Had a patient ask ... their dental insurance is with a company we are not contracted with. She is the mother of an employee at one of our specialist's offices.. she asked if there was any courtesy as she is paying 1000's for her treatment. I have not had anybody ask, but likely won't offer anything
October 19, 2023
Claims Processing
Message Board
Views: 494 | Replies: 32
I know this has probably been discussed before, but I could not find much on a search. We referred a good, long term patient for ext and implant placement. The patient has decent insurance we have dealt with. OS ext and placed implant, and collected a discounted cash fee at the time of service. We
October 26, 2023
Claims Processing
Message Board
Views: 97 | Replies: 8
of you doing full tort? All thses options cost more. I think the answer is obvious. Cut rate auto insurance is cheaper...for a reason. So Geico is a cut rate ins company? The rate quote I did on line was quite a bit less. I have always been under the impression GEICO, was the Government Employees
June 16, 2022
Personal Finance
Message Board
Views: 188 | Replies: 4
Hi all, I have a quick question. I just opened my very first office from ground up. So all these hiring employees and business aspect of dentistry is very new. Having said that.... I have one receptionist right now.... She has this slightly obsessive need to verify insurance a couple days
June 07, 2022
PPOs and HMOs
Message Board
Views: 140 | Replies: 2
I joined gaurdian ppo in october of 2021. i opted out of all third party agreements at that time. I just got an eob from Aetna. It states i am in network ( i never signed up for them). They told me as of 2-1-22 i am a provider through DSG(gaurdian). If this was the case wouldnt i have been...
March 28, 2022
PPOs and HMOs
Message Board
Views: 1079 | Replies: 15
Has anyone tried this? We've had an incredibly difficult time finding, hiring and keeping good front office staff. I feel like insurance verification could be a good thing to outsource if it works like it says it does and the fees aren't outrageous. If anyone has any info on this, I'd love to hear
March 28, 2022
Front Office Discussion
Message Board
Views: 553 | Replies: 17
I didn't know where to post this, so feel free to move it, but I have noticed this a ton lately. It's about insurance, but specifically the ethics of it. Us dentists like to complain about insurance due to constraints and writeoffs, but I don't think patients care about this. I think we need
March 12, 2022
Ethical Issues
Message Board
Views: 384 | Replies: 5
Hello,I need a recommendation for a GREAT liability insurance company. My criteria are:-responsiveness-great customer service-will have your back when needed-reliableIm willing to pay extra, but I would like to use someone who will have my back if itll ever be needed.Im currently with Dentist
July 25, 2022
Dental Liability Insurance
Message Board
Views: 99 | Replies: 0
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July 12, 2022
PPOs and HMOs
Message Board
Views: 535 | Replies: 12
Hello it has been over 7 years since we last reviewed the insurance fees and we participate in all PPO only. No Hmo, or medicaid What is the process on negotiating the fees for insurance? What company you all recommend? What is the status after the review and seeing if the insurance will negotiate
April 25, 2023
Dental Insurance for Dentists
Message Board
Views: 545 | Replies: 21
to a web-based insurance verification program. We currently have an employee verify all insurance on-line and send pre-auths for all treatment but this is VERY time consuming so I'm looking to stream-line the process. Background on my practice: Open Dental PMS Only Delta Premier OON with all other PPO's
July 13, 2023
Pediatric Dentistry
Message Board
Views: 178 | Replies: 3
Hello, I am in solo private practice Texas. I have an in-house membership plan, and am also in-network with multiple insurance carriers. My question is: If a patient has dental insurance that we accept as in-network, but they decide that they like our in-house membership plan better, can they use
July 07, 2023
PPOs and HMOs
Message Board
Views: 82 | Replies: 1
Hello, I am in the process of credentialing with insurances. The office that I bought is currently directly contracted with Aetna. I am trying to indirectly contract with Aetna for a better fee schedule through another insurance company. The Aetna rep stated that because I was credentialed
August 10, 2023
PPOs and HMOs
Message Board
Views: 182 | Replies: 6
Hi- We are looking for an efficient firm that can handle our dental insurance billing as well as follow up with unpaid and pending insurance claims. Any recommendations based on experience is appreciated. Thanks Mitch How many Open Claims does your practice management system show you have
December 16, 2022
Claims Processing
Message Board
Views: 300 | Replies: 5
How does it generally work with malpractice insurance and retirement? Does one keep some kind of rider clause or something for a period after retiring? What's the general rule of thumb as to how that all works and what one should do with regard to malpractice insurance when one retires? Thanks K
December 10, 2022
Malpractice Insurance
Message Board
Views: 351 | Replies: 9
Does anyone notice what a crappy company for Dental Insurance that Guardian is?We just got sent a bunch of EOBs and payments for a second time. Already paid us and just resent everything. Confusing to say the least. Then I called them up to ask for copies of some Eobs because for some reason I
January 20, 2023
Claims Processing
Message Board
Views: 159 | Replies: 6
What is the reasanable percentage to pay seller to use seller credentials and bill under the seller untill one gets into panales? I am thinking 3% Zero percent.It should be expected as part of the deal. Im thinking you need to hire advisors that understand this Isnt that insurance fraud plain
January 23, 2023
Practice Acquisitions
Message Board
Views: 63 | Replies: 1
We had a patient recently have a crown done who had double insurance. One insurance, the primary, is out of network and paid half of our full fee. His secondary is delta, who we are in network with and wants us to do a write off in addition to paying roughly a quarter of the crown cost. It is my
January 10, 2023
Claims Processing
Message Board
Views: 95 | Replies: 6
We had some water damage in our office that came into contact with some equipment. An insurance representative came in to evaluate my office and says there is evidence of water damage on some items that still seem to function fine to me. For example, some of my computer workstations may have come
December 14, 2023
Taxes
Message Board
Views: 140 | Replies: 7
Patient came in with avulsed tooth #9. Tooth implanted back into socket and stabilized. Ins company denied claim based on the patient's medical insurance needing to be billed for this procedure. Anyone encounter this? Bill medical. They'll tell you to FO Take this FO letter and send it with your
December 08, 2023
Claims Processing
Message Board
Views: 41 | Replies: 2
take too long and be too inaccurate to deal with for secondary. The best way to handle secondary is assume it will not reimburse, and let any possible reimbursement be a nice bonus. Remember, you need to get the patient to understand they NEED the treatment regardless. What insurance
December 20, 2023
Claims Processing
Message Board
Views: 254 | Replies: 9
taken up too much of my time. I curious to see how this ends up. That fee schedule might have been too good to be true. Haha Haha - Thanks. I've been dealing with insurance companies for 20 years and I try to help out where I can. Some of these payers have gotten absolutely terrible over the last
February 20, 2024
Claims Processing
Message Board
Views: 172 | Replies: 3
Hi all, I am in my due diligence phase of a practice acquisition. I received a 17 page report with all different insurance companies that the existing provider is in network with.There are many different delta plans listed.....does this mean that all of these different plans have different fee
January 17, 2024
Practice Acquisitions
Message Board
Views: 56 | Replies: 1
Is there any website I could search to find the % of people that is on Medicaid or a service? Thanks Federal health and human services website someplace. That data is front and center.
January 23, 2024
Practice Start-Up
Message Board
Views: 145 | Replies: 5
Has anyone had recent issues with insurance checks bouncing? I just got my second one in a month returned today. First one was from guardian for $210 and today was from United Concordia for $61. Seems bizarre that this is happening. For each one I was charged $12 for the returned check fee. What
February 14, 2022
Claims Processing
Message Board
Views: 140 | Replies: 1
In a couple weeks, I will be leaving my position at a PPO office to start at a 100% OON office. My understanding is the majority of insurance companies follow the office tax ID for payments. However, should I still contact all the networks (Careignton, Zelis, GEHA, BCBS) to notify them? Or will my
February 19, 2022
Going Out of Network
Message Board
Views: 270 | Replies: 5
Hi guys! Does anyone know what the actual termination letters say that cones from the insurance company when you drop a PPO? We heard that some of thm are telling patients to find another dentist flat out. Does anyone know this to be true? We appreciate any kind of insight on this! Best, Dr
May 01, 2022
PPOs and HMOs
Message Board
Views: 41 | Replies: 0
I'm currently leasing my location and will be relocating in a few months. I'm supposed to be out by Sept and another dentist is taking over my current space. There's a possibility that my builder won't be finished on time. I have asked the dentist coming in if I can share her office until mine is...
May 08, 2022
Claims Processing
Message Board
Views: 75 | Replies: 0
Does anyone know about any business interruption policies that you can purchase in addition to your standard property insurance for your practice? Im concerned about hurricanes and my policy doesnt offer any business interruption insurance over 5k, which is a joke. For example, if the electric goes out for 2 weeks, how do I cover overhead? thanks!
May 22, 2022
Life Insurance
Message Board
Views: 90 | Replies: 1
Does anyone have a copy of a letter to send to insurance company that is in reference to them requesting a refund on a payment that they say the patient isn't eligible and we have verified coverage on day of service If the patient wasn't eligible, the patient owes the money. In most cases
May 18, 2022
Dental Insurance for Dentists
Message Board
Views: 93 | Replies: 0
How do you bill medical insurance for cone beams?
May 13, 2022
Cone Beam CT Imaging
Message Board
Views: 283 | Replies: 3
Hello, When onboarding with an outside insurance verification company. Is it typical (safe) they request your user names and passwords to obtain access to the insurance portals? I am nervous about having access and possibly changing EFT information. The company I'm looking at seems legit
May 24, 2022
Practice Management & Administrative Forum
Message Board
Views: 54 | Replies: 2
-5x We submit them electronically initially, then follow up. We resubmitted via FAX and US Mail. Some of these claims are getting 90+ days old. I want to just say enough and send patients the bill to let them chase the insurance company. But I know the patients will call and the insurance company
March 03, 2022
Claims Processing
Message Board
Views: 4500 | Replies: 158
I had one insurance, delta fucking dental. Its gone. Im insurance free! Started 6 months ago of writing letters and emailsglad to be done with insurance. awesome! Keep us updated. Has it had any effect on your monthly billings? What has the patient response been like ? Not sure what you mean
February 11, 2022
Going Out of Network
Message Board
Views: 179 | Replies: 1
I am in Ontario,Canada and our malpractice Insurance was included in our registration fee. However, in the near future we will need private insurance.Can you tell me what is the cost of Dental Malpractice Insurance in your location?. Why?
November 12, 2023
Malpractice Insurance
Message Board
Views: 159 | Replies: 4
Question for all insurance guru's want to know 2 years ago I bought a practice and was able to Negotiate and got reasonable rates compared to what the old doctor was being paid via Zelis This year I was able to get even better rates with a direct contract with Aetna then when I was with Zelis
December 29, 2023
PPOs and HMOs
Message Board
Views: 412 | Replies: 11
a member ID and birthdate most of the time, sometimes a few additional pieces of data, and there it is. Is it taking some offices that long? What we do: A day or two prior to the appointment Route slips printed They have all necessary information with all insurance and benefit info Go to benefit website
December 25, 2023
Practice Management & Administrative Forum
Message Board
Views: 642 | Replies: 29
A newer practice owner here. What do you do with 1099s you receive from insurance? I scan them and keep them with my tax files. Shred the original. Never needed them for anything. Good question. Mine just end up in a shred box in the basement. My accountant has never needed or asked for them
February 01, 2024
Taxes
Message Board
Views: 69 | Replies: 3
both in Dentrix and also in Vyne, and all the ones I did myself come back rejected due to not having the Primary EOB. Is this an issue with Vyne not submitting this attachment with the claim, or is it an issue with the insurance companies being lazy. This is not a localized issue with 1-2 companies
January 30, 2024
Claims Processing
Message Board
Views: 227 | Replies: 5
My office has an adult patient that needs to be sedated for her dental work. I would like to bring in a dental anesthesiologist to do the sedation. I dont think it would be worth the chair time to do the case under her PPO insurance fees (an insurance with which we are contracted), considering
February 13, 2024
PPOs and HMOs
Message Board
Views: 94 | Replies: 2
Hello everyone, I am a resident thinking to get disability insurance and was wondering what you recommend. I got a quote from Northwestern Mutual for $121 a month for $3,500 coverage with the option to buy more coverage. Does this sound like a good deal? Thank you Welcome to Dentaltown and thanks for making your first post! Going forward I think you are going to need more coverage than $3500.
April 25, 2024
General Discussions
Message Board
Views: 128 | Replies: 2
Hey everyone, I got a part-time offer from an office that will pay for my malpractice insurance with the claims made policy, but Id have to buy a tail if/when I leave the office. I will have another two day position that I have to buy my own malpractice insurance. Im a resident finishing my GPR
June 04, 2024
Malpractice Insurance
Message Board
Views: 434 | Replies: 7
I want to start offering health insurance to my employees, but I'm not sure where to start. Is there any resource I should look into or specific person I should contact? Do you offer health insurance to your part time employees as well? Are you member of ADA? They can help with getting a group
July 22, 2024
Medical / Health Insurance
Message Board
Views: 132 | Replies: 3
Hi There, We do I begin to learn how to verify/ submit to medical insurance. Mostly for sleep apnea appliances, but also OS or perio? Any suggestions on where to start? TIA I don't have an answer, but make sure you get paid by the patient, and their insurance reimburses them. Dealing with medical
March 14, 2024
Medical / Health Insurance
Message Board
Views: 103 | Replies: 4
Hi,I had Gendex 8500 2D panoramic.It had calibration issue and than stopped working due to problem in rotation motor.I called the equipment repair mentioned not able to repair, parts are not available.Called the insurance for coverage.After visual inspection speaking to equipment repair guy
June 15, 2024
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 209 | Replies: 4
I recently stumbled upon a great insurance verification company I wanted to let you all know. I mainly use them for insurance breakdown of benefits and the cost has been really cheap per breakdown. Just a heads up and no subscriptions which is nice. I sent them my info here and they replied pretty
February 03, 2025
Practice Management & Administrative Forum
Message Board
Views: 55 | Replies: 0
never mind I have figured out the answer please delete moderator thanks!
November 18, 2024
PPOs and HMOs
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Page 37 of 817
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