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Message Board (37849)
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Message Board
Views: 950 | Replies: 15
How do you guys do insurance verification? Are you having people pay prior to treatment? I've always sent statements, but I'd love to change my systems so we collect prior to treatment. Do you have people pay for the recare portion prior as well? My issue is that it takes
April 15, 2017
Pediatric Dentistry
Message Board
Views: 347 | Replies: 5
So our premiums rose from around 1200 for my family of four to about 1650 for the same plan this year. Does anyone buy insurance through like a coop from AAPD or ABPD or some other group or organization? Any... Medi Share Get out of the insurance marketplace, wait for it to implode
November 01, 2016
Pediatric Dentistry
Message Board
Views: 101 | Replies: 1
If I am out of network for a patients primary insurance but in network for their secondary do I have to abide by the secondary insurance fee... You will want to abide by what the secondary EOB states is the patient portion after both insurance companies have processed the claim. The patient
June 21, 2017
PPOs and HMOs
Message Board
Views: 120 | Replies: 0
Has anyone ever used captive insurance? Whice company did u work with?
February 21, 2015
Dental Liability Insurance
Message Board
Views: 239 | Replies: 0
Hello Fellow Townies I had a question, i have been working as a GP for 5 yrs now with 2 separate corporates, both of whom offered malpractice insurance. I noticed on the second one the retroactive date was put to my start date with the corporate. Does everyone purchase a tail when they jump from one corporate to another or is there another way. Thank you in Advance
June 20, 2019
Malpractice Insurance
Message Board
Views: 311 | Replies: 1
At what point in your career is it time to forfeit disability insurance? I am semi-retired at 57 and only working 1 day a week. Do I really need to maintain my disability insurance? What's the plan if you're disabled tomorrow? Would you need additional income between now and age 67? If so, you need disability insurance. If not, you don't. That simple. I anticipate cancelling mine in my early 50s.
August 04, 2014
Personal Finance
Message Board
Views: 192 | Replies: 6
Hello to everyone! I live in Canada. Recently I had the problem with Insurance. I will explain it. I had the patient with two Insurance coverage: one her own and second from her boyfriend. We have done treatment for her in August/2016. Her Insurance covered the treatment 80% and left over I have
October 05, 2016
Patient Finance Plans
Message Board
Views: 803 | Replies: 15
I am a single dentist (no children) and I am paying about $400/month for a crappy HMO insurance through the marketplace. Is there a less expensive alternative to getting a decent plan for myself? If you are in decent health, look at a high-deductible plan that is HSA-qualified. It should be a lot
February 06, 2020
General Health
Message Board
Views: 64 | Replies: 0
I'm wanting to offer my patients with no insurance coverage, as well as those who are thinking of leaving because I am not in network, an in office alternative. My question is, for those who may already be doing this, do you have any contract or agreement you have the office and patient sign
February 06, 2020
Practice Management & Administrative Forum
Message Board
Views: 154 | Replies: 6
gets to insurance first and is processed first gets the insurance benefit. The other claim will get no insurance benefit but the patient will get a PPO discount and the negotiated fee. So if it your treatment you will need to explain to the patient that even though he/she did not get insurance benefit
December 17, 2015
Claims Processing
Message Board
Views: 198 | Replies: 4
, the insurance would pay for the D only as you already did the O in their mind. It resets the 18-24 month frequency limitation. I'm basing this on a similarcase I had on a patient who came from another office. When we contacted insurance, we were told the portion that was done by the previous dentist would
January 29, 2017
Restorative Dentistry
Message Board
Views: 284 | Replies: 1
radiograph and just checked teeth. They have teeth already been extracted before they had this insurance. Wife has her radiograph taken in May in different office where she had extraction and a root canal treatment done when she did not have any insurance. That proves that she is telling the truth
September 12, 2016
Medicaid and Welfare Issues
Message Board
Views: 658 | Replies: 19
Hi fellow Townies! I'm in need of help! My husband purchased a practice a little over a year ago. During this time we have had a front desk person who has a lot of experience with dental insurance. Unfortunately,we will be letting her go in the next few weeks, due to office conflicts. I
April 29, 2015
Claims Processing
Message Board
Views: 373 | Replies: 3
I am contracted/ in network with several major insurance companies such as Cigna, Aetna, delta, guardian, MetLife, etc. My fee for Invisalign is $4500. The maximum allowable charge for several of these insurances for 8090 is $3500-$3800. Is there anything I can do to collect up to my fee or am
April 15, 2014
Claims Processing
Message Board
Views: 132 | Replies: 3
for patients to have wisdom teeth done here. However, I recently found out that the procedures are billed out through me, or the other doctor here, even though we didn't do it. I asked why and it is because he is not in network with the insurance companies. So the office is reimbursed and then the doc who
March 30, 2018
Claims Processing
Message Board
Views: 121 | Replies: 2
Check it out http://www.cnn.com/2015/02/11/us/auto-repair-investigation/index.html Sounds like an...they say its called Steering to the preferred service center
February 21, 2015
Claims Processing
Message Board
Views: 585 | Replies: 11
Hi, I am currently working in an office takes PPO insurances. I was contacted by the Dental Health Alliance (assurant) to sign up to become an in network provider. However, the existing office fee schedule hasn't been updated in years so they will allow me to renegotiate 25 CDT codes. After sending
April 30, 2014
Claims Processing
Message Board
Views: 89 | Replies: 4
Hi Everyone! I have a patient that has three insurances and wants us to submit all claims for him. We are running Dentrix G6 and cannot generate claims to a third carrier so that means that I have to write out the claim for the patient every three months. I do not like this method as it does
August 26, 2017
Claims Processing
Message Board
Views: 272 | Replies: 7
For all of you out there taking insurances, my question is what is the going combinations of code that people bill insurance commonly bundled together in order to get your the maximum benefits out there? I recently bough over a practice and this practice is strictly a Delta Premier office
October 24, 2018
Ideas To Make Your Practice Grow
Message Board
Views: 44 | Replies: 1
Anyone have Business Intervention Insurance or Employee honesty... bump...
April 07, 2016
Practice Acquisitions
Message Board
Views: 126 | Replies: 3
Are there any companies that offer only an insurance analysis? We stay on top of negotiating rates, but took a shotgun approach to accepting PPOs and now we are getting hosed. For example, is there a company that will look at all of the insurance companies we accept and determine which ones we
September 03, 2020
Practice Management & Administrative Forum
Message Board
Views: 840 | Replies: 16
Hi, I am dental student and am thinking about my future disability insurance when I start practicing. I am going to see a doctor for chest pains and she will most likely perform various ekg, oxygen consumption test etc. on me. I was wondering if the very act of having these diagnostic tests done
March 24, 2015
Dental Insurance for Dentists
Message Board
Views: 158 | Replies: 2
We had an off-the-wall insurance come through on an awesome patient. We verified the insurance (100% preventative, 80% Basic, 50% major), and it seemed normal. They sent me 3 letters stating that they could not process the claim because my provider ID was not on the claim (it was there, then I
June 27, 2017
Just Plain Bitching and Moaning
Message Board
Views: 1318 | Replies: 42
My new front desk is bitching and moaning about how complicated it is to work with PPO insurance. While I agree that accepting PPO insurance isn't a walk in the park, it is a vital part of my practice and I'm not about to change my practice for her job to get easier. Hell, I'll probably fire her
January 25, 2017
Claims Processing
Message Board
Views: 90 | Replies: 3
. We have 1 dentist and 3 hygienists and only one front desk person and it is becoming way too much to handle. The Dr doesn't want to increase overhead and doesn't want to hire an additional front desk person and insurance coordinator. We also need a person who coordinates treatment plans and co
March 10, 2016
Front Office Discussion
Message Board
Views: 480 | Replies: 12
Opening office soon, what is considered legit and what is not? 1. Giving patient referral gift cards 2. Discounts for treatments--some forums say this is insurance fraud b/c you are essentially indirectly charging insurances more Thank you! Actually more like directly charging the insurance
July 15, 2015
Legal Issues
Message Board
Views: 442 | Replies: 13
I work in two completely different practices and am wondering what normal is when looking at insurance contracts. Do most all FFS practices bill insurance for their patients? Do most FFS practices require at least some payment day of service and then provide refund checks if the patients insurance
May 14, 2019
Ask a Dental Consultant
Message Board
Views: 323 | Replies: 7
Do you have to continue being a member of ADA to keep disability/life insurance through... Yes, its a group product - must be a member in good standing AND working a minimum of 30 or 35 hours (I forget which - but that is the part that freaks me out if I become disabled before death when
January 24, 2015
Disability Insurance
Message Board
Views: 394 | Replies: 0
Hi all, I am a GP relocating from Ohio to North Carolina. I am currently in negotiations with a big group in NC and they do not provide malpractice insurance. I have worked for a DSO since graduation and have been provided malpractice and I am just not sure if it's standard protocol for groups
March 12, 2019
Malpractice Insurance
Message Board
Views: 490 | Replies: 7
What exactly do you have your staff verify? About how long does it take? Does your verification and estimation often represent what is actually paid? I am thinking about outsourcing!!! Bump. I am also looking to know how the insurance process at the front desk all works and how things
December 17, 2016
Pediatric Dentistry
Message Board
Views: 28 | Replies: 0
I am looking to drop an insurance plan or two. I know how to pull the payment tables from dentrix, but how do I determine the numbers of patients on each specific plan? Is there also a way to pull what percentages are covered by specific plans?I know that there are consultant companies that are all too happy to do this, but I would like to learn how to do some on my own.Much thanks!
September 02, 2019
Practice Management & Administrative Forum
Message Board
Views: 182 | Replies: 9
I have a patient with insurance that pays for dentures on impression date. We filed claim and still awaiting payment. However, the patient died and dentures have not been completed. We have incurred some lab cost. What am I supposed to do? Should I retract claim? Not sure what to do. Thanks
December 19, 2019
Claims Processing
Message Board
Views: 201 | Replies: 0
Hello everyone! Any suggestions regarding the companies to help with the insurance credentialing with the new practice acquisition? I want to make sure I am credentialed before the loan is closed and before the first day of my opening. Thank you, Have a great day!
May 06, 2021
Practice Acquisitions
Message Board
Views: 637 | Replies: 18
So, anyone know what to do when an insurance carrier represents that a patient is covered, and later finds out otherwise and wants the money back? This is actually happening. We are getting a flood of overpayment notices from Aetna. The claims are anywhere from 6 months to 2 years old. We have
March 09, 2021
Claims Processing
Message Board
Views: 65 | Replies: 2
Hello I have a question about insurance billing.If a patient has secondary insurance do you have to submit it to secondary?Im thinking for example like when its preventative services and theyre paid at 100%.Also sometimes when there is a dual insurance and a balance is left after the primary pays
March 11, 2021
Claims Processing
Message Board
Views: 962 | Replies: 22
overwhelmed! Thanks in advance! Liz Hey Liz -I guess this is a personal decision based on your unique financial position. I understand the hesitation due to exclusions, but I find the disability insurance still provides good piece of mind. Especially as I continue to get older and have more adult
June 30, 2021
Disability Insurance
Message Board
Views: 305 | Replies: 6
Has anyone found a good company for outsourcing insurance? Anyone have good experience with Dental Claims Support company? Looking to possibly outsource everything related-verification, claims submission, etc. Instead of dedicating a staff member, anyone found this as a good alternative? Anyone
July 28, 2021
Claims Processing
Message Board
Views: 37 | Replies: 0
Is it okay to be not a provider for certain insurances in a multiprovider office?
July 10, 2021
Going Out of Network
Message Board
Views: 547 | Replies: 4
If I am no longer going to accept an insurance, do I legally need to send the patients a letter stating we are no longer preferred provider? Either way it is the courteous thing to do but there is definitely a right and wrong way to word a letter. I recall reading an excellent article
July 13, 2021
Practice Management & Administrative Forum
Message Board
Views: 284 | Replies: 1
Anybody recommend a company for disability insurance? I'm not a member of TDIC. Best Companies in my opinion are Ameritas, Guardian (though tightening underwriting guidelines) or Mass Mutual.
September 21, 2022
Dental "Pearls"
Message Board
Views: 455 | Replies: 5
Who do you use for health insurance benefits for self and staff? We have Medical Mutual and the cost is killing us. We are a small office and dont qualify for a group rate. Only a few of my team have our coverage, the others are insured by their husbands employers. I use UnitedHealthcare for my
September 26, 2022
General Health
Message Board
Views: 159 | Replies: 4
Front desk didn't check the maximum limit and insurance didn't pay all of their portion, patient has already paid his co-pay. Is it legal to write off insurance portion as it was our mistake. To answer your question, yes, you can legally apply whatever write-offs you want after the insurance has
November 21, 2022
Claims Processing
Message Board
Views: 51 | Replies: 1
called and said they switched insurances starting Jan 1st and are now with DD of Atlanta. How to bill new insurance and what to submit to collect remaining $300. Does the new insurance policy have ortho benefits? That is the first question to ask. If so, then you file the claim for ortho with all
March 06, 2023
Delta Dental
Message Board
Views: 371 | Replies: 9
Hello, I am a busy 4 doctor OMS practice possibly looking for a third party company to handle my insurance billing, AR, and collection cycle. Can anyone recommend a company they have used and are happy with? Thanks! Administrator. Edit by administrator. The Terms of Use for the Dentaltown
February 27, 2023
Claims Processing
Message Board
Views: 118 | Replies: 2
I have a family of 3 who wants to do Invisalign and they are contracted with Delta Dental. Can I give a small discount like $250 off?They were wondering because they wanted to do it all but finance is a factor.Any help would be appreciated! Are you contracted with DD? If so, does DD cover...
March 11, 2023
Delta Dental
Message Board
Views: 281 | Replies: 7
I'm sure this has been answered, I am just never sure of the answer. I was under the impression that even with downgrades, the patient is still responsible for the procedure done. So in the picture, the allowance is 136.16 for each filling, the insurance downgraded to a lesser amount that they pay
May 24, 2023
Coding Q&A
Blog
Buyers of overseas real estate should consider that an essential item will be added to the cost of maintaining their property in the United States - annual insurance. However,and other Florida cities do not become less attractive. Features of real estate insurance in the USA Almost all types
May 25, 2023
by FFD419
Message Board
Views: 84 | Replies: 2
Anyone care to give a quick list of insurances(other than malpractice) that you prefer to carry as a solo business owner. I do not own the building currently. Sadly enough when I bought the ADA sponsored rep set me up and I blindly followed. Looking to reevaluate everything and make sure I'm set up
June 16, 2023
Practice Management & Administrative Forum
Message Board
Views: 135 | Replies: 2
What percent are you writing off your production due to insurancewriteoffs Too much. Approximately 22%. The # has improved over the years by adjusting fees and dropping out of some insurance networks.
March 12, 2022
Delta Dental
Message Board
Views: 298 | Replies: 3
Hi all, I have a quick question. I just opened my very first office from ground up. So all these hiring employees and business aspect of dentistry is very new. Having said that.... I have one receptionist right now.... She has this slightly obsessive need to verify insurance a couple days
July 19, 2022
Front Office Discussion
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