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Message Board
Views: 551 | Replies: 22
Get everyone you know to sign this. http://cqrcengage.com/agd/app/write-a-letter?0&engagementId=76327 I'm tired of all of these insurance companies. It's annoying running to the bank to deposit their checks. Someone stop them... Aren't you tired of trolling? I totally fell for this. DAMN
March 10, 2015
Delta Dental
Blog
As a dentist who has successfully negotiated with insurance carriers I feel obligated to share my success stories with my colleagues, especially those who are struggling to make ends meet as a result of the low insurance reimbursements that insurance carriers are forcing you to take. In my opinion
May 21, 2013
by drdeloach64
Message Board
Views: 160 | Replies: 0
Anyone billing medical insurance for botox and dermafil with success? Just curious
January 24, 2014
Botox & Dermal Fillers
Message Board
Views: 121 | Replies: 2
Hello, Hopefullyother dentists that are currently offering Invisalign can answer this question I recently started offering Invisalign. I'm getting mixed up on the paperwork. Is Invisalign treated differently from regular orthodontics when filing procedure codes? And what is the best code to use...
September 21, 2017
Practice Management & Administrative Forum
Message Board
Views: 159 | Replies: 1
are a positive solution to a huge problem. According to Dr. Eskew there are 23 states with defined DPC laws that recognizes that a membership program does not fall under insurance regulation. Direct Primary Care is a game changer for dental practices and allows practitioners to set up membership programs. You
February 14, 2018
Alternatives to Dental Insurance
Message Board
Views: 83 | Replies: 0
June 01, 2018
Alternatives to Dental Insurance
Message Board
Views: 536 | Replies: 13
Do any of you have advice as to how to better evaluate a fee for service practice vs. an insurance driven practice in terms of purchase value to a buyer? (Assuming one prefers fee for service practice, i.e. is open to buying an insurance driven practice with hopes of converting to fee
August 01, 2015
Personal Finance
Message Board
Views: 1559 | Replies: 53
In Seattle, we are a Delta dominated market. All our big employers, probably close to a million people are covered by Delta, who closely set fee schedules. As a result, with no fee raises for years by Delta, my cash fees have risen well above my Delta insurance fees. Cash patients are starting
March 19, 2018
Patient Communication / Education
Message Board
Views: 114 | Replies: 2
Hi everyone! I've been very lucky to be in a great private practice in Southern California for more than 8 years. The practice started in 2001, and my owner dentists have never needed to sign up with insurance since they have a pretty regular flow of patients that come through referrals. However
February 23, 2017
Associates Corner
Message Board
Views: 131 | Replies: 1
I am starting ortho residency this summer and have been working as a general dentist for around 1.5 years. I currently have a claims made malpractice insurance. I am planning to not renew my malpractice later this year. However, would I have to buy tail coverage? If so, how long would that extend
May 02, 2019
Malpractice Insurance
Message Board
Views: 284 | Replies: 8
I performed two frenectomies on a newborn, having been told their was no dental insurance. Mom paid in full. The following week for the follow-up, she presents her Delta card. He is on the plan, but the kicker is that Delta will pay for one frenectomy per day. When we know that ahead of time, we do
October 12, 2017
Delta Dental
Message Board
Views: 250 | Replies: 5
I have been seeing discussion about health insurances refusing to cover medical expenses for Covid patients who refuse the vaccine. 97% of hospitalized Covid cases are unvaccinated. Insurance companies are not going to want to cover the high costs of medical care involved for patients who choose
August 11, 2021
All Things Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 31 | Replies: 0
Starting to strongly consider dropping delta. Which reports are the most accurate in dentrix to tell me the Delta collections? Also, which report would be best to show the amount of appointments delta take up compared to total appointments? TIA
October 26, 2021
Dental Insurance for Dentists
Message Board
Views: 95 | Replies: 0
Happy Holloween!
October 29, 2021
Cosmetic Dentistry
Message Board
Views: 409 | Replies: 11
like title says, I'm done dealing with this BS, insurance companies reducing fees, denying cases, stalling and giving run around. It is really exhausting dealing and keeping up with this. I've noticed it is even worse towards the end of the year. I'm sure many share same experience with dental
November 05, 2021
Alternatives to Dental Insurance
Message Board
Views: 5332 | Replies: 189
a check that bounces and then blaming the dentist for not knowing it. OK, so insurance wont send your pt stating they could have gotten it cheaper at an in-network office? Also, are all insurance cos paying you more as an OON provider? But beside that, there are several ways your pts will find out
December 22, 2020
Going Out of Network
Message Board
Views: 5332 | Replies: 189
Do you take my insurance - a real life example. ================================================================== Step 1. Patient sends an online inquiry: Online Contact Request Name: MxxxxxxxxEmail: Phone: xxxxxxxxxxxx Subject: Insurance Remarks: Hello can you tell me if you're in network
January 04, 2021
Going Out of Network
Message Board
Views: 944 | Replies: 22
Is it important to have a malpractice insurance policy through a company who only does malpractice? Here is why I'm asking the question: This past weekend, I had a patient write a negative Google review and email my office threatening legal action. We did nothing wrong and I believe
November 28, 2020
Dental Liability Insurance
Message Board
Views: 2637 | Replies: 81
Anyone care to share what their monthly disability insurance premium costs, and what monthly disability benefit you would receive for paying it? I'm curious to know how my policy compares with others. Feel free to share any more information that you'd like on top of that. Anyone? I pay around
January 18, 2021
Disability Insurance
Message Board
Views: 63 | Replies: 3
Sometimes the patient doesn't want to take xrays, and I don't want to put up a fight... how old is too old of an xray to submit to insurance? Thanks! They Ill have a bigger fit if insurance wont cover it and they have to pay out of pocket. Im kind to patients but dont put up with that anymore
January 20, 2021
PPOs and HMOs
Message Board
Views: 255 | Replies: 1
Our office is fairly new to Dentrix and we're spending a lot of time entering the insurance plan breakdowns into the system...with calling or going online to get the benefit breakdown to entering into the computer. We know of Trojan with insurance benefits....but not much about eCentral Insurance
June 13, 2014
Dentrix
Message Board
Views: 163 | Replies: 4
Today we received a letter from Assurant Insurance and instead of them sending us a check payment, they sent us a Virtual Credit card payment (which is just the credit card number). The patient has an insurance payment plan and the problem is that we cannot create an insurance payment using
November 10, 2015
Open Dental
Message Board
Views: 243 | Replies: 5
I have several patients with AARP dental insurance administered by Delta Dental. They usually come for annual cleaning and dont want to get anything else done. Most of them are retirees and they have no interest in getting any other tx done. How can I opt-out of this insurance without terminating
February 08, 2021
PPOs and HMOs
Message Board
Views: 172 | Replies: 4
Do i return them or do i deposit... Depends on the agreement. Was the account receivable included... Yes. It was included. It was included, as in you have already paid the seller for the accounts receivable? Then, of course you would deposit. Seems like too easy an answer, though. I'm worried I'm...
October 25, 2016
Practice Acquisitions
Message Board
Views: 114 | Replies: 5
the BC law society governance review. A petition was started: Tonite is the 'Big Excuse'...i mean 'townhall meeting': The ADA&C Professional Liability Insurance Program Town Hall is Tonight at 8:00 PM Join the ADA&C Executive Committee for the PLIP Town Hall webinar tonight, December 21, 2021
December 27, 2021
Ethical Issues
Message Board
Views: 304 | Replies: 8
I have a patient that wants to delay seating a crown until Jan 2022 because they will then have dental insurance and want it to cover a crown that was prepped in Dec when pt had no insurance. Is this allowed? Is just does not seem right. Any advice? No insurance doesnt cover past procedures.For
December 22, 2021
Claims Processing
Message Board
Views: 138 | Replies: 3
believe you are correct, it goes to the secondary. I know it's annoying but that money is not ours to keep in these situations, it does need to be refunded to the ins co. This also happens when there is no coordination of benefits and both insurances pay regardless of the other. If you dont refund
January 05, 2022
Dental Insurance for Dentists
Message Board
Views: 2642 | Replies: 67
. Fair enough. But it's pretty damn tough to set a different course when all you can see hanging over you is a $3000 a month school loan payment for the next 20 years. I know I'm being repetitive but that is possibly the #1 thing that has changed dentistry, in my opinion. DSO's, corps and big insurance
November 14, 2018
PPOs and HMOs
Podcast
Episode 105: The Day Insurance Billing Changed A L It's amazing how less than $3,000 a year could change a life. On this episode, Dr. Roy Shelburne shares the true story of how his world was turned upside down with a single phone call, all because of insurance. Dr. Shelburne now spends his
September 28, 2018
by Ryan Vet of The Dental Podcast
Message Board
Views: 4269 | Replies: 242
October 1 is start date for open enrollment for this abortion of a law and I'm seeing little concern from many dentists. From my reading of the law, there is very little incentive for large companies to continue to provide adult dental insurance . Even unions may be forced to discontinue dental
September 23, 2013
Politics - DO NOT Enter if easily offended
Message Board
Views: 124 | Replies: 1
Greetings, I was just wondering what the general consensus is on Dental Coding and Billing versus a contracted insurance company's interpretation of CDT. Who wins when you have coded the case correctly but the insurance company says that it was billed incorrectly (because it's a Non Covered
November 18, 2014
Anesthesiology
Message Board
Views: 225 | Replies: 2
I'm new to insurance and wanted to know if my front staff is billing correctly. We are in-network with a ppo insurance and a patient's insurance doesn't cover the procedure. For example, bone graft or an implant. Are you required to still send a claim to insurance and have them deny coverage
November 06, 2017
Claims Processing
Message Board
Views: 730 | Replies: 3
I'm in the process of purchasing a practice (yay!), and am trying to figure out the business insurance situation. I obviously want to have a safe amount of coverage, but I don't want to pay for ridiculous amounts of coverage that I'll never need. So how much insurance do I need, how much should I
December 29, 2015
Practice Management & Administrative Forum
Message Board
Views: 36 | Replies: 0
How is this billed? For Medicare to pay I've been told they do not pay for HBO therapy for prophylaxis for radiosteonecrosis of the jaw. There is a list for covered conditions for HBO therapy that medicare will pay, such as acute carbon monoxide intoxication, decompression illness, gas embolism, etc. Does insurance pay? Thanks.
January 11, 2019
Oral & Maxillofacial Surgery
Message Board
Views: 95 | Replies: 5
When I submit BWs and pano insurances downgrade and change the codes to just FMX. Delta also changes D0150s to D0145s.How do I input payment for those claims in Open Dental accurately? The codes are different but I can't change the claim. What does everyone else do? Your system should be tracking
August 26, 2019
PPOs and HMOs
Message Board
Views: 119 | Replies: 1
Curious if others have caught on. I participate in-network with Metlife. I have a pt who I've been treating and I can't understand why I'm getting such lousy reimbursement even below Metlife's UCR rates. I call the insurance company and find out the story...Metlife bought out Brown & Brown
February 17, 2016
Dental Insurance for Dentists
Message Board
Views: 149 | Replies: 1
is why I would like to go back and spend some time with family, work for a couple of months, then head down to California for a couple of years and take it from there. If anyone has any information on disability and malpractice insurance that is valid in both Canada and USA please let me know. If you
February 14, 2014
Canada
Message Board
Views: 82 | Replies: 2
I did some work on a kid a day after their Delta insurance has been terminated. I was not aware of it since we verified his coverage a couple days prior to the appointment (lesson learned!). The parent did not say anything either about insurance being terminated on the date of service. When billing
February 21, 2017
Delta Dental
Message Board
Views: 221 | Replies: 4
I am a new owner and my selling dentist prints and snail mails all of his insurance claims. What is the best way/company to use to send my claims electronically. We use Dentrix practice management software. Thanks! Use an electronic clearing house program like Renaissance. Link it directly
November 26, 2018
Claims Processing
Message Board
Views: 208 | Replies: 3
I am a pedo. I don't fully understand the ACA.... can we waive dental insurance? is there a penalty? If you have a plan through the ACA exchanges they have Essential Health Benefits including preventive dentistry (exams/cleanings). Unfortunately a parent cannot bill the insurance company for work
November 25, 2016
Pediatric Dentistry
Message Board
Views: 198 | Replies: 3
else, possibly long term care insurance to protect your assets from being consumed as opposed to protecting very limited future earnings. Feel free to contact me if you would like to discuss. I have helped other dentists in this area for years. Regards, Ivan M. Kirshner, DDS
February 08, 2016
Disability Insurance
Message Board
Views: 171 | Replies: 2
Has anyone ever had an insurance claim for a crown denied after there was benefit paid on a core build up claim? The core build up was done on 9/9/16, insurance check was received on 9/20/16, crown prep completed on 9/26/16, crown seat on 10/11/16. 99% of the time, we send in pre-authorizations
November 28, 2016
Claims Processing
Message Board
Views: 219 | Replies: 3
Just curious how others do this. Do you negotiate fees yourself or hire a company to do it on your behalf? If you hire a company which ones have you worked with? Please share your experience as this is new territory for me! Thanks Also inquiring.... anyone have help for this? I recently have seen...
June 05, 2018
PPOs and HMOs
Message Board
Views: 123 | Replies: 2
how do I do this?..both my wife and I have separate individual policies, not through any employment. I believe health expenses can be deducted, but only the amount above 10% of your gross income Total the payments and put the figure on the health credit line item on your 1040. If you have an...
December 08, 2015
Medical / Health Insurance
Podcast
October 4th and 5th, 2018 will be the start of the industries biggest insurance conference. The Dental Insurance Extravaganza in Las Vegas. Please visitto learn more. There will be a line up of dental professionals who understand dental insurance who will speak on a number of topics surrounding dental insurance. We hope to see you there! To contact our hosts please email. 89
May 03, 2019
by Jordon Comstock
Message Board
Views: 324 | Replies: 3
associates to bend their backs. Pull up Indeed and punch in Insurance Dental Consultants. There are tons that are looking for Licensed Dentists. Many remote so you dont have to relocate if you dont want!
September 10, 2020
Ask a Dental Consultant
Message Board
Views: 150 | Replies: 4
I was recently talking to a oral surgeon with practices in Albany and NYC who said that their practice in albany gets ~65% of the ucr vs. 35% of their ucr in NYC. It makes sense in that there is more supply of surgeons in NYC willing to do the same procedures for less money so the insurance
March 25, 2016
Claims Processing
Message Board
Views: 727 | Replies: 18
. Recredentialing requests are now common - every 3 years or so the insurance companies will ask for recredentialing from the doctor if you are a participating provider. This is not tied to fee schedule increases or negotiations, it's a request for information to keep your current contract in good standing
July 24, 2015
June 2014
Message Board
Views: 5023 | Replies: 260
I have Blue cross blue shield PPO insurance. I dont think its even a good one. Maybe a bronze level health insurwnce and im still paying $400/month. Its starting to really bug me out. For those of you who have private insurance and not from your wofes job or from your employer, much are you guys
November 03, 2020
Medical / Health Insurance
Message Board
Views: 2432 | Replies: 63
Hello everyone.I'm looking for a third-party service to outsource my insurance verification to. I spoke to Breakaway and got a quote from them. They require a monthly $160 connectivity fee that has to be paid even if they don't connect to my PMS. Since my volume will not be that high, this does
November 17, 2018
Front Office Discussion
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