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Searching: insurance denials
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Displaying 3501-3550 of 40841
Page 71 of 817
Message Board
Views: 201 | Replies: 2
With current staff shortage, I'm looking for ways to help my front staff, and one that eats up lot of one staff's time is insurance verification. We see about 40 patients a day with hourly/daily/weekly changes in schedule. I've tried only one so far, and it didn't help. Have anyone found
March 17, 2023
Front Office Discussion
Message Board
Views: 326 | Replies: 23
If someone from your office calls to verify insurance and insurance history, does that person put it straight in the management software, record it on a paper template and transfer it later or what? I am having front office problems. My front office coordinator is awesome but my scheduler who
April 16, 2023
Front Office Discussion
Message Board
Views: 231 | Replies: 4
I have a patient that needs full mouth extractions and dentures unfortunately due to severe acid reflux. She has an insurance plan which I am not in network with that apparently only pays for simple extractions. She is class II ridge relation and will require signficant ridge reduction to get
May 20, 2023
Coding Q&A
Message Board
Views: 552 | Replies: 12
Dental insurance companies are exempt from having to adhere to anti-trust laws that otherwise prohibit businesses from engaging in anti-competitive activities like colluding and price fixing. We as dentists are not allowed to get together and engage in anti-competitive acts like setting fees
September 06, 2023
Dental Insurance for Dentists
Blog
Synopsis: This course is designed to assist dental offices in comprehending the dental insurance claims review process. It provides valuable insights to improve benefits reimbursement success rates. The course emphasizes the distinctions between benefit determinations and treatment
August 24, 2023
by nareg
Blog
be really close to the beginning of the year, and that means insurance verifications and breakdowns for your patients. I know most insurance companies renew their benefits in January, so that leaves our insurance verification team with a lot of work at the beginning of the year. So, we thought it would
October 12, 2023
by The Dental A Team
Blog
There's so much more to figuring out theand, ultimately, their valuation for a bigger return on their practice once it's time to sell. How can insurance impact your practice's value and desirability? as you could. If the incoming doctor is not in the same network, then they will be faced
October 26, 2023
by Professional Transition Strategies
Message Board
Views: 244 | Replies: 6
$320 and their allowed is $400!!! Thats almost like Medicaid fees. Its not fair that they are forcing us to accept that payment. Yes I understand that we can bill the pt but Id rather the ins pay more. We dont have a contract with any insurance so how is it legal for them to do this! Only reason Im
June 02, 2022
Claims Processing
Message Board
Views: 115 | Replies: 2
credentialing documents by insurance companies that they participate with which I havent signed yet. In those documents the office practice location is listed as the current one Im working in (the one that is slow and crappy). No where is the main one listed where they originally promised I would
July 31, 2022
Legal Issues
Message Board
Views: 128 | Replies: 2
phones 24/7, eligibility and verifications, ins set up, sending insurance and following up on outstanding claims and supposed to also help with collections of overdue debts. Similar issues to DSS above with the verfications and ins set up, too many mistakes, not learning from mistakes. Much of the work
February 28, 2022
PPOs and HMOs
Message Board
Views: 144 | Replies: 2
Any advice on how to go about getting out of network with most insurance companies and how to know if practice will sustain the change? Anyone been there and done that-experiences would be appreciated? Anyone rural experienced this change? Do a search: going out of network fact vs fiction by pafA
June 22, 2022
Practice Management & Administrative Forum
Message Board
Views: 547 | Replies: 13
Hello all, My front office administrator checks and verifies insurance for patients before their appointments. From what she tells me, it is very tidious and takes a lot of time. Is there a better way to do it so it is more efficient? I do want everything to be clear and accurate for the patients
May 01, 2023
PPOs and HMOs
Message Board
Views: 928 | Replies: 19
I am looking to increase my disability policy and figured it is time for me to buy an overhead policy b/c I realized how cheap it was. For those with overhead insurance, what does your policy cover in terms of elimination and payout? I figure a 30 day elimination period (b/c we all have AR coming
September 09, 2022
Personal Finance
Message Board
Views: 3044 | Replies: 158
Do you think it would be possible to set a date for all dentists in the US to drop insurance by and become out of network and build a UCR fee schedule that was a available to every dentist that would give a range of acceptable fees that we could all agree on? Why not organize and start a movement
January 09, 2023
Billing
Message Board
Views: 154 | Replies: 6
I am in network with most PPO's and I'm in Ohio which is one of 7 states that does not have non-covered services legislation, and who knows if the patient in question insurance has a non-billable clause. My question pertains to an upper anterior case. The pt has severe periodontal disease
December 10, 2023
Dental Insurance for Dentists
Continuing Education
This course is designed to assist dental offices in comprehending the dental insurance claims review process. It provides valuable insights to improve benefits reimbursement success rates. The course emphasizes the distinctions between benefit determinations and treatment recommendations. It also
August 2023
Practice Management, HR and Accounting
Message Board
Views: 937 | Replies: 59
Wise Man make Wise Quote Well said. Dental school doesn't teach it. Majority of us do not have a relative who can help us out. A lot of the basics are common sense. I guess it's because our work can be very stressful and way too tired to think about the business side once off work. Perhaps...
August 23, 2023
Pediatric Dentistry
Message Board
Views: 33 | Replies: 1
I am trying to find a report on Eaglesoft that can show me the total number of patients that have a specific insurance. I can run the Patients by Insurance Company, but that gives me a long list that I have to tally myself. Does anyone know a good way to find totals? Report patients by insurance company as you stated. Then right click and select save data as. Pick excel, txt, or csv format and manipulate data as needed. Hope this helps.
February 14, 2022
Practice Management & Administrative Forum
Message Board
Views: 124 | Replies: 1
I was using practice booster (still am subscribed) for awhile....but it seems they aren't doing things the way they used to? My front desk used to be able to call and ask a live person insurance questions....now it is email only? I would like to find a good resource for her to ask questions or get
February 17, 2022
Claims Processing
Message Board
Views: 209 | Replies: 6
in how the customers pay for the same care is a significant problem IMO. With DSOs in the market, buying up practices, i think otbis becoming less of a problem. They have deeper pockets and will probably have more power to negotiate with the insurance companies for better reimbursement rates. You
March 01, 2022
Practice Acquisitions
Message Board
Views: 62 | Replies: 1
Hi, I have a non-dental question hoping people can shed some light on if theyve experienced anything remotely close to this. My wife and I were blessed to have a beautiful daughter in November. My wife works for a hospital and we have insurance through them. She notified her HR that she gave
February 04, 2022
Claims Processing
Message Board
Views: 129 | Replies: 2
for a solution that will make thins smoother and more accurate for patients, we have the Manpower but it doesn't seem like we can get this info from these lovely insurance companies. Thank you! Toof Digger, The people who provide those services are not allowed to mention those services in the open forum. Sounds like some recent threads could be helpful: Then there are links within those links that could help.
April 26, 2022
Going Out of Network
Message Board
Views: 169 | Replies: 4
Hi all, I currently have a small predicament. Following graduation, I continued my ADA membership and was automatically enrolled in the term life (100k), office overhead (24x), and disability insurance (2k/mo) which is pretty much a continuation from the subscription during dental school. Though I
January 01, 2024
Disability Insurance
Message Board
Views: 1317 | Replies: 56
? Who owns the real estate? Could you convert the insurance practice into a FFS over time? Etc etc etc. Go with FFS. Which one will you be able to handle? Do you have the skill and speed for both? If yes, then the one collecting 2 mil. Need way more information. Starting with purchase price. All
October 25, 2023
Practice Acquisitions
Message Board
Views: 86 | Replies: 2
I currently own a 100% OON office and interested in doing a new startup 30 minutes away with a colleague. I would definitely want to be in network for the start up but I want to keep my first office OON. They would be in the same state. Any idea how to get this done the right way? If you want it...
January 27, 2024
Going Out of Network
Message Board
Views: 420 | Replies: 31
I pay $300/yr for these two amounts, and my insurance company asked if I want to increase my coverage. I would like to, but I have no idea what the ideal sweet spot amount would be for peace of mind. I have a small practice with about 1000 active patients. Thanks in advance! $300 a year?Interesting
April 06, 2024
Cybersecurity
Message Board
Views: 398 | Replies: 15
to leave PPO insurances. It's probably a bulk check. Not a single one. This has happened to me, also. Both ends. I get a bulk check with a weird non patient on it you're damn right I'm depositing it because it's usually a few thousand dollars. We call the issuing company and tell them what happened
April 11, 2024
Billing
Blog
PPO Plague: How Insurance Networks Are Destroying Dentistry The dental industry, like many facets of healthcare, is facing significant challenges due to the pervasive influence of Preferred Provider Organizations (PPOs). While PPOs are designed to make healthcare more affordable and accessible
June 20, 2024
by Jordon Comstock
Message Board
Views: 181 | Replies: 3
Hey everyone, I've been working as an associate at a large DSO which takes medicare, medicaid, and every insurance under the sun. If I leave this DSO to pursue a job at a FFS office, are there steps I need to take to make sure I'm not listed as a provider for these policies anymore
June 24, 2024
Going Out of Network
Message Board
Views: 682 | Replies: 12
Ive been rejected by different Disability Insurance providers due to too many health issues in my past, such as hxofshoulder surgery, plantar fasciitis, rock climbing even though I havent climbed in a year, and other reasonable andseemingly unreasonableissues. From what I understand, I will need
February 28, 2018
Practice Acquisitions
Message Board
Views: 165 | Replies: 9
and received about five stitches in her chin. She also cracked a lot of posterior teeth and needs almost $20k of dental work if she wants to keep the teeth versus extracting.Her dental insurance had an annual max of $1,250. Have any of you seen a situation like this where a patients major medical
July 16, 2024
Alternatives to Dental Insurance
Blog
-of-network practice, also known as fee-for-service, concierge, or cash pay, can open doors to a more flexible and rewarding dental practice model. This approach allows you to provide personalized care without the constraints of insurance limitations. Embracing this model empowers you to focus on high
August 07, 2024
by GraceRizza
Message Board
Views: 4 | Replies: 0
OK Docs, I am trying to get reimbursement for this patient. She paid cash for the lip repair. She has no dental coverage. I want to know how to submit this to her medical insurance. I think I need a diagnosis code and a treatment code. Any help would be most appreciated. Thanks in advance,
March 23, 2024
Practice Sales
Message Board
Views: 214 | Replies: 7
them, and they ended up giving us the run-around saying they would send a cheque later on. Weeks later nothing... We ended up informing the issuing insurance company of what happened as the clinic deposited a cheque that wasn't in their name. I'm not sure what the ins co did, but they must have
March 14, 2024
Claims Processing
Message Board
Views: 78 | Replies: 2
Young dentist here. I am looking for disability insurance. Who do you have your insurance through? Where should I look? Thanks in advance. Been using mass mutual since dental school. I hear Guardian is good too I use Guardian.
June 10, 2024
American Dental Association
Message Board
Views: 526 | Replies: 11
I am in process of finding a dental practice to purchase. I used to work in New England (MA/NH) area for three years. However because of extreme weather I decided to move to PA. What I have realized now is quite shocking to me. The insurance reimbursement rates that we have in our office
August 12, 2024
Practice Acquisitions
Message Board
Views: 47 | Replies: 1
I received a records request from United Healthcare for the records of one specific patient. Without getting into too much detail, I am fairly certain this all pertains to the fact that United did not approve a procedure that this patient needed that was in the esthetic zone. This was a Medicare...
August 15, 2024
PPOs and HMOs
Message Board
Views: 342 | Replies: 9
to collect on this? Anyone go through anything similar? Most states have laws limits on recoupment. Google your state recoupment law. Print it, highlight it, mail with the recoupment request. CC insurance commissioner just for shits and giggles I'm in Michigan, which doesn't have a statute
May 21, 2024
PPOs and HMOs
Message Board
Views: 881 | Replies: 9
in a lot of pain and I want to open the tooth for them to relieve their pain but Im always worried that Im not gonna get paid by the insurance company.What code could be used so that would actually be paid? This procedure is not covered by your dental plan. For today's visit, the fee is ------- Here
October 11, 2024
Endodontics
Message Board
Views: 5332 | Replies: 189
Friends for a reason, friends for a season...... What the patient really means is Can I just hand you this little card instead of paying you any money ? Try this it works Take that insurance card and try to get it to run through your credit card machine then say, Oh, this card doesn't have
December 31, 2024
Going Out of Network
Message Board
Views: 1138 | Replies: 39
So I was considering going in-network with a few insurances this year to take advantage of more medicare advantage plans. I just had an email where a Humana representative literally told me she is able to somehow look up what insurances I am in network with...and what the fees they pay me are. I am
May 13, 2025
PPOs and HMOs
Message Board
Views: 37 | Replies: 0
*I am with the company Stratus AI* Stratus uses AI to call into insurances and gather full custom form breakdowns specific to each office. I am curious to know how many office staffs genuinely spend hours a day or per week on Insurance Verification?
April 08, 2025
Malpractice Insurance
Message Board
Views: 49 | Replies: 2
I have had a few patients need SCRp based on bitewings and probing who also happened to have a CBCT. In my little office, we have seen insurance companies deny or down code quadrants of SCRp to 1-3 teeth based on "evidence". Maybe the bitewing is enough evidence for 1-3 teeth, but using ALARA
September 26, 2025
Cone Beam CT Imaging
Message Board
Views: 259 | Replies: 1
surgeon in Austin, Texas with a practice primarily devoted to breast reconstruction, I have provided access to the most advanced surgeries, in network through insurance for over 12 years. I have been a safety net for patients across the country, accepting any insurance payment and not turning patients
August 16, 2025
Medical / Health Insurance
Message Board
Views: 330 | Replies: 17
busier. I don't really want to spend $6,0000-7,000 on a company to negotiate contracts because I really need to use that money elsewhere. But I'm having a lot of trouble getting in touch with anyone in charge of credentialing at the insurance companies. It's a lot of emailing an address or waiting
September 19, 2025
PPOs and HMOs
Message Board
Views: 177 | Replies: 3
megalab: Affordable Denture Options - Now Even Simpler Dandys Reimbursement-Adjusted Pricing Program helps your practice care for more patients by offering discounted rates on Full and Partial Dentures when insurance reimbursement falls below $750 per arch. Theres no enrollment process or paperwork
July 11, 2025
Laboratories
Message Board
Views: 168 | Replies: 7
I have a front desk employee who I love. She was formerly chairside and we have transitioned her to the front for various reasons. She's doing great with the 'basics'. We have another employee who is handling the higher end stuff regarding insurance, billing, etc. The other employee is also doing
January 27, 2026
Claims Processing
Message Board
Views: 785 | Replies: 51
Everyone and their brother thinks that they are the ones that will be buying up assets in a fire sale, and it will be all of the other guys that are either afraid or can't qualify for financing. Im getting my annual email from the Government trying to get me back to Obamacare. Telling me I may...
November 19, 2025
Medical / Health Insurance
Message Board
Views: 108 | Replies: 2
Delta $195,268.31 $145,139.13 $340,407.44 450 $756.46 HRI $157,007.30 $126,338.81 $283,346.11 460 $615.97 Other Insurance $211,363.23 $232,802.50 $444,165.73 516 $860.79 All Insurance $563,638.84 $504,280.44 $1,067,919.28 No insurance $402,178.94 463 $868.64 Total income $1,470,098.22 The avg
February 12, 2026
Practice Management & Administrative Forum
Displaying 3501-3550 of 40841
Page 71 of 817
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