Search Results

Searching: insurance denials
Results: 40,839
Displaying 51-100 of 40839
1 2 3 4 5
Page 2 of 817
Message Board (37849)
Dentaltown Magazine (455)
Podcasts (815)
Blogs (1565)
Message Board
Views: 570 | Replies: 7
Recently, I've been getting more denials for SRP's from insurance companies. I send x-rays and pictures, but sometimes the bone and attachment loss isn't obvious on them. Go through the appeal process and they still deny. Has anyone been successful in getting paid for SRP when it's not obvious
October 02, 2014
Claims Processing
Message Board
Views: 394 | Replies: 16
), but pays you... right away. You've now been docked for an insurance denial. You'll WILL ge paid IF the patient pays for the insurance shortfall. Better tell FD to get on the phone and collect. Sound like a hassle? You betcha...
January 14, 2021
Associates Corner
Message Board
Views: 754 | Replies: 24
dSLR camera if you don't already have one. Your insurance denial is the reason that 100% of the time I always had a pre-op photo and a intra-op photo of all of my procedures that were much more than a basis sealant. This one got paid. Crown and build up. I accept that its not a great picture
April 13, 2016
Claims Processing
Message Board
Views: 553 | Replies: 21
if unsure. It is better to refund the patient and be seen as a hero for making insurance pay more than under-collect and chase them for the money. So you guys never get insurance denials on a crown copay... and even if you did, you just collect the full amount upfront and let the patient receive
July 14, 2023
Practice Management & Administrative Forum
Message Board
Views: 1151 | Replies: 57
case. Guardian denial. They said no noted radiographic bone loss was reason for denial. Any help or direction would be MUCH appreciated. Thanks! I actually agree with the insurance company here-not clinically, but by THEIR definition of what qualifies as 4341/4342. They want to see clear radiographic
September 16, 2025
Claims Processing
Message Board
Views: 1576 | Replies: 24
with maybe 10-12 Pediatricians. FD apologized and told us they just have no staff to man the phones and help in the back. This is Madness. Then who handles the insurance denials. About 20% of all medical claims are denied the first time around for no reason. In my hospital practice we have 1
June 22, 2022
Future Planning General Discussions
Message Board
Views: 394 | Replies: 15
the procedures..using dentrix. Attachments are also very simple also. We never miss a code submission this way. We also get a lot less insurance denials, I know frequencies etc, I know what the dumbass insurance is looking for in attachments etc etc so everything that is submitted is usually collected
November 29, 2020
Practice Management & Administrative Forum
Message Board
Views: 582 | Replies: 15
them around like they do you and I and the patients. The TDI will get a concise, complete, and rapid response. Tommy, Never heard of a insurance commissioner. Your idea sounds promising. Yesterday I received a insurance denial for an orthogathic case (double jaw. lefort 1 maxillary advancement
April 10, 2014
Oral & Maxillofacial Surgery
Message Board
Views: 123 | Replies: 4
poor prognosis? Does insurance pay specialists when you do apico? If there is a poor prognosis, why would they cover apico? The word has spread among dental insurance execs that denial of crown benefits means much more money in their pockets. They will deny for trivial reasons that make little
September 29, 2021
Endodontics
Message Board
Views: 494 | Replies: 14
was numb (it is my new grad hygienist so I'm still working through the kinks on how/why to do these things). We did only 1-3 teeth/quad in all 4 quads so not full quads. I'll scan in the insurance denial letter as it says at this point if we want to fight it further we'd have to request an independent 3rd
May 31, 2018
Hygiene Discussions
Blog
, increase production, and be able to schedule treatment while patient is in the office. In addition the rapport between your front office staff and the patients will improve since the stress of dealing with insurance companies and denials have been removed creating a much more trusting and friendly
February 05, 2019
by dentalwebsmart
Message Board
Views: 62 | Replies: 3
denials, and real-time insurance eligibility verification. Practices using the platform report improved diagnostic confidence, earlier issue detection, better patient education and engagement, higher case acceptance rates, and tangible production gains. It's widely adopted by DSOs and solo practices
February 12, 2026
Artificial Intelligence
Blog
.) into the insurance software management system. Providing adequate software training upfront will help mitigate mistakes and increase the likelihood of claim approvals and ultimately getting paid. Most Common Treatment Denials: Periodontal & Cosmetic Work Common treatments that see the most
March 05, 2017
by Sheri Jolly
Message Board
Views: 689 | Replies: 25
? I believe no pocket , no perio may hold up in some situations, and may cause insurance denial if that is a goal ( insurance to pay) . What he's saying is that 100% of people have perio. 100% Now, here's the segue into making money Recession = perio = caused by bruxism = caused by airway
May 14, 2024
Periodontics
Message Board
Views: 388 | Replies: 23
experiences in your earlier life have given you perspective in your current life? I mean, how could anything you face today even remotely compare to what you went thru on your journey to Canada and your practice? It almost makes an insurance denial laughable. completely inspired by you. alanThank you
January 31, 2017
Vacation
Message Board
Views: 1734 | Replies: 28
. But these are different cavities. Remember two things with insurance denials. 1) Most are automatic by the computer, not a human. All they do is look at frequency and coverage, a human never touched the claim. You have to call for these and force a human to look at the claim. 2) Even the humans
May 21, 2018
Claims Processing
Message Board
Views: 110 | Replies: 6
the information and let them decide. I have seen this if you did not preauth. If you preauth I rarely see denials. Insurance always wants you to ask. Now wanting to crown a crappy endo is another discussion.
November 13, 2019
Fixed Prosthodontics
Message Board
Views: 691 | Replies: 44
to hopefully avoid more denials like these. Youve got this Doc! Make them pay! Clearly fraud, but honestly not your problem. You didn't force the patient to pay for shitty insurance nor did you cause the tooth to become decayed. Distance yourself from the insurance situation and collect for what
February 14, 2023
Claims Processing
Message Board
Views: 3507 | Replies: 125
frustrating insurance denials worse (med doesn't work for you but too bad because AI shows 99% of the time it works for you so too bad). Any thought of managing disease outside of pumping people full of RX's is going to go out the window too I think. Put your blood in, let the computer think, get your RX
June 17, 2023
Dentistry In The News
Message Board
Views: 934944 | Replies: 348121
why there is no excuse to dump mulitple rounds in someones back, no matter how good looking the suspect is nor how much money the victim makes. That truly is shocking. They tie the two issues of crappy insurance denials and resultant morbidity/mortality and the cold blooded murder of someone
December 24, 2024
Politics - DO NOT Enter if easily offended
Message Board
Views: 476 | Replies: 10
will appeal once to a patients insurance upon denial but after that the remaining balance must be paid by the patient and they can take the fight to the insco if they wish. My staff doesn't have time to sit on the phone for an hour to try and talk to some overseas call center representative etc, we send
March 30, 2019
Claims Processing
Message Board
Views: 181 | Replies: 10
were sent without issue and accepted -Ensure insurance verification is completed 48 hours out (this gives you time to get updated info from the patient if needed) -Post all payments received and work any denials/appeals received Weekly -Run claim reports to look for any procedures not attached
November 11, 2022
Claims Processing
Message Board
Views: 111 | Replies: 0
a medical denial- meaning that we are submitting to medical and dental)? Any tricks OMS's are using to get paid quicker to reduce their AR? I feel like my insurance coordinator is extremely diligent and hard working, and most times our estimates for patient's are extremely accurate (almost to the cent
April 20, 2016
Oral & Maxillofacial Surgery
Message Board
Views: 393 | Replies: 23
to post payments to patient accounts. If im the seller I dont want to be chasing down collections following up with insurance claims and denials after Im retire/ out of there. If im the buyer I dont want the seller agressivly chasing down collections/ sending patients to collection and from a practice
September 12, 2024
Practice Sales
Message Board
Views: 875 | Replies: 33
....and got a denial. The insurance company is requesting pre-op PA's of all of the teeth, which we do not have. In this SAME FUCKING BATCH OF MAIL, this same insurance company denied 2 anterior PA's for not being medically necessary. Please make this make sense. Cant we create a "call the ADA
March 06, 2026
American Dental Association
Message Board
Views: 206 | Replies: 1
there is considerably less paper work and less headache of collecting and/or denial by insurance company. Same thing is happening in dental practice. Where I work, where all kinds of people with all kinds of insurance/discount/PPO come in. I just found out replacement for O-ring for an overdenture was 340
May 25, 2017
PPOs and HMOs
Message Board
Views: 162 | Replies: 4
Like everyone who has to deal with insurance, we're getting more denials of crowns stating that we should be doing direct restorations. I want to put together a form letter that states why we are doing a crown and cite a study that says if criteria a, b, and c are met, a crown is needed vs
November 08, 2019
Claims Processing
Message Board
Views: 1005 | Replies: 24
clinical... The entire meeting has been about all the insurance regulations that have changed or will be changing and pretty much it's alldoom and gloom. The old guys are happy they are close to retirement. They keep looking at us young guys and telling us we are pretty much screwed
November 02, 2015
Oral & Maxillofacial Surgery
Message Board
Views: 32 | Replies: 0
Hello, We have 3 claims that were denied because they need a denial from the medical insurance company before they will process. Currently we are unable to bill medical insurance. Does anyone know how to apply for a medical ID number? The state office has not been very helpful. Thank you!
February 09, 2016
Claims Processing
Message Board
Views: 134 | Replies: 2
familiar to anyone who's dealt with insurance bureaucracy: low reimbursements, rising denials, and endless prior authorization hurdles. The Kaiser Family Foundation reports tens of millions of prior-auth requests each year under MA, and the number keeps climbing. For patients with complex health needs
October 18, 2025
Medicaid and Welfare Issues
Message Board
Views: 1703 | Replies: 50
to patient ledgers, dealing with insurance denials, submitting any pre authorizations, working insurance aging report, patient billing. I am thinking about outsourcing posting of insurance payment .May I ask you how much does the Dental Claim Support Charge you? Would also appreciate your experience
September 19, 2023
Billing
Message Board
Views: 73 | Replies: 1
I am trying to find a reliable company that will enter EOB's into patient ledgers, file denials and research outstanding insurance claims. Large volume, annual collections for one practice is just over $6 million. Dental Claims Cleanup would certainly like to help you. or call me (315) 415-4941 Dorothy
September 20, 2016
Claims Processing
Message Board
Views: 563 | Replies: 10
complicated it, and any reason the timeline stretched. If a denial lands six months from now, your only defense is a story that makes sense clinically and chronologically. Be honest with the patient up front. Dental insurance is not a treatment plan, it is a cost-sharing arrangement with rules. If their plan
April 28, 2026
Delta Dental
Message Board
Views: 154 | Replies: 5
question - How best to search with AI? If I ask "use only published literature" will it? I know Principal Dental Insurance has started. You now have to submit x rays for all fillings. Prepare for the denials. I have been taking photos mid procedure for years to prevent denials. I just did this #14...x-ray
April 24, 2026
Artificial Intelligence
Message Board
Views: 244 | Replies: 4
Just recently purchased an intraoral camera - love it, I think it makes a big difference to patients when explaining treatment. I also hope it'll help with claims for procedures as well, things that don't show up on an xray, so insurance will be less denial happy. That being said, I would also
July 25, 2017
Coding Q&A
Message Board
Views: 438 | Replies: 8
the denial of all perio scaling unless bone loss is visible on the xrays. Which is 100% false definition of periodontal disease.By far the WORST dental insurance company IMHO.....I don't even bother to get any treatment approved with...Dropped them last year! They were definitely one of the worst
January 20, 2017
Claims Processing
Message Board
Views: 477 | Replies: 9
credentialed. 1. For surgery, many dental insurances require a denial from medical insurance before dental will process a claim. I used it be in network with Cigna medical and dental. So we would send the claim to medical for a bone graft. They would approve it and pay me $53. I had to accept
October 09, 2018
Practice Acquisitions
Message Board
Views: 952 | Replies: 14
, to an insurance company trying to dictate health care decisions when they only care about $$ Less work than dealing with a ton of denials.... But I agree with you, it is kind of stupid. Not sure how we let insurance companies be the gatekeeper for treatment. Welcome to the world of dental insurance
September 05, 2017
PPOs and HMOs
Message Board
Views: 3175 | Replies: 91
and patients are way more accepting of treatment now that we do them. Maybe if you have a unique case then grab your heavy duty camera...but by God, just use the $150 ebay IO camera for that. We have very few insurance denials since we started doing this. 3) I cannot stand when insurance companies
October 31, 2022
Claims Processing
Message Board
Views: 168 | Replies: 3
First off, I know, get out of insurance. To make a long story short. I pulled a wisdom tooth last year. Delta Dental requires a denial from health insurance before they will pay. Our 3rd party claims processor went 'round and 'round with health insurance to get a claim finalized. Took OVER A YEAR
November 25, 2024
Claims Processing
Message Board
Views: 701 | Replies: 34
for the dentist's credentials who issued the denial 4. state that you will be turning said dentist over to your states insurance commission. This works for us in a very heavy PPO office with ridiculous insurance companies such as MetLife. While ya'll are lamenting... Doug gave you some really good
February 14, 2014
Practice Management & Administrative Forum
Message Board
Views: 66 | Replies: 3
Hi All, Recently heard of a denial for x-rays along with an exam, and the reason for the denial was something like 'submitted codes have been bundled into one procedure and are not eligible for payment.' Are we going to stop getting paid for x-rays? Just exams? Gather whatever data you want? Does
April 15, 2026
Claims Processing
Message Board
Views: 2534 | Replies: 62
50% with hygiene, should be above 90%. This is all in communication skills. - Are your insurance denials a problem for SRP? They should be near 1%, sadly many are near 50%. It is all in the documentation of cases. - Insurance fees. Are you directly contracted or indirectly? Indirect through umbrella
October 03, 2023
Practice Management & Administrative Forum
Message Board
Views: 926 | Replies: 76
is what 44? Normal retirement age is 65? He plays football for a living, not dealing with insurance denials on SRP. I'm sure he has plenty of time for his kids, who are in school, and family. How many dentists sell their office and are back part time within months? I think he simply wasn't ready to hang
March 14, 2022
Sports
Message Board
Views: 456 | Replies: 14
this thread to my hygienist. Perio is so nuanced.In my little PPO-heavy practice in Houston, we could routinely expect an insurance claims denial for SRP's on this kind of case (no radiographic evidence of bone loss), even with subgingival calculus because the calculus is not on the roots and therefore
April 14, 2018
Periodontics
Message Board
Views: 1552 | Replies: 65
-payment 2. insurance denial 3. insurance bundling, downgrade/alternative benefit KISS rule.You should use the full fee schedule if you are paying me a % of production for my services. Otherwise..use what you are actually charging..which is the PPO or other fee schedule. That's how we did it anyway
November 20, 2017
Ask a Dental Consultant
Message Board
Views: 827 | Replies: 28
payments (patient and insurance) the front handles over the counter payments. insurance denials, requests go to the OM for follow up. how is that remote person going to communicate special insurance rules to your office? email, phone call, text message, fax? are they going to be in your office w
June 29, 2022
Claims Processing
Message Board
Views: 287 | Replies: 5
at 80%. We never send pre-auth for extraction.Aetna is trying to keep their money as long as they can. This is never going to be covered by any medical insurance, in my experience. So if their medical does, it would the first time I heard. Most likely you need to make a claim with the medical insurance and then send the denial to Aetna. Then Aetna will pay. Probably. Michael
April 02, 2018
Oral & Maxillofacial Surgery
Message Board
Views: 1303 | Replies: 34
. it seems like the reasons they don't accept treatment at your office would be magnified at a perio office. That being said, insurance denials for needed treatment are really frustrating.Thanks for sharing that! I think we may have come up with possible solutions to a common and annoying problem
February 09, 2017
Periodontics
Message Board
Views: 1112 | Replies: 44
: Pain in UL. Recurrent decay on PFMs #14 and #15. Went over TX plan with insurance's estimated portion. He signs and pays his portion. I prep and put him in temps. Crowns come back along with the insurance denial saying he's MAXED out!!! Apparently he went to another dentist in between his recall
November 05, 2015
Claims Processing
Displaying 51-100 of 40839
1 2 3 4 5
Page 2 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