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Message Board (37850)
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Message Board
Views: 620 | Replies: 26
Hello All! I've been using OD for over 5 years and love it. We use Claim Connect/Dental Xchange for our electronic insurance billing and then also to send patient statements monthly. I recently had to let go of my biller and now I have to do the billing until I hire and trust someone to fill
February 24, 2020
Open Dental
Message Board
Views: 302 | Replies: 3
Is anyone out there using a health spending account or flex spending account as an employee benefit in place of a group plan under the ACA? If so, how has the cost compared to a group health insurance? Any specifics on how u set it up or how it is administrated? Continuing to research
March 23, 2015
Practice Management & Administrative Forum
Message Board
Views: 346 | Replies: 7
Patient comes in to have crown prep in October 2018, and does not schedule to have crown delivered. Crown comes in, we call the patient 3 times to let him know he needs to have this crown placed. Insurance pays the claim, without having a seat date, they paid on necessity. Patient goes to another
November 22, 2019
PPOs and HMOs
Message Board
Views: 58 | Replies: 0
I know, don't spit your coffee out from laughing so loud. I have heard that one insurance company may be giving dentists an advance on future claims. The way I see it how about them giving a monetary disbursement. They are still collecting premiums, and will not be paying claims. My sister in law
March 23, 2020
Personal Finance
Message Board
Views: 140 | Replies: 3
I am applying for an increased amount for life insurance. The last time I adjusted this was 10 years ago. The insurance company needs all of my medical records. I thought it was a simple process. I don't want Great Life to cancel or increase my rates based on medical conditions. Has anyone
March 12, 2014
Medical / Health Insurance
Message Board
Views: 265 | Replies: 2
Hi, I am doing a start up. Just wondering what your Liability insurance(as stated in the LOI: minimum of Two Million Dollars ($2,000,000.00) as a combined single limit for any and all claims.) andpersonal property insurance company is? Thank you so much. Don't forget umbrella insurance. If your
April 30, 2017
Practice Start-Up
Message Board
Views: 126 | Replies: 3
What are everyone's thoughts on critical illness (CI) insurance? Essentially its 65$ a month for a 300 000 payout in case I get a select list of serious illnesses (ie, life threatening cancer, stroke, heart attack, etc). I'm from Canada where we have universal health care - so the cash would just
August 30, 2017
Personal Finance
Message Board
Views: 66 | Replies: 3
Posted at 3 am - gotta love waking in a panic over insurance. Thank goodness for DentalTown! If you were going to start your practice again, which insurances would you accept in-network? I'm new to insurance for orthodontics. Which companies pay more to in-network providers (or simply pay nothing
October 28, 2020
Orthodontics
Blog
Don't fall short. Greater risk requires higher coverage. When you renew your practice's business insurance policy this year, we recommend you increase or extend your current coverage to include Employee Dishonesty and Cyber Security insurance. Employee Dishonestycoverage helps pay for losses caused
December 18, 2018
by Dentistry's Embezzlement Expert since 2004
Message Board
Views: 35 | Replies: 2
We have a need to generate a mailing/email list for all of our active patients on Delta Dental of MA. I'm assuming there's some way to do this but can't seem to figure it out. Is this a user query type thing? If it is how do I write that to get just the MA Delta patients and only the active ones? ...
February 23, 2017
Open Dental
Message Board
Views: 973 | Replies: 31
and work in the same town. Support the community, schools, Kiwanis, Chamber, etc. It is distressing that my friends, who are well-to-do, and live in the same town, will drop me like a hot potato if I don't participate in their insurance. And it doesn't even make sense. They will travel miles to go
February 27, 2014
Ask a Dental Consultant
Message Board
Views: 409 | Replies: 4
Is anyone else having the problems I am having? We had a patient in this summer that had her wisdom teeth removed. Dental insurance states that they need an EOB from the medical insurance. I have filed with the medical insurance multiple times and have gotten no response or anything. Can someone
October 27, 2015
Claims Processing
Message Board
Views: 427 | Replies: 6
Anyone of you guys billing through patients medical insurance for procedures like CBCT, pano, oral cancer screenings, bone graft, surgical stents, and etc......? If so how difficult is it and what are the reimbursements like? Yes we bill all that stuff. Some things are harder than others (more
July 25, 2015
Medical / Health Insurance
Message Board
Views: 450 | Replies: 6
I am thinking of outsourcing insurance verification. I used e-assist in the past. I have contacted Extradent and Medusind for some quotes as well. Who else do you recommend I should contact? I would love to know feedback of actual users. You can reach out to Dental VerifySupport at (912) 355-6100
March 31, 2019
Alternatives to Dental Insurance
Message Board
Views: 146 | Replies: 5
My FD comes in on our off day to take care of admin work. One of the things I want her to do is to call to verify detailed benefits for everyone scheduled for the upcoming week. Is there a report in OD that I can run to pull the patients scheduled for the next week organized by insurance company
March 21, 2016
Practice Management & Administrative Forum
Message Board
Views: 290 | Replies: 19
I was wondering what you all thought about second to die life insurance. My wife and I (39 and 42 years old) are evaluating whether or not to purchase a policy that would cost $1900 per month for 18 years. The benefit would be $4,000,000 tax free to our 3 sons(9,9,7 years old) after we both die
March 23, 2018
Life Insurance
Message Board
Views: 114 | Replies: 2
I'm very frustrated with how things have become in this industry. Can't talk to humans easily and the humans you can talk to are practically worthless(offshore or lazy). I've had some questions with a number of my contracted PPO insurance companies that only a representative for my area can answer
January 08, 2019
Claims Processing
Message Board
Views: 302 | Replies: 4
When you practice independent of insurance you practice dentistry on your terms. You decide what you think you are worth and the public either validates your worth by accepting your treatment, paying for it and returning or not. It is however essential to view insurance participation as a back
June 15, 2016
Practice Management & Administrative Forum
Message Board
Views: 88 | Replies: 0
Good morning, Every Big Doc, How are you? Is dental hygienist required to carry their own malpractice insurance in Wisconsin? Thanks tons. SIncerely, Rookie dentist
September 27, 2016
Ask a Dental Consultant
Message Board
Views: 142 | Replies: 0
What is the dual insurance rule? I billed $1040 to Metlife for a crown. The negotiated fee is $818 and the covered expense is $746 The patients primary paid $348. I wrote off $222. Then I billed the same to Delta Dental. Their negotiated fee is $887 and they paid $418.50. Which leaves
April 11, 2016
Delta Dental
Message Board
Views: 94 | Replies: 2
When buying an office, in addition to practice overhead insurance, personal disability insurance, liability insurance (malpractice and general liability), has anyone purchased practice note disability insurance that cover the office note? It is pretty expensive $5k/year and not sure if it's worth
May 11, 2018
Personal Finance
Message Board
Views: 218 | Replies: 2
Just wondering how does everyone enter checks into open dental without setting them complete?For example if you are waiting to cash the checks at the bank first.Any tips or... Wait, what? In most cases, regardless of software, once the claim is PAID it's complete. Depositing the check in the bank...
October 28, 2015
Front Office Discussion
Message Board
Views: 399 | Replies: 16
Hello, I'm sure everybody has had their fair share of insurance downgrades, such as crown downgraded from full porcelain to full metal, and composites downgraded to amalgam. We are a PPO office and work with a good amount of insurances. When the insurance downgrades, the patient will have
February 22, 2016
Ask a Dental Consultant
Message Board
Views: 296 | Replies: 10
I'm getting more and more kids who need GA who have private insurance (thank goodness!). My problem is the hospital makes the anesthesia/medical costs confusing for my staff and my patient's parents. The best estimates we've gotten are Tell them to plan on meeting their deductible and up
February 28, 2014
Pediatric Dentistry
Message Board
Views: 65 | Replies: 0
On Hold Times longer in 2016 Insurance verification nightmare Being placed on hold is just part of the day for those working claims in dental offices. The average wait time used to be ten to fifteen minutes which wasn’t good but my latest reports show that wait times have increased to two
January 13, 2016
Claims Processing
Message Board
Views: 524 | Replies: 24
New user to OD and a Start Up too. Its almost October and been thinking its time to start mailing and emailing those unused Insurance Benefits letters . Whats the easiest way to do it using OD . I plan to Mail them and also snail mail and email patients whose emails we have. Thanks On December
November 22, 2014
Open Dental
Message Board
Views: 110 | Replies: 0
March 23, 2018
Disability Insurance
Message Board
Views: 4364 | Replies: 284
their option are different. The question is also how to grow? What are the best options? What are the most reliable and least expensive options? Is this program better than...Are there any merits to the...I feel that what's better than insurance is your own In-Office Patient Loyalty plan. You can market
February 20, 2016
Claims Processing
Message Board
Views: 197 | Replies: 5
We saw a pt for routine hygiene visit and billed out Periodic Exam, Prophy, 4 BWs, and PAN. Her primary insurance is Metlife, which we are Out Of Network. They downgraded the PAN/BWs to an FMX, which left the pt with a $114 balance. We then sent the claim to her Secondary insurance, which is Delta
March 01, 2016
Claims Processing
Message Board
Views: 235 | Replies: 1
This may not be the best location on DT to post this, but this forum tends to have the most knowledgeable people, so I'm throwing it out these. <br/>One of the doctors I'm teaching asked me about insurance billing for large grafts. I can walk him through the procedures, but I don't know
February 09, 2015
Implantology
Message Board
Views: 24 | Replies: 1
involving a certain DSO, as well as a NJ case. Interestingly, it's the powerful insurance industry taking on these healthcare service management groups, and WINNING. Courts have decided the insurance industry is not required to pay a fraudulently incorporated healthcare service management company
March 08, 2018
Legal Issues
Message Board
Views: 53 | Replies: 1
Dentrix question for you guys. Is there a way to run a report that gives you a summary of the total number of patients with a particular insurance plan? I have tried running one under the insurance carrier report, but it spits out 100+ pages that you would have to manually count page by page. You
January 11, 2018
Dentrix
Message Board
Views: 282 | Replies: 8
My health insurance company just informed me that due to increased costs of medical expenses due to Obama your mama care, they are leaving the marketplace and I am needing a new insurance plan. Who is happy with their high deductible HSA eligible plan? Please share who you have. Thanks Except 28-35
March 15, 2019
Pediatric Dentistry
Message Board
Views: 389 | Replies: 7
I recently did a crown on a patient, and insurance paid nothing because he was over his maximum for the year. When my FD predetermined it, he had 2 insurances, but the newer one wouldn't pay for a crown until November. So he chose to wait until November until this insurance kicked in. Apparently
January 16, 2017
Claims Processing
Message Board
Views: 100 | Replies: 0
I got this e-mail today. The insurance company that I am most frustrated with is the one that sent the e-mail. Delta Dental of RI created Chewsi, a discount dental program and they are looking for dentists to sign up. I guess when you don't increase fees for 10 years and create new rules to restrict claims payout, then you have a few extra bucks to create some for profit businesses.
April 05, 2018
Just Plain Bitching and Moaning
Message Board
Views: 412 | Replies: 18
Be sure to flag your staff that we are seeing some insurance company notifications lowering fee schedules. Aetna specifically is one to be aware of in some markets. Some of the letters are providing some unusual parameters with strings attached and very short time frames for response and could
September 18, 2020
Practice Management & Administrative Forum
Message Board
Views: 65 | Replies: 0
I have been open from scratch about 2 plus years. I did a scratch start I am about 70 percent insurance. Half are insurance that I have heard negotiate fees. I am considering paying a company to negotiate fees. I have a couple of questions/ concerns. Does it work ? What percentage increase in fees
March 18, 2016
Dental Insurance for Dentists
Message Board
Views: 343 | Replies: 3
I came across a local dental office page who is offering a kind of preventative and discount insurance plan. http://varinosdental.com/office-info/varinos-dental-gold-plan/ It seem like a good idea. Does anyone have any experience or thoughts about it? Happy new year! Anurag Anyone?...In-house
January 02, 2014
Marketing
Message Board
Views: 166 | Replies: 3
Is there anything that we can do to rank higher on the online Insurance Provider Search (besides moving the office closer to whatever they consider the center of our zip code)? I am guessing that just like a search engine ranking, being further down on the list hurts your conversion. Thanks
June 16, 2014
Dental Insurance for Dentists
Message Board
Views: 649 | Replies: 17
Is it legal to schedule Medicaid and commercial insurance patients on seperate... Sure... doug Yes. Your office your schedule. Just wanted to make sure that it couldn't be considered...Technically, you are supposed to offer the same services in the same way as all of your other patients. I have
March 08, 2014
Pediatric Dentistry
Message Board
Views: 219 | Replies: 3
If a patient has primary and secondary insurance, and after submission of the primary EOB to secondary insurance, the total payment from both primary and secondary is higher than the primary contracted rate. How do you calculate your write off? From what I understand typically the write off
November 22, 2016
Claims Processing
Message Board
Views: 134 | Replies: 6
I was approached by the TDIC rep offering adisability policy through Their group with this company. Anyone aware of that? The wiered thing that there is no medical underwriting for up to 5k benefits.Why is that...Actuaries have this stuff pretty well nailed down. No insurance company is going to do
June 09, 2018
Disability Insurance
Message Board
Views: 270 | Replies: 2
Just got an offer of only an $80 difference (same company, just coverage amount )between $1Million/$3Million vs. $2Million/$4Milliion That is pretty cheap. Any opinions/comments, is the getting the higher amount (same company) for just $80 ? ( I posted this same topic on the Insurance forum
August 26, 2017
Legal Issues
Message Board
Views: 85 | Replies: 1
I'm still learning how insurance works with regards to Invisalign. I'm just now starting to offer this service and the paperwork is confusing. Do I need to submit a new claim each time Invisalign trays are given to a patient? Thanks. No you do not. The original claim date on the delivery
September 25, 2017
Practice Management & Administrative Forum
Message Board
Views: 800 | Replies: 23
do most practice offer insurance to staff members? what is the best way to do this to make it fair most staff dont care about insurance. all my staff has some form of insurance thought spouse. i have 1 staff who doesn’t have health insurance and asked me if i can offer it to her. So
February 10, 2015
Staff Management Issues
Message Board
Views: 13399 | Replies: 423
I've been going back and forth between going residency or buying/starting up an office and decided to ownership which I think will be best for the family. I'm starting to plan and look into buying or starting up an office which is Insurance free. My only fear is how hard is it to start up/ run
October 14, 2018
Patient Communication / Education
Message Board
Views: 1355 | Replies: 36
...this has always been a common strategy in lieu of providing a group health plan...as of 2014, generally, this is no longer allowed (based upon how most small business approach this) and subject to some stiff penalties...check with you CPA or health insurance professional for strategies in lieu
February 02, 2017
Taxes
Message Board
Views: 281 | Replies: 2
there's been much confusion about this and many questions....if you're unclear, chat with your CPA: Guidance on Payment of 2% S Corporation Shareholder's Individual Insurance Premiums: The IRS released guidance for S corporations that pay or reimburse 2% S corporation shareholders for premiums
August 14, 2015
Taxes
Blog
Are you dreaming of a white teeth Christmas? You will be after viewing our holly, jolly infographic! Merry Christmas and Happy Holidays all!
December 12, 2018
by DentInsStore
Message Board
Views: 498 | Replies: 14
I know insurance companies have been doing this for a while, but I'm really tired of not getting paid for my hard work. I have a direct contract with Cigna PPO. We have an agreement that they will reimburse me for posterior composites at the contracted rate. So why are they allowed to downgrade
December 06, 2016
Claims Processing
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