Search Results

Searching: insurance denials
Results: 40,842
Displaying 4051-4100 of 40842
80 81 82 83 84
Page 82 of 817
Message Board (37852)
Dentaltown Magazine (455)
Podcasts (815)
Blogs (1565)
Message Board
Views: 1262 | Replies: 51
I tried googling this but cant get an answer.. whats the history and purpose behind the medical and dental profession not being able to unionize and collectively bargain with insurance companies? Because dentists like to back stab each other unlike engineers... Herd of cats as they say on DT
November 12, 2021
Just Plain Bitching and Moaning
Message Board
Views: 355 | Replies: 20
Who has a financial policy in their office for patient's with a financial need? Do you accept insurance? If you accept insurance and write off any of the co pay or deductable due to a financial need and you don't have a set financial policy and a charted financial need for the patient you may
March 19, 2016
Legal Issues
Message Board
Views: 2593 | Replies: 85
Insurance plan worker. Looks at it. Laughs out loud. Crumples and shoots it into garbage can and goes back to declining claims. What if they deny any consideration? Then what??? Then have to consider leaving the network. When this first broke out, I stated that after covid it wouldn't
April 22, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 625 | Replies: 12
I have several patients whom have primary and secondary insurance and I am confused as to what amount should be adjusted considering that we are in network with a few PPO insurances. Does anyone have any suggestions or answers to help? You adjust down to the lowest fee schedule. Now that should
December 23, 2017
Claims Processing
Message Board
Views: 1039 | Replies: 45
Hello guys. Got a tough question, hope someone can help with this. I searched all over and cannot seem to find an answer. Is it legal to charge patients the full insurance allowed fees then submit the claim and have insurance reimburse the patient directly as an in network provider. I know
February 19, 2023
Claims Processing
Message Board
Views: 582 | Replies: 21
crowns vs. zirconia and wanted gold, Unfortunately with your insurance, I can't do a gold crown for you at that fee. It was kind weird too because it was a 20 or 21 lol. I think I did find a cheap lab that would do some sort of white gold HN crown for like 120 that I told him I'd do him a favor and do
October 20, 2021
Billing
Message Board
Views: 120 | Replies: 5
Does such a report exist in Eaglesoft - directly, or indirectly ? Patient by insurance company will get you how many patients are under a specific plan. There are going to be multiple Delta's in the system, so just add them all up. I would probably run the report with setting the last visit
November 27, 2023
EagleSoft
Message Board
Views: 137 | Replies: 3
Small practice in PEnnsylvania. Does anyone have literature on the rules for coinsurance secondary insurance? Are we obligated to inform the primary insurance that secondary exists? There is a place on the claim for the other insurance do we always have to fill this out? If they both cover two
May 28, 2014
Claims Processing
Message Board
Views: 268 | Replies: 4
I don't even know where to start - so sorry if this rambles. I am trying to figure out how to get Accounts Receivable information out of Eaglesoft reports that is actually helpful. Specifically, I would like to be able to get: Accounts Receivable by Outstanding Insurance Claims - meaning
January 22, 2015
EagleSoft
Message Board
Views: 580 | Replies: 13
insurance pays and we see the damage? The Dr. has said he would be willing to make some adjustments/write offs for our long term patients while they adjust but can we legally do that since a deductible is involved? Is it ethical to not mention this? I'm terrified of the backlash and he is terrified
June 17, 2014
Dental Insurance for Dentists
Message Board
Views: 700 | Replies: 20
I would like to restore 4 maxillary implants placed by a periodontist. The patient wants zirconia full arch (all on four). I am in network with her insurance. The problem with everyone is that insurance doesn't even come close to covering the lab bill. I've heard that, if you are in-network, you
June 08, 2023
Implantology
Message Board
Views: 763 | Replies: 22
I am considering buying an office that is OON with the exception of Delta Dental Premier. There is a large employer in the area, who's insurance we noted on the due diligence, there was a write off ONLY on preventative procedures (exam, prophy, xrays). Any SRPs, restorative, etc
April 04, 2019
Claims Processing
Message Board
Views: 59 | Replies: 1
The link may be applicable to ACA Where can I find laws regarding retroactive policy termination and refund for commercial insurance? Looks like all the laws favour the insurance companies. If we file a complaint regd retro active term ,the state insurance commissioner organizes the data from
October 15, 2020
Claims Processing
Message Board
Views: 348 | Replies: 10
An insurance company is denying benefits for a crown because we did not have a pre operative periapical X-ray of the tooth. We have a bitewing and a panoramic image. Is there anything I can do? Often insurance companies are asking for a PA. The easiest solution is just to ALWAYS have one. You get
February 27, 2021
Claims Processing
Message Board
Views: 220 | Replies: 4
Currently we pay 60% of health insurance and offer 401k/profit sharing plan. We have a few employees who are in the health insurance and about 10 in the retirement plan. I have an amazing assistant who is the head of our assistants. I am wanting to pay 100% of her health insurance
February 26, 2016
Staff Management Issues
Message Board
Views: 178 | Replies: 5
We are in-network with an insurance, but we are no longer accepting new patients from them (they said this is allowed). We had a patient call today who wants to be a new patient here, but she has this insurance. We told her we're not currently accepting new patients with this insurance. She asked
August 04, 2022
Medical / Health Insurance
Message Board
Views: 4714 | Replies: 143
anything. True maybe, also there is a flip side to that, which is how we all lose control of ADA and CODA, hence creating many many more dentists every year and insurance companies remind us of that fact, just like this. I understand government is also a part of the problem, a big part in fact
December 08, 2016
Delta Dental
Message Board
Views: 2102 | Replies: 98
patients with treatment. How do I do that without taking that implant course or that sleep course or that ortho course? Adding services is a great way to increase production and is going to happen with or without insurance. Do whatever you are feeling is right for you at this moment
July 18, 2022
Ideas To Make Your Practice Grow
Blog
How to find a great local dentist that accepts your insurance(http://uniteddentalarts.com) Request an Appointment - (703) 361-2345 check out our special offers for new patient - http://uniteddentalarts.com/special-offers/ The dentist you choose is going to be a partner in your long-term oral
April 18, 2017
by seodentals
Message Board
Views: 853 | Replies: 14
guys handle them? We don't bill it to insurance. Same goes for an flipper or acrylic partial. I don't remember how we put it in the computer - maybe a 5899. I collect the fee from the patient and that's it. No claim sent. The patient is informed. If a partial is billed, the insurance won't cover
September 17, 2021
Coding Q&A
Message Board
Views: 170 | Replies: 5
Hi, I am sure that everyone can relate to this. When patients call and ask if we accept there dental insurance, they think it is actually a yes or no question. Then it either turns into a long conversation, of which they understand very little, or they come in and it turns out that they have some
March 06, 2017
Dental Insurance for Dentists
Message Board
Views: 2274 | Replies: 69
I would have to pass on providing that service. I was a Delta Premier provider years ago and, though they didn't cover any veneers, I still had to charge the contracted insurance fee, which was something like $245! I had a patient who wanted 10 veneers---I would have lost a few thousand dollars
December 18, 2015
Practice Management & Administrative Forum
Message Board
Views: 1374828 | Replies: 39855
and set a 6/12. hope he comes back, i like the kid. mother is high up the list to be crowned Cleopatra, Queen of Denial...I had a 17 year old female patient in for a regular hygiene appointment. She had previously had a high caries rate and I noticed on exam a small occlusal on #19. The rest
April 30, 2013
Just Plain Bitching and Moaning
Message Board
Views: 455 | Replies: 19
Is there a way around billing through insurance for big cosmetic cases if you are in network with a patient's insurance? I have a patient wanting some cosmetic work done but they have Delta Dental and the reimbursement is just not worth the work and lab bill. Is there a form or something they can
June 10, 2025
Billing
Message Board
Views: 292 | Replies: 6
Does anyone have a suggestion for online courses or references I can check out to help me to understand coding a little better? I'm also looking to better understand Primary and Secondary insurance when it comes to posting payments. Thanks! I suggest the Charles Blair book. Also if you have
August 14, 2018
Coding Q&A
Message Board
Views: 406 | Replies: 13
Does anyone know the codes for all on four? MUA? temp denture? Perm teeth? Thanks I tend to just quote an overall fee for case. If someone has it broken down with codes that would be a help. Easier to quote case fee instead of breaking it down. If patient has insurance you can submit codes
December 15, 2024
Implantology
Message Board
Views: 661 | Replies: 14
I have a patient that comes to my office with MetLife insurance (I am an out of network provider). She takes her daughter to a local pediatric dentist, who's office has no affiliation with mine. So MetLife sent me a check for $40 less than the amount they should have for my patient's treatment
November 18, 2014
Claims Processing
Message Board
Views: 700 | Replies: 10
by the insurance commission. Is this true? Is it illegal in Texas to offer such an in-house plan? Do I need to register or something? Thanks for reading. If you Call the in office discount Plan an insurance yes you can get into trouble with many regulatory agencies. If you call it a discount plan
February 08, 2018
Ask a Dental Consultant
Message Board
Views: 426 | Replies: 18
Quick question that hopefully someone can answer for me: I recently did a case of double arch extractions, implants, same day denture conversion, sedation, etc. I had the patient sign a contract stating the fee is outside the realm of insurance and he paid that way. The patient is in network
May 13, 2022
Claims Processing
Message Board
Views: 381 | Replies: 19
When I signed up for health insurance for my family, I was forced to get dental insurance for my 12 year old daughter. I was told by my insurance broker that I cannot bill out for services rendered to my daughter through insurance. My question is: Why not? As long as we're doing actual dental
March 05, 2025
PPOs and HMOs
Message Board
Views: 537 | Replies: 15
One of the dentists in my area runs numerous ads in the local flyers with their full page special offer of '$100 credit towards co-pays or deductibles for new patients!' He has been doing for at least 6 months. I am not the insurance police and frankly I don't really care even though I know many
January 27, 2014
Dental Insurance for Dentists
Message Board
Views: 235 | Replies: 12
Hello guys ,I am taking a loan below 1 m for practice acquisition, they dont require disability and life insurance . But they require general liability and business personal property policyI had a quote from principal for 6 grand a month for 2400 a year policy which Ofcourse I can increase when my
June 14, 2021
Disability Insurance
Message Board
Views: 628 | Replies: 10
Im sure this topic has been talked about to death on here. But Im doing a start up. Have worked at a heavy insurance practice for the past 4 years where we are in network and have fee schedules. We send pre determinations and prices are very explicit to patients.In my start up I would like
April 24, 2025
Going Out of Network
Message Board
Views: 1233 | Replies: 49
I don't post much on Dentaltown, but I havelearnedmany things from here. Thank you so much for your time and knowledge.My writing is terrible since English is my second language. I am in Texas, and I have been dropping one dental Insurance per year. Iam in practice for 6 years. I m not in network
December 07, 2017
PPOs and HMOs
Message Board
Views: 901 | Replies: 25
Bought a practice last year. Did a bunch of work w/ Five Lakes before I left my last practice as an associate and I followed their recommendations for my new practice as well. I am OON with a few insurance companies that pay 100% of UCR for preventive and diagnostic. However, for restorative
January 25, 2018
Implantology
Message Board
Views: 601 | Replies: 18
Can I set up a discount for *all* patients who pay in full on the day of treatment? Not just self-pay patients, but also patients with insurance who choose to pay in full the day of treatment and have the insurance reimbursement sent to them Im guessing I would have to bill out the reduced fee
February 21, 2022
Billing
Message Board
Views: 684 | Replies: 31
matter what we think. Medical Necessity is an insurance concept and insurance companies decide what is medically necessary, not the doctors. Although doctors sometimes write letters claiming medical necessity, the insurance companies often disagree. This is exactly what I tell patients. Just like
November 06, 2014
Ethical Issues
Message Board
Views: 603 | Replies: 22
One of my hygienist just gave notice. She works part time and I pay her $55/hour. She claims her new job, also part time, is $53/hour and dentist will fully pay for medical insurance that has a $600 per year deductible. I don't know of any such insurance plans that would be affordable to give
October 26, 2025
Staff Management Issues
Message Board
Views: 675 | Replies: 18
to bill $7-$8000 for an appliance to get insurance to reimburse at the max rate (assuming out of network), but I always wonder.... if you are billing $7000 for an oral appliance, doesn't that mean the patient has a huge out of pocket expense assuming they have not met their deductible (typically
November 09, 2021
Sleep Apnea / Snoring
Message Board
Views: 1876 | Replies: 73
!) Admittedly, I'm a pedant. But, it's in the interest of helping my colleagues to avoid ulcers over stuff that just ain't true. Mike Yes. I offer QDP in my practice. It isn't insurance by any stretch of the definition. And, we do not combine it with insurance. Some patients are members
July 31, 2017
Practice Management & Administrative Forum
Blog
1. Insurance: a. Tell the patient how much the insurance company is expected to pay. b. Tell the patient you will bill the insurance company for that amount. c. Inform the patient they are responsible for that amount if insurance company doesn't pay. d. Collect the balance at the time of service
January 06, 2016
by Kevin Tighe
Message Board
Views: 319 | Replies: 5
I need some advice regd the scenario below. Treated a healthy 75 yr old with insurance under his wife. Did a bunch of work. After completion of TX and insurance payment he wants us to discuss the financials /insurance payment by email to his wife We did not oblige since wife is not a patient
February 05, 2019
Practice Management & Administrative Forum
Message Board
Views: 38 | Replies: 2
We had a new patient come in and after verifying his insurance, and the insurance coordinator attached his insurance plan to him. All seemed to attach as normal. The new patient's son was already a patient with us and had the dad's insurance attached as if the son was the subscriber. When we tried
August 28, 2019
Dentrix
Message Board
Views: 132 | Replies: 6
More insurance confusion.....our state medicaid just started putting a new limit when paying as secondary insurance. I'm going to try and make this simple... I was told that medicaid now will only pay as secondary insurance IF the amount received from primary insurance is under what medicaid
July 13, 2016
Front Office Discussion
Message Board
Views: 219 | Replies: 2
I searched for this but couldnt find the exact answer. We have a membership plan that we manage in house and have had some patients sign up already. We have an older patient base and many are around retirement age, we are OON with all insurance companies. Many patients who are about to retire ask
April 27, 2021
Alternatives to Dental Insurance
Message Board
Views: 244 | Replies: 13
Help. Townies. Thank your guys' advice previously. I have one patient with delta dental PPO insurance and BCBS HMO medical insurance. I did surgical extraction for #2 two weeks ago and sent the dental claim to delta dental. then delta dental stated that I need to first bill medical insurance
August 03, 2022
Claims Processing
Message Board
Views: 137 | Replies: 0
Nearly half of 2018 is already over, have you raised your UCR fees this year? Are you wondering how you stack up to the other practices in your area? Could you be profiting larger margins from insurances who capitalize on and impose harsh write offs? What is a UCR fee anyway? If you've had to call
May 11, 2018
Cosmetic Dentistry
Message Board
Views: 208 | Replies: 8
am in-network with BCBS of Texas medical insurance. They will not tell you their fees, and no medical insurance company will. I had a patient that I removed her jaw and reconstructed it for cancer. I submitted a pre-authorization for dental implants. They approved it and said I just have
September 04, 2015
Sleep Apnea / Snoring
Message Board
Views: 439 | Replies: 18
responsible for the additional amount owed. I got on the phone with the insurance company and the woman said that is the policy nothing can be done and her supervisor would have to call me back in 72 hours. Absolutely ridiculous and the patient is the one that suffers I personally called
August 28, 2015
Claims Processing
Message Board
Views: 238 | Replies: 12
Does anyone have any tips on how to bill for all on X Restorative portion only? insurance obviously will heavily downgrade fees, so do we need to bill more codes (study models, surgical guide, temp denture, final hybrid, each abutment, etc.) in order to have more billable items to achieve
January 22, 2026
Coding Q&A
Displaying 4051-4100 of 40842
80 81 82 83 84
Page 82 of 817
Dentaltown Magazine
May 2026
Dentaltown Magazine May 2026 Read Current Issue Read Archived Issues
Sponsors
Townie Perks
Townie® Poll
What’s actually driving most of your new patient flow right now?
  
Site Menu
Message Boards Magazine Continuing Education Podcasts Pods & Blogs Classifieds Dental News Events Townie® Poll Ebooks Townie Choice Awards
Company Info
Contact Us Advertise With Us Howard Farran DDS, MBA Policies and Agreements
Site Help
The Dentaltown Team, Farran Media Support
Phone: +1-480-445-9710
Email: support@dentaltown.com
©2026 Dentaltown, a division of Farran Media • All Rights Reserved
9633 S. 48th Street Suite 200 • Phoenix, AZ 85044 • Phone:+1-480-598-0001 • Fax:+1-480-598-3450