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Searching: insurance denials
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Page 70 of 817
Message Board
Views: 302 | Replies: 2
, you are giving them credit. Insurance estimates are not payment until paid. In order to extend credit safely collect key identifiers including their social security number, date of birth, and driver’s license number. Other information includes their contact information (home and work
August 15, 2016
Front Office Discussion
December 21, 2018
by IsaiahDouglass
Message Board
Views: 88 | Replies: 3
Trying to analyze my PPO contracts. I have compared the most utilized codes to the PPO fee schedules but now I would like to see what is the volume that I produce with each code by each insurance company. anyone know what kind of report I use to give me this info? thank u If you have your fee
November 30, 2015
Practice Management & Administrative Forum
Podcast
How to Setup an IN-OFFICE INSURANCE PLAN…the easy way How do you avoid INSURANCE FEEs and PPOs in your practice…WHILE getting patients the right care…even without dental benefits? Dentists across
December 13, 2016
by OpenADentalOffice
Message Board
Views: 94 | Replies: 1
Today I ran a report and we curently have 623 'insurance carriers' in dentix. Many are named delta dental as you'd expect, but with a variety of group numbers and payor IDs etc. I know many of these are duplicates. We have a bunch of patients that work at the local school district and they all have
April 24, 2015
Dental Insurance for Dentists
Message Board
Views: 613 | Replies: 8
I know some PM software may have that ability, verification has been difficult lately, does OD have the ability to do a live feed on insurance info / to verify accurate insurance coverage? Yes- Open Dental has a number of different options for those of you who are wanting to utilize . We don't
May 20, 2016
Open Dental
Message Board
Views: 332 | Replies: 8
Where is the voice of the profession? Nowhere to be found. The profession has no narrative to protect patients in any way, not even providing advice on how to avoid being abused...But, the insurance industry sure does
August 22, 2014
Restorative Dentistry
Message Board
Views: 237 | Replies: 6
So, what should the doctor do when insurance turns down approval for treatment for in network providers? My example is, S/RP refused due to does not meet the criteria for recommended treatment. I don't agree, patient has subgingival pockets, moderate calculus. The insurance company says
November 24, 2016
Claims Processing
Message Board
Views: 903 | Replies: 23
because insurance will only cover them every 2 years. We have a GM plant nearby, that has recently changed coverage from once a year to once every two years. There is this attitude of if insurance doesn't cover x-rays, then I don't need them or want them. My hygienists and staff are trying to educate
January 28, 2015
Digital Radiography
Message Board
Views: 99 | Replies: 1
Someone does something about it. Daly City Dentist Accused Of Arms Trafficking In Scandal Involving Leland Yee March 29, 2014 12:20 AM Offices of Dr. Wilson Lim, a Daly City dentist. (CBS) Related Tags: Andria Borba Andria Borba joined KPIX 5 in October 2013. Born...
March 29, 2014
In the News
Message Board
Views: 465 | Replies: 7
to haggle with these companies. Is there a company that will haggle with the insurances on her behalf? I have heard of a company out in Colorado that does this, but the reviews were negative (they got paid a pretty penny but could not negotiate higher fees). We're talking MetLife (crap), Dentamax
January 08, 2016
Dental Insurance for Dentists
Message Board
Views: 886 | Replies: 16
Typical case pt has generalized 4-7mm pockets in the posterior. hygiene diagnosed and treated with 4 quads SRP. Insurance Co denied claim because after review by their consultant there is no sign of attachment loss on the radiographs and hence the scaling is not a covered procedure (or a similar
May 17, 2017
Claims Processing
Message Board
Views: 303 | Replies: 3
I have started my start up GP office about an hour ago. Now I’m ready to brining in an oral surgeon about once a month to do surgical cases. But trying to figure out how I would proceed with insurance claims. He will be on a 50% of collection. So by browsing through dentaltown, I&rsquo
November 02, 2015
Claims Processing
Message Board
Views: 92 | Replies: 0
The commonality of most of the dentists we speak to is that they either have their 401k plan with Paychex or ADP, a decision that was made primarily due to the convenience of integration with payroll, or an insurance company, sold via a broker. (With John Hancock, ugh, the most common insurance
December 07, 2016
Personal Finance
Blog
Did you know checking your patient’s dental insurance eligibility (ahead of their appointment) takes an average of two hours a day? That’s at least 10 hours a week or 40 hours a month, at a minimum. Spending ¼ of an 8-hour day making phone calls, checking websites, and digging
June 28, 2017
by Sheri Jolly
Message Board
Views: 252 | Replies: 4
to figure that out. Nor is anyone here qualified to give this advice since EVERY dental office is unique and would cost different amounts to rebuild in the event of a disaster. I'd suggest you speak with your insurance agent and do an honest evaluation of your office. Do you own your building. How
March 12, 2014
Practice Management & Administrative Forum
Message Board
Views: 303 | Replies: 12
So I just got medical insurance for my family since it was cheaper to buy it through them that continue on with cobra. They automatically wrote dental coverage for my daughter at an extra $26 a month because according to law minors must have dental coverage. Apparently the fact that I am
August 26, 2015
Medical / Health Insurance
Message Board
Views: 234 | Replies: 7
I am in Illinois, I have submitted a claim for a crown to Delta of Illinois. They covered 50% and the patient is responsible for the remaining 50%. I then sent this claim to the secondary insurance Blue Cross Blue Shield. Blue Cross Blue Shield did not pay any money towards this claim stating
October 11, 2017
Claims Processing
Message Board
Views: 141 | Replies: 2
Hello Townies! I am working part-time in a community clinic and am transitioning into a private practice with my husband. Working under the community clinic umbrella, I am listed as an in network provider with almost all insurance companies. At our private practice, we are only in network with one
October 22, 2014
Claims Processing
Blog
Is insurance the mob? Do you have to take their deal? And if you do, how do you get the most out of it? How do you get out? We discuss all of this and more in this episode of Dental Marketing Mastery! Download: Libsyn: iTunes: Customize Your Marketing Plan: Podcast Highlights: -Insurance
May 25, 2018
by Mark D
Message Board
Views: 388 | Replies: 13
I'm sure this has been discussed entirely many times before on Dentown, but I'm burnt out considering trying to transition away from insurance to a few for service practice. Any advice?? Assuming you are in a competitive area, you need A or B staff who are passionate about dentistry. Any thoughts
June 13, 2018
Ask a Dental Consultant
Message Board
Views: 107 | Replies: 1
Does anyone have an Open Dental report showing average income per patient for each insurance? I am ready to drop some insurances and need to run the numbers to see what carriers make sense to keep. I have Open Dental software. Thanks in Advance! You can search here and you may find something!
June 27, 2017
PPOs and HMOs
Message Board
Views: 88 | Replies: 3
to even know their new policy. I finally told the patient here is her prescription and if there is a problem to have her HR department call me. Has anyone else had to deal with this? Sleazy, unethical, counterproductive and incompetent....in other words, Just another day at the (insurance)...Wow
July 05, 2016
Practice Management & Administrative Forum
Message Board
Views: 216 | Replies: 6
this required? I have left offices and never informed insurance companies. But I am concerned with my Delta. At one office I am Delta Premier, another office I am Delta PPO. I just left the PPO office- so I want them to know I am gone and will ONLY be Delta Premier at my main associateship. They are trying
May 21, 2015
Claims Processing
Message Board
Views: 131 | Replies: 1
to problems? You just have to note it on the claim. Insurance usually ignores it. However, it also depends how and why you are giving a discount. Is it a discount/credit tied to a loyalty program or something not tied to a specific procedure? If so, you don't note it because it has nothing to do
February 09, 2016
Claims Processing
Message Board
Views: 137 | Replies: 0
We've been able to bill some lab made night guards or occlusal splints to medical insurance. Wondering if anyone has had success billing in-office fabricated ones to medical insurance. If you have the correct diagnosis and code don't see why it wouldn't be possible. Thanks
May 15, 2015
Claims Processing
Message Board
Views: 763 | Replies: 31
I know this has been asked and answered, but I've forgotten. The patient no longer has insurance, and now he wants a discount. If you're going to do that, what's the point of being a participating provider? I understand where the patient is coming from. I try to keep my fees as low as possible
December 30, 2015
Ask a Dental Consultant
Message Board
Views: 414 | Replies: 27
What has happened to Dental Insurance and the difficulties providing quality care will pale in comparison to Obama-care! Good editorial by the way. I just don't think people value their teeth these days. Thats the problem. This is a classic article that opens the ultimate proverbial Pandora&rsquo
November 16, 2020
July 2012
Message Board
Views: 328 | Replies: 9
endanger patient safety by attempting to interfere with dentists' clinical judgment or by practicing dentistry without a license. The insurance companies are doing this every single day, so much that I have sold out on my own standards. I let the ins. company and the patients dictate their own care
September 09, 2018
Legal Issues
Blog
Dr. Hornbrook and Gary Takacs (@gary_takacs) discuss maximizing your practice's production, the importance of customer service, and getting out from under the thumb of the insurance industry - without forgetting to relive their long-haired 70's heyday. This week's podcast is a must listen
January 11, 2016
by Keating Dental Arts
Message Board
Views: 1001 | Replies: 28
We have received a few payments from the new insurance for our military patients. Generally, it is worse than our Medicaid schedule as others have noted. W FFS... $39 for an extraction? Unreal.It must differ greatly by zip code. In our area the UCMilitary fees are significantly higher
July 31, 2017
Pediatric Dentistry
Message Board
Views: 242 | Replies: 19
Have decided not to go digital x-ray route, too old and too small a practice to justify. Insurance is not returning radiographs for pre-determinations. Old threads suggested HP scanjet G4050 for scanning radiographs. Only cost $169. Anyone using this unit, does it come with transparency adapter
August 28, 2016
Integrating Digital / Computer Equipment
Dentaltown News
NEW YORK—, a dental care membership plan that connects members with dental professionals, is officially open for business. Nearly 50 percent of adults living in the U.S. don’t have dental insurance and 90 percent of those who have dental insurance receive coverage through
November 10, 2016
Message Board
Views: 183 | Replies: 4
so my lead assistant needs an implant. She has delta dental through her spouse, which covers implant, abutment and crown at 50% for her STO I had her pay for lab fee only, and she clocks out when we do adjustments. But she didn't have ortho benefits. what do you usually do in a situation like...
August 23, 2017
Practice Management & Administrative Forum
Message Board
Views: 523 | Replies: 8
Anyone have any good ideas as to how to become a participating provider with medical insurance companies for sleep apnea appliances? As a general dentist, it seems as if it is almost impossible. I have a lot of patients on Blue Cross/Blue Shield but am finding it impossible to become in network
December 28, 2016
Sleep Apnea / Snoring
Blog
Today, Italk about broken, lost, non-fitting, bent, damaged retainers. When do you repair? When do you remake the retainer? Fees??? How do you charge? And do YOU offer retainer insurance? It makes parent, patient and YOU happy!
May 19, 2021
by drchrisbaker
Message Board
Views: 189 | Replies: 2
. Heres a quote from sellers new account (apparently they switched after the sale?) checks continue to come with the prior owners information until the insurance company has completed their credentialing process and should be deposited by the old owner and a check immediately issued to the new owner
May 12, 2021
Practice Sales
Message Board
Views: 1263 | Replies: 55
on to a corporate place where I have been for about a year, but I simply can't take the stress anymore. Has anyone been a reviewer for an insurance company? Can you make a living doing that full time? Is it stressful? What other ideas are out there? If necessary, I will change careers, but have no idea what
June 10, 2021
Mental Health, Well-Being, and Stress Management
Message Board
Views: 122 | Replies: 5
I got a check that says Abandon Property on it from Delta Dental of Virginia. What is this??? Thanks! What was the check amount? $473 A check you have not cashed and the validity date has passed. Call them, have them re-issue the check. Thx Good luck. I have half a dozen checks in the Abandoned...
June 14, 2021
Claims Processing
Message Board
Views: 111 | Replies: 3
) and I am desperate for space so I will be merging my busy practice with his within six months of the transition. How do I ensure we can bill insurance day 1? I know I need to add that location with each insurance I participate with but do I also need to notify each insurance company of the Tax ID
June 20, 2021
Practice Acquisitions
Message Board
Views: 97 | Replies: 2
I've got the latest version of Dentrix. Is there finally a report that I can run that shows the number of active patients per fee schedule/dental plan? A total billing amount per plan would be nice as well. Thanks. Go to Office Manager click Letter and Customer Lists choose Misc tab choose Patient...
July 27, 2021
Dentrix
Message Board
Views: 331 | Replies: 18
production. This is coming from a guy who is 100% OON. So yes, maybe they chop it in the future. Worry about that then- but if you really need the business and have exhausted non-insurance methods you gotta do what you gotta do. Just make sure they cannot lease you out to other carriers/leasing
July 28, 2021
Pediatric Dentistry
Message Board
Views: 78 | Replies: 1
delete You need to register your EIN with each insurance company. You need to send each of them a W9, whether you are in network or not. They need to have a file on you in their system. In regards to the NPI question, read this article..
May 04, 2021
Claims Processing
Message Board
Views: 208 | Replies: 5
for the dental practice PC? Any help is appreciated. anyone What are y'all paying for liability for your dental corp if any? Is malpractice suffice? BUMP. Same question Good Morning, I am a commercial Insurance broker specializing in Dental Practices. Here are the coverage I recommend to ALL of my clients. Keep
July 09, 2021
Dental Liability Insurance
Message Board
Views: 566 | Replies: 27
I provide dental services for my immediate family in my office and never ever billed insurance eventhough they have purchased dental insurance. Is there a law that prohibits billing insurance? Does the rule vary by employer? These are for actual services rendered . I know the stark law applies
January 10, 2022
PPOs and HMOs
Message Board
Views: 221 | Replies: 14
disability claims. The insurance companies realize this and charge accordingly. Are you suggesting because women carry children that they be given a discount, but also not charged according to their risk? Ask us male dentists about our life insurance premiums. Beside the extra money we pay, we
January 22, 2022
Disability Insurance
Message Board
Views: 746 | Replies: 30
Hi, We are seeing this happening: -New patient has a pano/4 BW x-rays done at initial visit -Insurance receives claim, reclassifies this as an FMX. Then, if a there's a frequency issue with FMX, they are not paying on either the pano or 4 BWs I feel that we should catch this and at least resubmit
October 17, 2022
Claims Processing
Message Board
Views: 177 | Replies: 9
?) and there will be no coverage if due to corrosion or neglect. Plumber says she will do all she can to help me get coverage. TIA I really hope you have a plaster trap installed and working. Old sewer lines break. I would be surprised if you get a dime out of the insurance. $25K in my neighborhood for a new
October 27, 2022
Landlord / Tenant Occupancy Issues
Message Board
Views: 149 | Replies: 3
Apple will start to offerin 2024 as it looks to build on the health data it has acquired from the Apple Watch, an analyst has predicted. CCS Insight believes that Apple will take its tentative first steps into the U.S. health insurance market in partnership with a major insurer, using the health
October 26, 2022
Medical / Health Insurance
Message Board
Views: 298 | Replies: 6
I'm on the threshold of going OON with insurance for my practice. However, my front desk needs more training before I pull the trigger and I am at a loss of how to prepare them. Perhaps more preparation is a better way to say this... -Scripts for the most common questions asked by existing
February 18, 2023
Dental "Pearls"
Displaying 3451-3500 of 40840
Page 70 of 817
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