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Message Board
Views: 390 | Replies: 5
Haven't really thought a lot about life insurance since I am still single and no kids, but a couple things have put it on my radar to at least ask these questions. First thing, I know its easier/cheaper to get the younger you are. Still young at 30, but will getting it now make a difference than
January 27, 2015
Personal Finance
Message Board
Views: 175 | Replies: 5
for one since one would max out his insurance, and billed out for the other the following year. He said that he was annoyed his new dentist wouldn't work with him, and so I said that it's insurance/billing fraud. The guy went on a likely beer-fueled rant about how the dentist offered it in the first
April 12, 2019
Patient Communication / Education
Message Board
Views: 246 | Replies: 6
I noticed the topic on a different board but it was not Pedo specific so figured I'd post here within our specialty. I was wondering if any of you have success currently with offering an in-house insurance plan? We are a PPO mostly practice (breakdown: 3/4 PPO, 1/4 FFS) but just trying to figure
November 16, 2015
Pediatric Dentistry
Message Board
Views: 118 | Replies: 2
I am in dire need of some help, guidance, direction, answers .... I have been in the dental field for 17 years and have prided myself on being able to get dental insurance to pay claims timely and efficiently. Sort of my claim to fame if you will! Well, with all the new changes I am lost
June 26, 2016
Medical / Health Insurance
Message Board
Views: 200 | Replies: 4
Hi everyone, I have a question regarding Clear Correct and dental insurance. I am the office manager at a general dentist office who just started using Clear Correct. I don't have any experience filing ortho up to this point so I have a couple questions. First of all, if we are in network
January 19, 2019
PPOs and HMOs
Message Board
Views: 175 | Replies: 0
I have been trudging through past posts to try to find this answer to no avail. If I have a new patient come in the office what is the best protocol for radiographs to maximize insurance coverage? We are currently taking a pano and FMX but we end up writing off one of them. Would insurance cover
April 06, 2015
Dental Insurance for Dentists
Message Board
Views: 308 | Replies: 3
My office manager attended the insurance coding seminar, and she was told that we have to charge the same amount of service for cash patient and insurance patient. For example, if we charge $800 for a crown for pure cash patient who doesn't have any dental insurance, we can't claim to big dental
February 24, 2015
Delta Dental
Message Board
Views: 1088 | Replies: 42
reviews. The insurance companies are finding ways to control everything, their goal. They will now have data on your practice habits, but also on how many people look at you, how many call to contact you from the site, how many of them make an appointment, and how many return to you. Additionally
October 14, 2017
Dental Insurance for Dentists
Message Board
Views: 257 | Replies: 2
Looking for a new malpractice insurance in california. sick of paying dues for ADA and CDA for TDIC. who does everyone non TDIC use? any advantages for CDA i am missing? besides them fighting off delta...which is huge. and i am hopeful. but i fear that delta may win out and my premiere practice is gone... so i guess 2 different questions... Dentist's...PPP by CNA
March 27, 2016
Malpractice Insurance
Message Board
Views: 104 | Replies: 0
So I provide health insurance to my employees through Humana to the tune of near $10K per month. Has anyone heard of deferred payments due to corona economic carnage?
March 22, 2020
Coronavirus (Covid-19)
Message Board
Views: 271 | Replies: 6
I would love to hear from some who worked in the years before dental insurance dominated the market or people who are FFS only practices as to how this situation plays out in their office. This situation happens at least once a day right now Pt comes in to office 2-5 years since last dental visit
September 29, 2014
Practice Management & Administrative Forum
Message Board
Views: 237 | Replies: 4
the six most influential factors related to insurance participation. Learn how to use this data to optimize PPO participation, design multiple strategies to maximize insurance reimbursement and allow your practice to know if they are in the correct PPO networks with a solid plan in place to grow
May 09, 2016
Dental Insurance for Dentists
Message Board
Views: 893 | Replies: 34
Recently we are having an issue with kids who have both medicaid and a private insurance. These are kids covered under medicaid for disabilities but they also have private insurance as their primary. The issue is if a kid comes in with dual-insurance (say Delta Dental and Masshealth
May 05, 2016
Pediatric Dentistry
Message Board
Views: 254 | Replies: 7
Going off of the thread about the number of front desk staff..... I'm also at a point where I'm debating hiring an additional front office team member vs outsourcing some of the tasks. JAROD -- What exactly is EDS that integrates with Open Dental? Who outsources their insurance verifications
September 28, 2020
Pediatric Dentistry
Message Board
Views: 124 | Replies: 1
With all new regulations being thrown at us, and many us us not knowing how to navigate through them, (be it ACA regulations or existing plans changing) How about a thread informing us of games insurance companies play? I am in network for some PPO'S out of network for others, but am finding
February 27, 2014
Dental Insurance for Dentists
Message Board
Views: 376 | Replies: 6
Are DEA licenses really required to get credentialed with insurance companies?? I just got an associate position, but they said I had to have one to get cred'd. I am really not trying to pay $750 when I probably wont prescribe anything with the license. It just seems silly. Thanks for your help
December 21, 2014
Practice Management & Administrative Forum
Message Board
Views: 88 | Replies: 3
Is everyone collecting insurance information on the patient's main health history sheet? The reason I ask - I am redoing my health history and patient information forms and my front desk wants a spot for primary insurance and secondary insurance. I hate having that on the first page for a couple
March 05, 2016
Practice Management & Administrative Forum
Message Board
Views: 438 | Replies: 10
I am looking for company who provide virtual trained front desk staff . I would like to outsource my insurance verification task. I contacted few companies who verify insurance but they do not contact patients if they have any problem with insurance , confirm appointment etc. I rather find someone
March 31, 2019
Dental Insurance for Dentists
Message Board
Views: 452 | Replies: 10
I am sure it is no surprise to anyone that the big insurance companies behave like crooks, but lately it has gotten worse. I wanted to know if anyone else is experiencing this and what do you do about it? Here is the short list of the major stuff lately: 1. Dental insurance is now a part
June 18, 2015
Claims Processing
Message Board
Views: 464 | Replies: 14
Hello, I wasn't sure where to post this but I figured insurance would be a good place. On Saturday, an emergency patient came in after having a simple extraction on Friday (from the same office but difference doctor). As many of you know, Saturdays are extremely busy days. The pt was informed
February 07, 2017
Claims Processing
Message Board
Views: 651 | Replies: 15
Anyone have ideas on how to teach staff about EOB's , entering insurance payments, adjustments and billing? I know how to them with my eyes closed and figure out the math easily but have a hard time explaining how I know the numbers have to add up. I have signed up for frontoffice
January 17, 2020
Front Office Discussion
Message Board
Views: 268 | Replies: 1
I am dropping one of my insurances, and am writting a letter to the current patients from that insurance, what do you all think of this? We are sorry to inform you that as of now we are no longer a preferred provider with Cigna. Unfortunately this had to happen due to the fact that Cigna has
October 14, 2016
PPOs and HMOs
Blog
Dentists’ incomes are being squeezed from two directions. Colin explains how to attract the patients you need to succeed in Patient Attraction Podcast 921. Call Us: 888.741.1413
November 10, 2016
by Colin Receveur
Message Board
Views: 223 | Replies: 6
? Doesthe 5 year frequency limitation apply if the new insurance (Aetna) has never paid? If he has new insurance and there is no history of a crown on that tooth then you're good to go for a new crown. But if there's ANY doubt and to be safe, you should send in a pre auth. Most insurances ask age
October 09, 2018
Dental Insurance for Dentists
Blog
Published on Dec 29, 2016 Insurance-driven dentists rarely retire comfortably. Colin explains how to attract more and higher-value dental patients in Patient Attraction Podcast 960. Call Us: 888.741.1413
January 04, 2017
by Colin Receveur
Message Board
Views: 104 | Replies: 2
Do any malpractice insurance carriers have separate policies or riders to attach to existing policies for coverage of HIPPA breaches? Iknow there has beensignificant discussion that complete HIPPA compliance is nearly impossible therefore it would seem to me thatwe shouldcarry insurance to cover
November 23, 2015
Malpractice Insurance
Message Board
Views: 219 | Replies: 5
this apply to an insurance that I am a provider for? It certainly won't effect the insurance payment, that's for sure. But, if I understand the question behind the question, are you asking (assuming a discounted PPO type of fee) if you can charge your full fee once insurance has been met? It is my
January 14, 2015
Claims Processing
Message Board
Views: 132 | Replies: 2
In order to submit insurance claims as a non-participating provider, do you need to register with an insurance company before submitting any claims? In order to receive assignment of benefits? No. Attach a W-9 if filing for the first time. Thanks
January 21, 2016
Practice Start-Up
Message Board
Views: 135 | Replies: 1
Does anyone have any guidelines to help us as we negotiate with assurant insurance....we are very new to this negotiations process and would appreciate any help in how these negotiations actually take place...thanks for any advice you can give us! mer I would do a search, there are many, many threads on this topic.
January 26, 2016
Dental Insurance for Dentists
Message Board
Views: 128 | Replies: 6
Happy New Year to all. My manager told me that insurance claims for all the works done in 2015 has to be submitted by 12/31/15, if not they will not pay or it will go over to 2016 and benefits will be deducted from 2016 allowance. Is that right? I think i heard someone saying we have 6 months
January 04, 2016
Claims Processing
Message Board
Views: 257 | Replies: 11
THAT HIS COUSIN ( a dentist) KNOWS IN MY AREA. He goes to the lab and has guy look at the bridge, lab guy says I can do it. Patient wants me to retake impression and send it to other lab. Is there a charge to the patient for a second impression? What about billing the insurance company? Before you
June 05, 2015
Practice Management & Administrative Forum
Message Board
Views: 125 | Replies: 0
Im starting the transition from Active Duty to civilian. I've gone through the initial ACAP counseling and searched through the e-benefits page but I did not come across any transitional disability insurance offered for veterans. I could be wrong, I am set up for my 5 days work shop at the end of July. I figured I'd toss the question to DT and find out what you guys did. Thanks in advance!
July 01, 2015
Military Dentistry
Message Board
Views: 617 | Replies: 13
from AAPD about the reason the code was added to CDT in 2913. One was successful.When we verify insurance we ask whether d2929 is coverd. Is it legally appropriate to downgrade to a RVSSC or strip crown? I've always wondered what the companies will recognize as legitimate/fraud in an audit. I do
April 07, 2015
Pediatric Dentistry
Message Board
Views: 91 | Replies: 2
Not submission of claims....payments. It would seem that there would be a way with one click to go to all of our insurance direct deposit sites, get the info and import it into the patient's ledge. Now, we have to go to Delta, then Aetna, then.....and so on. Is there a way? It sounds like you
April 20, 2016
Dentrix
Message Board
Views: 616 | Replies: 19
Has anyone heard about this? I am trying to be more tax efficient with my money. I have about $400K in a taxable account with Fidelity. I heard that the life insurance retirement plan acts kind of like a Roth... Yes, it's a great retirement plan for your insurance...Did you hear this from
February 25, 2018
Personal Finance
Message Board
Views: 491 | Replies: 13
Today is the 1st of the month and the schedule is falling apart. My FD said the insurance has termed for several of our patients. People with insurance often arrive with a different plan, but medicaid patients typically cancel the appointment once they realize the insurance has termed. We
October 18, 2019
Pediatric Dentistry
Message Board
Views: 218 | Replies: 2
Due to the recent nationwide changes, our group health insurance has informed us that they will no longer provide coverage for small groups or individual policies. So as of 12/31/14 there will be no health care coverage for myself nor my staff. I am looking into the best ideas for obtaining
July 24, 2014
Legal Issues
Message Board
Views: 2027 | Replies: 73
So we have a husband and wife who do not have insurance. Came in and both had treatment then have returned upset and demanding to speak to my staff members to negotiate what we charged. Basically they have researched and found out that contract ed rates with insurance are lower than no insurance
November 08, 2017
PPOs and HMOs
Message Board
Views: 309 | Replies: 6
Can someone with a better knowledge of insurance help us with this one. Our office is starting to place implants and a big concern is how much insurance will help. We know that virtually 99% of our patients don't have coverage for placement of implants, but let's say we place an implant at #30
September 06, 2014
Claims Processing
Message Board
Views: 104 | Replies: 2
We are having problems with new patients and insurance having very low usual and customary fees. We verify patients insurance and set up a coverage book. We will then downgrade 10-15% to estimate what their usual and customary fees are. The insurance will NOT give us those fees. Well, when we get
February 21, 2014
Practice Management & Administrative Forum
Message Board
Views: 151 | Replies: 0
Seeing as how insurance carriers don't like to pay for porcelain on crowns in the posterior regions, how have they been paying, or not paying for posterior zirconia...
January 20, 2015
Coding Q&A
Message Board
Views: 44 | Replies: 3
If a patients primary insurance paid the claim at 100% with a right off because you participate with the insurance, can you build a secondary insurance for the balance or the rest of your fee? Doesn't hurt to try(just stamp and envelope). Usually find that it is a no. Rarely they do pay up to 2nds
September 24, 2020
Claims Processing
Message Board
Views: 180 | Replies: 3
My practice uses dentalxchange for claims with open dental. Im looking for a company that can do a better breakdown of insurance coverage, dentakxchanges breakdown is sort of a weird difficult to read format. I spoke with extradent but its 18/ each for a full breakdown. anyone using a service
July 27, 2020
Practice Management & Administrative Forum
Message Board
Views: 237 | Replies: 2
Anyone in California have any dental liability insurances they are happy with and would recommend? I'm currently looking to switch out from TDIC Thanks ...bump Anyone recommend Dentist's Advantage, State Farm, or Fortress for dental professional liability insurance?
December 10, 2018
Dental Liability Insurance
Message Board
Views: 305 | Replies: 8
I started my practice in 2005. I originally signed on with five PPO plans that I thought would be beneficial based on employers in the area. Around 2009, I added the Connection Dental network as their fees were substantially higher than some of the PPO insurances I started with. I have eliminated
July 07, 2017
Ask a Dental Consultant
Message Board
Views: 181 | Replies: 3
Working on improving our systems of reviewing Insurance payments and following up when appropriate. From what I can gather, it's not common to start asking questions until 30days has passed. That makes sense, as I don't really want to pay staff to badger the Ins Cos, if nothing is going to come
January 25, 2015
Practice Management & Administrative Forum
Message Board
Views: 88 | Replies: 0
What is the medical insurance code for an intraoral biopsy of a lesion under 2 cm? Thanks.
February 10, 2015
Oral Pathology
Message Board
Views: 136 | Replies: 3
Just got a stop payment and bank fees on Assurant check. WTH! Anyone else have this problem? Just called them and they said they need to research and call me back in 1 hour, which did not happen.... Wow. The newest way to delay payment. Unbelievable.I had 3 checks from Dearborn National bounce last...
July 19, 2016
Dental Insurance for Dentists
Message Board
Views: 223 | Replies: 3
that route. Insurance is peace of mind. And costly if you never use it. Being younger, you don't think about being disabled. As you and your practice grow, so does you income and debt service. I reached a point in my late 40's where I really needed to increase my disability, but I had a few medical issues
August 16, 2019
Personal Finance
Message Board
Views: 603 | Replies: 19
To Delta of Illinois Providers, Check out the attachment. Received this Fax today. Dave We got that too Makes me cautiously optimistic! Will Good for you guys. Not to be grim, but is this a new thing or has it been ongoing? My mom worked at a hospital in Dubuque(IA/WI/IL border) in the...
December 08, 2017
Delta Dental
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