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Message Board
Views: 138 | Replies: 2
I am in the process of acquiring a dental practice and need help with business OH insurance and had an important question. Lets say that the overall expenses of the office was $50k (using an arbitrary number). Would I want a policy for that amount or a percentage of it? Thanks Generally something
November 13, 2024
Disability Insurance
Message Board
Views: 111 | Replies: 6
Hello colleagues In SoCal, (or elsewhere for that matter!) has anyone heard of Meritain PPO II dental insurance? anyone take it? anyone know what their fees are? Have not heard of that company before. Did they send you some information? So I am in NJ and one of the local unions uses Meritain. We
September 03, 2024
PPOs and HMOs
Message Board
Views: 77 | Replies: 0
Content removed
September 06, 2024
Medicaid and Welfare Issues
Message Board
Views: 103 | Replies: 2
I am thinking about dropping Cigna due to their lack of transparency and poor responses when you call them to inquire about patient eligibility and insurance verification. My front office team has had numerous interactions with the people that answer their phones, who have not been helpful
September 13, 2024
Claims Processing
Message Board
Views: 335 | Replies: 11
Within the last 48hrs I have had 2 patients call about me dropping their insurance company. They had received a letter from their insurance company (UHC) saying your doctor is cancelling your insurance, your prices will go up, here's a new dentist yada yada yada. That would be all well and good
September 26, 2024
PPOs and HMOs
Message Board
Views: 126 | Replies: 3
A question on associate malpractice insurance. I have an associate joining our practice and our office will be paying for their malpractice insurance. The question arose from my insurance carrier.... Will they be an employee dentist under your policy or will they have their own policy
March 13, 2025
Practice Management & Administrative Forum
Message Board
Views: 136 | Replies: 6
My office manager is requesting we get a pre op PA on date of service for every single filling. She said insurance companies are denying claims otherwise. Is everyone else finding this to be true? Are bwx not sufficient? Obviously, I know it is depended on insurance company/plan but just wanted
March 17, 2025
Claims Processing
Message Board
Views: 285 | Replies: 7
a company to negotiate the fees. Office Manager talked to Guardian yesterday (who we are in network with), and they made sure to tell my OM that the insurance companies all met together at their conference a few days ago, and they are really going to take back things from the umbrellas
March 05, 2025
Delta Dental
Message Board
Views: 72 | Replies: 1
Hello Friends, What reports do you pull while you are deciding to drop some insurance plans ? I have Open Dental. Thank you . Your goal is to figure out the demographics of your office and the revenue from each plan so you can get an estimate of how many pts you can lose and still be at the same
October 09, 2024
Ask a Dental Consultant
Blog
Hi townies, I am shopping around for a group health insurance for me, my partners and a number of employees my current plans' cost is getting out of control and will increase by 18% for next year Do you have any recommendation for an insurance broker that I can work with to explore my options? my current broker is not really helping with lowering the cost and I feel like there could be other options out there Thanks in advance!
October 07, 2024
by Dr Sara
Message Board
Views: 240 | Replies: 15
Hi, I have a couple of working interviews scheduled for this coming week, and they will pay me for the working interviews. Because if patients are using insurance, how will the offices bill patients/ use insurance to cover for treatments if I am working and providing services for that day? Also, I
October 15, 2024
Claims Processing
Message Board
Views: 241 | Replies: 10
I'm notice many with secondary insurances are having a large credit once the secondary pays. Some of this is due to the staff writing off the what the primary doesn't pay then not adjusting it when the secondary pays. However, I have one in front of me where the primary and secondary paid $400
October 12, 2024
Claims Processing
Message Board
Views: 682 | Replies: 12
Hi All, What is the cost with the ADA Disability insurance? Anyone willing to share their coverage and monthly premium? I am not a member but would consider if it saves the money... How much annual coverage is recommended? Thank you! Do you really need that much insurance? How old are you? I
October 21, 2024
American Dental Association
Message Board
Views: 138 | Replies: 2
Insurance Companies are happy to accept your premium for a disability policy. Does anyone have experience with filing a claim. I get the feeling its similar filing a claim with a home home warranty company. Can anyone share their experience whether positive or negative? Yes, I filed a claim
December 19, 2024
Disability Insurance
Message Board
Views: 91 | Replies: 3
complaints.Is this a red flag to add the seller or is this standard? Is a better option to add a time limit to him being added to the professional liability insurance? It is standard but it is supposed to be for name on door insurance, so if the seller gets named in a lawsuit because of something you did
May 01, 2025
Practice Acquisitions
Message Board
Views: 661 | Replies: 22
total. We called Sunlife and they had no record of it bouncing and no idea why. Has anyone gotten it resolved? I had a check from sunlife bounce for 38 dollars. Writing checks without the money to cover them is a crime. Contact the police. Don't play nice with insurance companies. Had a sun life
April 13, 2025
Claims Processing
Message Board
Views: 104 | Replies: 4
Just wondering in which States Delta Dental Insurance checks go straight to the patients, and in which States Delta Dental Insurance checks can go directly to the office ? I think it's all over the map. It may even depend on the employer or at least that is what DD will tell you. We stopped trying
September 03, 2025
Practice Management & Administrative Forum
Message Board
Views: 135 | Replies: 6
I have a patient that would like veneers on 7 and 10. I was trying to have her do 7-10 but she is not interested. My issue is that apparently her insurance will cover the veneers, but at half the price. Does anyone know a way to get around this? I was just going to tell her I could not do
October 01, 2025
Billing
Message Board
Views: 37 | Replies: 0
Hello, I am a new practice owner and in direct contract with several insurances and planning to go with the TPAs for the most part starting next year. Recently I received a re-credentialing due letter from one of the insurances. If I don't do the re-credentialing I'll still be able to come out of the direct contract and see the patients through TPA correct? Kindly help. Thank you!
October 14, 2025
PPOs and HMOs
Message Board
Views: 315 | Replies: 3
I just acquired a practice last month that is heavy PPO. I am looking at increasing my fees as well as looking into better insurance reimbursements as they appear very low. I contacted Unlock the PPO but they do not deal with transitions - therefore, does anyone have any other recommendations? Do I
June 30, 2025
PPOs and HMOs
Message Board
Views: 156 | Replies: 4
Hello, Has anyone had any experience with Insurance companies continuing to pay based on fee schedule even though the contract termination date has passed? Unicare (Wellpoint) has agreed that my participation terminated in a 30 day period as my contract stated, yet they are allowing the fee
July 20, 2025
Going Out of Network
Message Board
Views: 92 | Replies: 3
I have been a dentist in public health, interested in joining a private practice. They are offering to have me join there policy,but should I have my own malpractice/liability insurance? Anyone have advice on this? Hey Ram.... It would depend on cost and coverage of course. The good news
December 26, 2025
Associates Corner
Message Board
Views: 118 | Replies: 2
I sold my pediatric practice in September, and the transition is complete (I'm no longer going to the office). I'll keep my license active and I've considered doing some locum tenens work and possibly working with pedo residents in the future. Is liability insurance an "all or none" thing or do
December 20, 2025
Malpractice Insurance
Message Board
Views: 521 | Replies: 16
Thoughts about just throwing in a few extra implants in high risk patients, just in case one fails, you got others to fall back on? Free-hand to save money, also? Saves extra surgeries... I think it's reasonable. I also suggest doing custom abutments and then 3 bridges on each arch. It makes things...
January 13, 2026
Implantology
Message Board
Views: 46 | Replies: 0
Can someone point me to a thread or explain what is allowed for professional discounts in regard to writing off the patient's portion after insurance pays on a normal fee? Is a professional discount that does this allowed for employees? For employees' immediate family members? For extended family of the dentist? Do the rules change if I am in-network vs out-of-network? Thanks!!
January 22, 2026
PPOs and HMOs
Message Board
Views: 938 | Replies: 49
I am interviewing candidates to fill a lead dental assistant role in my practice. The previous owner was offering health insurance to employees. They were all on HMO policies. He was paying 100% of the premium for the policies. He was very generous. One of the candidates asked if I offered health
January 21, 2026
Practice Management & Administrative Forum
Message Board
Views: 71 | Replies: 1
We received a "loyalty check" at the end of the year from an insurance company that we had been contracting with for years. We terminated our contract with that company at the end of the year, but we haven't cashed the check yet. Is there any reason why we shouldn't cash that check? In other words
January 30, 2026
Front Office Discussion
Message Board
Views: 1169 | Replies: 37
irritate them sufficiently.. All hell can break loose.. Do not agitate a sleeping monster We have a similar situation with MetLife. We confirmed with insurance that pt. was active on date of service , got paid. Now MetLife wants us to return the payment. Found out that since pt. was let go , her
December 02, 2025
PPOs and HMOs
Message Board
Views: 611 | Replies: 11
So I have a army officer getting screwed by his government insurance... when we verified, they made no mention of needing a preauthorization for anything over 750. Long story short, we did a crown for a broken #19. Have fought for months over this and now they just pulled this out of their ass
December 08, 2025
Claims Processing
Message Board
Views: 485 | Replies: 23
that is similar in size and revenue to mine. I have approximately 1700 active patients and will gross close to 1.2M this year (FFS/OON.) I started to pick up the phone to call my insurance guy and then thought twice - I'm sure he'll be happy to up that premium for me, but do I really need that much
March 12, 2026
Dental Liability Insurance
Message Board
Views: 97 | Replies: 6
I recently bought an office and I'm embarrassed to say I really have no idea when it comes to everything insurance. Words like 'clearinghouse' go right over my head. I have a biller on my team who is competent and seems to really know her stuff. Could anyone kindly point me to a resource
April 12, 2026
Dental Insurance for Dentists
Message Board
Views: 45 | Replies: 3
The revenuewell insurance verification program stinks. For one, it wont give us any data on any out of state Delta plans ( we are in CA) . they often have mistakes as far as flouride being covered when its not. Can anyone recommend anything better Anyone have any recommendations? Thanks ! Check out Practice by Numbers. thanks Sandy, will do
April 20, 2026
Ideas To Make Your Practice Grow
Message Board
Views: 508 | Replies: 26
together. 1) set 50% across the board. why are you paying all???? that makes no sense 2) start trying to find ways to cut hours to get people to part time status and dropping their insurance 3) offer hmo or poor paying plans. We pay a fixed amount per employee. It's much easier to do and budget
May 05, 2026
Front Office Discussion
Message Board
Views: 397 | Replies: 17
I remember hearing that if, as a practice owner, you deduct disability insurance as a business expense, then you will owe taxes on the insurance money paid out if a claim is made. If you pay the premiums with after-tax income, then the disability insurance payout is untaxed. Is this true? Yes
May 19, 2026
Disability Insurance
Message Board
Views: 4380 | Replies: 119
the insurance or patients. Tough situation for everybody. very serious question here. If the board of dentistry in each state changes the dental law and closes loopholes, then it forces all the DSOs illegitimate to 'support' dental offices right? I'm sure some will be 'grandfathered' in but I
June 14, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 2366 | Replies: 75
(Insurance AR way up). We are getting pounded on by MetLife right now. Something very shady is going on with that company right now. Denying EVERYTHING, Do those who are not in network providers have this many denials or is this due to the fact that I agreed to a contract with them. I am preparing
March 19, 2015
Ideas To Make Your Practice Grow
Message Board
Views: 256615 | Replies: 26933
my good friend is my MD. he says many insurances are paying full for your visit if it is just coded as covid-related. no tests or anything needed, just code it as that. Of course not. Some of us have been consistently saying the political leaders are the one who dictate response. They are elected
December 04, 2020
Politics - DO NOT Enter if easily offended
Message Board
Views: 203 | Replies: 3
Hi,I am in the process of acquiring a dental office.I have life insurance through state farm, malpractice insurance through PSIC, and personal disability through guardian.I was told that I need to have commercial property insurance and overhead expense insurance in order for lending/financing
July 19, 2020
Alternatives to Dental Insurance
Message Board
Views: 1211 | Replies: 74
Replace medical with dental and we are reading the future: As Americans have begun shopping for health plans on the insurance exchanges, they are discovering that insurers are restricting their choice of doctors and hospitals in order to keep costs low, and that many of the plans exclude top
October 27, 2014
Dental Insurance for Dentists
Message Board
Views: 599 | Replies: 10
not their $$$. By contrast, w/ most dental insurance companies, payouts in benefits effects their bottom line financially. They watch every penny, and then some. In fact, many are very egregious in delays and denials for appropriate dental care for patients under contract terms. Michael W Davis, DDS Santa
November 10, 2017
Delta Dental
Message Board
Views: 23511 | Replies: 1506
with that, the exact same way Republicans , Fox and talk radio go hand in hand...what's new? Its not the media, listen to him and what his fellow republicans are saying...it's either denial non-denial like I didn't say THAT word or selective amnesia like they remember everything else but what Trump said
January 18, 2018
Politics - DO NOT Enter if easily offended
Message Board
Views: 3937 | Replies: 81
to another dentist and he said it looks OK?I'm wondering if anyone knows if these dentists are billing medical or dental insurance. Since I was trained by a Medicare auditor, I know the rules are very strict in regards to documentation and improper coding. All you really need to do to be safe is learn
August 11, 2014
Pediatric Dentistry
Message Board
Views: 190859 | Replies: 14558
. Hope I'm wrong, we will see. i'm going to pay close attention to market reaction of this denial. bitcoin bull markets typically shrug off bad news. so if theres no dump nov. 14th after this rejection, buckle up. The spot ETF will be great. It's imminent. This year or next, no rush really
November 11, 2021
Personal Finance
Message Board
Views: 341553 | Replies: 128046
the denial of it that's been sociopathic. The Trumpers have been sacrificing people to get him re-elected. They goose the economy..hoping that people will ignore the numbers...and the fact that 135K and counting are dead..and we lead the world in covid denial..with the Brazillian Trump being close
July 06, 2020
Politics - DO NOT Enter if easily offended
Message Board
Views: 934944 | Replies: 348121
for information. So I hope it survives. If it doesn't? Oh well. i bet thats the attitude elon has towards his customer base at twitter. a good reason not to own a company that is dependent on ad revenue.. election denial is a policy. abortion is a policy. slashing medicare/social security is a policy
November 14, 2022
Politics - DO NOT Enter if easily offended
Message Board
Views: 934944 | Replies: 348121
problem, the confounding, insanity the right has brought to the issue, is the constant, 20 year denial of the solid science that has said that fossil fuel burning is creating an atmosphere that is heating up the planet with all kinds of climate changes.all very well supported by science. But because
August 01, 2022
Politics - DO NOT Enter if easily offended
Message Board
Views: 204338 | Replies: 100240
in front of you for a vote to outlaw antisemitism and/or Holocaust denial...........which way are you voting? The gutless was singular before he dropped a y'all for the rest of it. It seems a bit much regardless of the target(s). dang, those last three comments stumped me Sal and Sunshine
February 18, 2025
Politics
Message Board
Views: 13958 | Replies: 230
people will have a beef with that) This is also why OON (not FFS -- see post #1) accept whatever low UCR fees the insurance company pays and consider the bill paid in full as long as there are is no co-insurance or deductibles. Some question the legality of that -- look for other threads on this where
October 04, 2021
Going Out of Network
Message Board
Views: 2408 | Replies: 104
with fee structure or, denials and down coding. Three is, consumer attitude toward dental care. Yes, some value good care, but with a shrinking middle class and disposable income, and the influence of how insurance controls consumer thought, dental care is largely commoditized. Despite what we
July 21, 2016
Delta Dental
Message Board
Views: 256615 | Replies: 26933
right now. Bodies are not going to pile up at morgues because of suicide. There's no example of that in the history of pandemics. Know who is really winning during this COVID-19 pandemic?? The damn Dental insurance industry. They get to collect all the premiums and dramatically reduce
March 17, 2020
Coronavirus (Covid-19)
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Page 38 of 817
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