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Message Board
Views: 808 | Replies: 31
outsource dental insurance billing for me? Thanks. Edit:Perhaps I should've clarified a few things because of questions: I cannot be grandfathered into Delta Premier. Seller is keeping transition private. Many sellers request credentialing happen after so as not to tip off the staff. Seller
October 23, 2021
Practice Acquisitions
Message Board
Views: 50 | Replies: 3
Strange question here. My front office manager resigned and she handled the insurance claims. She kept all the paper Summary of Claim information / Explanation of Benefits sheets. We have lots of papers going back several years from the insurance companies. My question is: 1. Do I need to save
September 22, 2021
Claims Processing
Message Board
Views: 82 | Replies: 0
, July 2021 LetterThink IPV Individual Patient Value.Run a report in your software to see how much of your Collections (bank deposit) Comes in from patients versus insurance and you will gain a lot of insight into where to take your practice. This is a great guide to help you on adding more insurance versus keeping what you have or considering dropping insurances and focusing more on membership plans.
September 13, 2021
Alternatives to Dental Insurance
Message Board
Views: 62 | Replies: 1
Hi guys, I want to start showing a short video about dental insurance to all new patients. When I worked at another office we used CAESY and they had a great video, but in my practice now we don't have a Patterson account. Is there another video company or a good youtube video you guys recommend
November 24, 2020
Patient Communication / Education
Message Board
Views: 280 | Replies: 4
Hi! I'm Lisa, Dr. Young's Office Manager, I am writing on his account: I am OON with a couple of insurance companies that still show his practice as In network when patients search their websites for Dentists. Does anyone have a form letter thatthey are willing to share with me that theysend
December 01, 2020
Going Out of Network
Message Board
Views: 5332 | Replies: 189
When a new patient calls and says, Do you take my insurance? Does that mean, are you in-network or does it mean will my insurance pay you some? I'm not really sure how to respond as I am out of network for all insurances. Does anyone have a good script to respond? You will probably get multiple
December 09, 2020
Going Out of Network
Message Board
Views: 23 | Replies: 0
Hello,I have a family with dual Delta and I was doing a pred for the kids recalls. Looks like the mom who was primary for the kids is inactive. When I look up the kids under the dad who is a secondary insurance it shows that the insurance is active through His delta. But when I go to do the pred under the dad it automatically puts the momin there and says are in active. Whats up with this?
January 18, 2021
All Things Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 132 | Replies: 3
How are you guys handling the dental insurance requirement for your kids, considering the fact that if you are your own child's dentist they will not pay... I'm giving my kids scalers and telling them to do it themselves. Just kidding i don't have kids Yes. How about that. smart guy
March 31, 2014
Dental Insurance for Dentists
Message Board
Views: 135 | Replies: 0
All's well, except - at least in CA - employees who purchase health coverage on the state's website, Covered CA, will have difficulty finding primary care providers who accept their new insurance plans. I don't see another option, however.
December 19, 2014
Dentistry In The News
Message Board
Views: 199 | Replies: 3
Hi, Townies when did your guy send the crown claim to insurance, after crown preparation or after crown delivery? thanks Ins. co. usually want the seat...thanks...Depends on the insurance... Some have seat date and some have prep date.
September 15, 2017
Claims Processing
Message Board
Views: 378 | Replies: 8
Hey all, Looking for some advice from the practice gurus or anyone with thoughts on proper front desk verbiage. I work at a small start up in North Carolina which is OON with all insurances but we file claims and take assignment of benefits. We set our fees in the UCR range so that the majority
May 19, 2017
Front Office Discussion
Message Board
Views: 349 | Replies: 10
and increase computerization Aetna paid $75 million in attorney fees during the second quarter of 2003. Additional note on Aetna: In October 2004, Aetna and Cigna both are included as defendants in a suit that alleges a scheme to fraudulently market, sell and administer insurance products through
July 02, 2014
Legal Issues
Message Board
Views: 208 | Replies: 6
I have this patient who has a pfm crown with broken porcelain. The crown was done by another dentist with a different insurance some years ago. Her insurance states: It covers replacement of crowns at least 5 years old and cannot be repaired. It does not cover replacement if crown had been lost
April 03, 2021
Claims Processing
Message Board
Views: 536 | Replies: 25
Many of us have encountered medicaid patients who do not reveal they have private Insurance. I understand that medicaid automatically becomes secondary if they have a private Insurance and I am suppose to bill private first. To safeguard myself I have put a form in NP paperwork where they certify
March 12, 2021
Pediatric Dentistry
Message Board
Views: 199 | Replies: 1
Hi, townies Do you know any dental insurance pay D1999 for PPE? thanks Just got this from Principal. I am sure more will follow suit.... I am happier if they dont cover !!!!!!!!!! I can then charge what I think is reasonable than be forced to take their handout. . Giving back to you as you
May 07, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 345 | Replies: 4
Has anyone offered health insurance through the option Costco offers? We currently offer an HSA high deductible health insurance plan that is being done away with and replaced with another plan that has even higher premiums/deductible and lower benefits at the end of this year. Just looking at what
November 18, 2020
Practice Management & Administrative Forum
Message Board
Views: 366 | Replies: 22
It seems more and more insurance companies are paying claims using virtual credit cards I am getting tired of the the credit card processing fees associated with these. What is everyone doing about this? Call and tell them you want to go back to paper checks, they will do that. I would also add
December 16, 2021
Claims Processing
Message Board
Views: 532 | Replies: 13
and consider that a lesson learnt. 5) go out of network 6) always collect the full cost and tell patient you will reimburse if you get paid After that tooth is prepped and old filling/decay removed I could see it needing just a dab of composite. So no would never expect an insurance company to pay
December 06, 2021
Restorative Dentistry
Message Board
Views: 109 | Replies: 5
We are in the process of signing up for a new 401k Plan through AB401k. After signing the documents, I was told we needed to have this Fidelity ERISA insurance to cover the plan assets. They gave me a name of a company they recommend but I thought I'd look around to compare. Anyone have any
December 02, 2021
Personal Finance
Message Board
Views: 2097 | Replies: 68
this insurance co., we'll just be sending patients to other offices. There must be a way to fight back. They want to decrease D1110 by $16! Has anyone else had this happen? We have received the same letter. The only service or product that we use that has decreased in cost is the insurance
November 29, 2021
Practice Management & Administrative Forum
Message Board
Views: 906 | Replies: 42
, it is considered extra income and you have an obligation to report. The only way to get around this is to pay the funds they received toward the treatment. Explain you hate to do this because it can really cause a fiasco with their returns. Also let them know you will need to inform the insurance
August 29, 2018
Claims Processing
Message Board
Views: 70 | Replies: 1
What was your experience? I have a $100k max aggregate with $5k deductible. (backstory- I have an employee that needs to go. I think she's definitely going to come after me when I let her go.) Bump
September 30, 2017
Legal Issues
Message Board
Views: 245 | Replies: 8
I just posted is in the Practice Management forum as I did not know which would be the better one to use... We file the insurance for our patients. We just had an insurance company call and ask to refund the payments they have made to us for a patient. They say e patient did not have insurance
January 30, 2014
Legal Issues
Message Board
Views: 128 | Replies: 2
Hi All, I received a mailer from the ADA regarding their supplemental health insurance plan..Medcash. Do you all have any thoughts regarding supplemental health insurance? I'm just looking for coverage for my family not my staff. Currently I'm 52 in good health. I'm on my wife's plan through her
August 18, 2015
Personal Finance
Message Board
Views: 152 | Replies: 1
From an office that works with Dentaquest insurance.: On our last payment cycle there were a lot of exams that were denied. To meet the new 2016 exam requirements the office has started charging out the D0603, Caries Risk Assessment. Today I called Dentaquest to dig into this a little bit
February 11, 2016
Claims Processing
Message Board
Views: 46 | Replies: 0
1) Are you including an LMN with all the claims? Or just the claim? 2) anyone have a successful LMN for gingival grafting of mucogingival defects? Could this be under bone grafting due to the thinning / loss of alveolar support?
December 04, 2018
Medical / Health Insurance
Message Board
Views: 250 | Replies: 2
I am researching real time insurance verification software to be bridged with Open Dental. Has anyone had any luck doing the same? Does anyone recommend a real time insurance verification software? I am not familiar with any insurance verification software but as a dental virtual assistant I would love to discuss your...Commenting only because on the iPhone app, the ads hide the second comment of any thread, if there are only two.
May 28, 2015
Ask a Dental Consultant
Message Board
Views: 563 | Replies: 6
Hello, I am interested in finding an insurance job for a dentist. Does anyone have a contact for doing remote work for insurance? Also open to any other ideas for jobs outside of practicing dentistry. I currently work for a school part time. Thank you. Background? Experience
April 06, 2018
Life After Dentistry
Message Board
Views: 155 | Replies: 3
My CFP (my brother in law) is getting me a new life insurance policy for more $ since my life has changed since getting it through another broker years ago. The question I was wondering is if I expired before my student loans are paid off, would my wife have to pay them? The loans were issued well
September 13, 2017
Personal Finance
Message Board
Views: 1060 | Replies: 23
Need some advice ASAP please Patient came in late 2012 got some fillings in 3 different dates.Paid for all 3 visit. I am not contracted with the involved insurance company ( NOT in Network) Got a letter asking for a refund above 1K to refund them Since the contract was cancelled retroactive
July 14, 2015
Legal Issues
Blog
Transition Issues Related to Dental Insurance We often get questions regarding the transfer of ownership and complications with dental insurance networks. Here are some answers to the most common questions asked by clients: Is the buyer able to bill under the seller’s information
November 04, 2016
by Dental Insurance Credentialing
Message Board
Views: 729 | Replies: 6
Has anyone gotten any sound guidance from their accountants or HR company regarding what to do with staff if we are recommended to shut down for 2-3 weeks or more by our state? Should staff be laid off (furloughed) and apply for state unemployment insurance? If the dentist is set up as an employee
March 25, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 233 | Replies: 4
I have been dealing with insurance EOB's for a little bit. There are a few questions I have regarding when we have to honor the write-off they put on EOB's and other things. I was wondering if anyone knew of a good online CE course that I could review and share with my team that breaks down
April 22, 2020
PPOs and HMOs
Message Board
Views: 156 | Replies: 2
Can anyone tell me how to determine the number of active patients in each Insurance within the practice? Also, how to determine total number of active patients?Thanks in advance. As far as I know the insurance plan part you can only run the report for head of household, so it will give you
September 08, 2014
Curve Hero
Message Board
Views: 30 | Replies: 0
Hi All, I received an email solicitation of this company and wanted to see if any one has used them with good results. I had some questions for them, but could not find a phone number and the online chat would not provide one ( not a great first impression). I have used breakaway services in...
March 25, 2019
PPOs and HMOs
Message Board
Views: 94 | Replies: 1
once i increased the amount on my disability, i'm planning to getting one. if i were to offer it to my staff, how mush does it run usually? for an office 4-6 what should I expect? any tips, suggestions, and comments?? thanks What can you afford per staff?....that's the...
April 19, 2018
Practice Management & Administrative Forum
Message Board
Views: 194 | Replies: 3
Do you guys know of any company that does this for a start up practice? Like what percentage of population has certain insurance and etc so I can target right population. thank you in advance! Have you tried contacting Unlock the PPO? There is also another company called PPO Profits, I believe
May 14, 2019
Pediatric Dentistry
Message Board
Views: 69 | Replies: 0
Enjoy this guest post from Big Buzz's longtime friend Dr. David Bennett... These are questions that we as independent practice owners ask ourselves and need to answer for ourselves: If I drop a particular insurance plan, will I increase my profits? Whats the best way to evaluate an insurance plan
October 29, 2020
Ideas To Make Your Practice Grow
Blog
When people reach retirement, they often lose eligibility for their benefits package from their employer. Oftentimes early retirees think that, like health insurance, personal dental insurance costs will be high when they are faced with buying their own coverage. There are many affordable
July 21, 2016
by dentalinsuranceshop
Message Board
Views: 529 | Replies: 21
, and I'm not convinced that a fees for service model is viable for a younger generation doctor. I have given it my all each and every day, but I just can't stand those days where I have 0 patients in my schedule. The thought has crossed my mind to start to accept some types of insurance as a way
December 18, 2019
Practice Management & Administrative Forum
Message Board
Views: 311 | Replies: 11
calls and tells my front desk that him and his wife are divorcing and that she is no longer on the dental plan. Then, wife calls in yesterday wanting to schedule an ASAP appointment to complete procedures on the treatment plan. Front desk checks with the insurance plan and wife is still listed
May 20, 2014
Front Office Discussion
Dentaltown News
Salt Lake City, UT — December 17, 2014 — In years past, dental offices have either eaten the steep rate increases associated with their group health insurance plan, passed them along to employees, or canceled health insurance altogether. Rick Lindquist says this last
December 17, 2014
Message Board
Views: 93 | Replies: 1
. What insurance would I need for new piece of property? Basic liability and property? Should I keep the property coverage separate from dental building? Or do commercial RE investment companies just hold 1 policy to cover all properties? Thanks for any insight. Speak with your insurance agent that handles the insurance for your office. He should be able to tell you the best way to go.
October 09, 2019
Real Estate Investment
Message Board
Views: 240 | Replies: 4
What's your thoughts? No debt for me. 47 years old. Why pay the premiums? In case of cancer or such? The only reason to have life insurance is in case of your untimely death there will be enough to provide for those left behind to take care of them. If at 47 you have no debt and you have
April 12, 2015
Life Insurance
Message Board
Views: 346 | Replies: 8
We offer health benefits to our employees but it is beginning to be too expensive for our practice. I remember a few months ago there was a post regarding an alternative. What else is there other than offering medical insurance at full or subsidized price to our employees? Is there an option where
April 02, 2017
Medical / Health Insurance
Blog
Christine Taxin is founder and president of Links2Success, who delivers PACE continuing education seminars for dental and medical professionals and serves as an adjunct professor at the New York University (NYU) Dental School, taught at Harvard and many other institutions across the country....
July 09, 2019
by Jordon Comstock
Message Board
Views: 395 | Replies: 1
Crossover medical/dental insurance billing The need for dental office staff to become proficient in medical billing continues to increase as the push to bill medical insurance for many services is driven by insurance company policy provisions. Here are some resources to help your practice
November 13, 2019
Claims Processing
Message Board
Views: 501 | Replies: 14
For those of you who are using Comprehensive Finance, are you using their Insurance as their down payment, or are you making them come up with the 20% cash/cc? We've been using CF for about 6 months now, and have done more dentistry and helped more people because of it. But today we got burned
April 15, 2015
Patient Finance Plans
Message Board
Views: 401 | Replies: 3
A few questions, 1. Since you are still seeing patients who have insurance, isit correct to assume the primary benefit (apart from not being tied to a contract) is getting OON fees, which are much higher? 2. How do you determine what the reimbursementwill be? 2. Besides Delta
September 17, 2017
PPOs and HMOs
Message Board
Views: 168 | Replies: 2
We take lots of CBCTs but rarely charge for them. Usually it's part of the implant case, so I just roll it into the fee. Sometimes it's part of the consult. Sometimes I just want to see how the implant looks B-L. Do any insurance companies actually cover CBCTs? If not, can we then send for Panos
June 20, 2019
Claims Processing
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