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Message Board
Views: 352 | Replies: 8
Hi everyone i hope someone can help me , very stressed out i will be closing on a practice at the end of June. The seller hasn't told staff of the sale and just agreed to allow me to contact the insurance companies to be contracted or credentialed with them. This Will take anywhere down 6-12
June 12, 2019
Claims Processing
Message Board
Views: 150 | Replies: 3
Has anyone used or an recommend an Consultant that specializes in running systems for a dental insurance department of a dental practice? We are looking for a consultant to oversee and revamp our current systems in our pediatric practice. We have a feeling that the staff running our insurance
March 01, 2014
Ask a Dental Consultant
Message Board
Views: 177 | Replies: 6
Hello! Hope someone can address my concern. In April of 2018, we sent out a claim to the patient's insurance for a crown that was delivered and cemented. My staff never followed through with the aging report and come June 2019, we find out the carrier never paid their portion. We called the carrier
July 09, 2019
Ideas To Make Your Practice Grow
Message Board
Views: 326 | Replies: 2
What am I supposed to do to make sure that from day 1 of the transtition I am able to be in network and submit claims with the insurance companies. I am already credentialed at another practice. Do you just go around and call (not that they ever answer) the insurance companies and tell them
May 14, 2015
Practice Acquisitions
Message Board
Views: 187 | Replies: 9
and debits - with good notes! I went with the credits and debits and LOTS of notes. Thanks!You don't have to credit the patient. The insurance company made the mistake. Its up to them to get it from the patient. Here's the letter we send to the insuance and the patient. Doug Re: Rick Xxxx
November 26, 2019
Practice Management & Administrative Forum
Message Board
Views: 153 | Replies: 2
and always care). At the office that I am buying, we accept insurance but are not in network with any PPOs. My question is this, since I am in network at one office, will the insurance companies try to reimburse me with their PPO fees in the other office that I am going to purchase since it's
August 17, 2015
Claims Processing
Message Board
Views: 86 | Replies: 1
I'm told that most insurances are not providing coverage for the modified full mouth series (7-8 films). So, we have been submitting these as 4 bwx + 3-4 single films and getting some coverage. I discovered today that MetLife covered the prophy, exam and 3bwx but then applied the other films
November 06, 2017
Front Office Discussion
Message Board
Views: 198 | Replies: 2
Has anyone used or an recommend an Consultant that specializes in running systems for a dental insurance department of a dental practice? We are looking for a consultant to oversee and revamp our current systems in our pediatric practice. We have a feeling that the staff running our insurance
February 28, 2014
Pediatric Dentistry
Message Board
Views: 144 | Replies: 5
to about 7.5 w/ the efts. delta and metlife even tell you which ones that aren't going to pay and why. if they need more info, an x-ray, tooth number, maybe it's a wrong birthday or subscriber id.... easy to fix and get paid quickly....Stock market is up and the insurance companies have their money in play. Not wanting to give it up!Thanks so much!
December 01, 2016
Front Office Discussion
Message Board
Views: 262 | Replies: 5
Hi Everyone, I am a recent grad just over a year out of school. I recently had a patient file insurance complaint after root canal done on #28. Just a brief summary : Rc done in Jan,2018. Gave her clindamycin after.. she has lot of systemic issues so couldn't tolerate .. told her to stop taking
June 23, 2018
Medical / Health Insurance
Message Board
Views: 63 | Replies: 0
me that it all depends upon the member insurance. As long as the patient is in premier or EPO plan, whether they are part of Northeast Delta Dental or Delta Dental of Rhode island, I will be in network and can provide service to them Given the above, I came to know about my friend, who bought
December 12, 2016
Practice Acquisitions
Message Board
Views: 233 | Replies: 5
will not be controlled with in-office anesthesia techniques. So.....the plan is to treat her under GA at the local surgicenter. Only problem is.....wait for it....you guessed it, insurance will not cover GA for removal of thirds. 2 months ago she had sinus surgery under GA and the insurance didnt bat
July 16, 2015
Oral & Maxillofacial Surgery
Message Board
Views: 143 | Replies: 2
are bound by contract to accept UC fees for insurance plans we've never heard of and were completely unaware we were providers for. What's going on in the insurance industry that allows this to happen and is there any defense against it? Can anyone enlighten me? I'd get a copy of your original
September 29, 2019
Dental Insurance for Dentists
Message Board
Views: 174 | Replies: 3
will give you this data. The closest thing you will get is from the Insurance Company Productivity. If you don't sent office fees but contracted fees you don't have to worry about write off calculation. If you send office fees on contracted claims and depending how you do write offs you might not be able to get accurate data on the write offs grouped by company.
November 16, 2016
Dental Insurance for Dentists
Message Board
Views: 51 | Replies: 1
Ifyou could design a dental insurance what would the perfect insurance look like in terms of cost to patient, reimbursement, and procedures covered? A perfect plan would be no limit and no need to send in supporting evidence and it pays UCR. Both dentist and patient would be served well.
April 28, 2016
PPOs and HMOs
Message Board
Views: 627 | Replies: 10
How early should I start with insurance credentialing when acquiring a dental practice? And is that something I can do by myself or would I need professional help with it? Thank you I would start reading every article on the unlocktheppo.com website. If you really want to start getting involved
January 23, 2017
Claims Processing
Message Board
Views: 53 | Replies: 2
Can anyone offer some insight regd the average premium for a 1M cyberliability policy? I was offered a ball park of$480 a year. Didnt see much of a difference in the premium for $250K or $500K What's the best company to choose ? Thx Company doesn't matter. I would first go to the company where I...
November 05, 2019
Dental Liability Insurance
Message Board
Views: 178 | Replies: 5
I'm buying a practice, however, the licensing process with the state has taken longer than planned and I'm concerned I won't have my insurance credentials completed on time.In the past, when I started as an associate in another office, procedures were submitted under the owner doctor until my
June 18, 2019
Claims Processing
Message Board
Views: 1452 | Replies: 24
I'm looking to purchase this practice in New York. The seller has gone out of network for the last three years however based on demographic it appears to me that he routinely waves copay. Now my question s Is routinely waiving copay considered insurance fraud in New York and if so what
October 30, 2017
Legal Issues
Message Board
Views: 27 | Replies: 0
to have your insurance billers in the office or if they are doing what they are supposed to do. Outsourcing your dental billing can solve those issues! You don't have to worry about having extra bodies in your office and with a monthly meeting to review your practice, you have peace of mind that things
September 15, 2020
All Things Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 112 | Replies: 1
I don't have car insurance . . . but I do have a Lowes card! If the hood has hinges on it, I'm...
April 07, 2017
Jokes.....(Clean)
Message Board
Views: 107 | Replies: 1
I am very happy with my highly-rated Amica auto insurance and they have served me well. A great long time patient, who now owns an Allstate insurance agency, offered to switch my auto insurance to Allstate when it renew next month. I don't want Allstate even though it's cheaper cause it's
October 03, 2014
Personal Finance
Message Board
Views: 109 | Replies: 2
We have a patient that is doing Invisalign at our office. She is about half way through her treatment and her insurance is paying 50% and makes payments towards the total balance. Mom just called to inform us that she is dropping her current plan and now has new insurance. How does this work
January 20, 2015
Claims Processing
Message Board
Views: 70 | Replies: 0
Thinking of offering an office managed insurance plan for patients that don't have insurance...I have seen many different models on how to implement this and what to charge...but I'm not sure how to make this work with Perio patients.Thefee I want to charge would be paid for up front....but how do
January 29, 2019
Practice Management & Administrative Forum
Message Board
Views: 591 | Replies: 8
Hello, I am currently in the process of buying an office and have been working on insurance credentialing. The closing date is scheduled before I will be credentialed. How have others handled this? Can I use the seller's credentialing with insurance until mine comes through since she
January 04, 2016
Practice Acquisitions
Message Board
Views: 66 | Replies: 0
I am looking for some feedback on EDS. We talked with a rep yesterday about insurance verification, statements and online payment portal. They have some services that could help us. I was a bit surprised that the presentation used a five year old video. IF you're in the tech industry, I would think you would be more current/contemporary in your presentation. Anyway, if anyone is using their services, I'd appreciate your thoughts. thanks
November 13, 2020
Practice Management & Administrative Forum
Message Board
Views: 52 | Replies: 0
I am an associate working at a multi doctor practice owned by a dentist who does not have a dental license in this state. I have been noticing his fraudelent billings recently. Billing services that were not provided. As an associate dentist, I get paid fixed daily rate and I don't have any access...
October 21, 2016
Legal Issues
Blog
#HealthyTeam
July 19, 2016
by jmrenken
Message Board
Views: 128 | Replies: 10
Plan on taking cruise to northern Europe in summer '17. Can anyone recommend a company to get travel... Google it. Watch the disclaimers. In my experience, they'll find a way to deny any claim. The cruise lines will often offer it. Most major credit cards carry some sort of travel insurance
October 28, 2016
Vacation
Message Board
Views: 224 | Replies: 4
We have 6 offices with over 50,000 patient visits per year. We certainly should have a little leverage to negotiate with I sitance companies. Who has done this, what were your results, and where do you... not sure if this is the answer you were looking for...many practices start here: ...
March 08, 2016
Practice Management & Administrative Forum
Message Board
Views: 131 | Replies: 2
I wanted to find outhow often it isrecommend tocheckinsurance eligibility. We always check patient eligibilityduring their first visit in the newcalendar year. But how often thereafter do yourecheck once they have already been checked? Only on future recalls? If they haven't been seen in over 3...
January 19, 2019
Front Office Discussion
Message Board
Views: 105 | Replies: 1
I was reading the draft of lease agreement. Have not reached the point to have the lawyer negotiate it and to answer my question. So I thought I ask fellow townies. What is the norm in terms of paying for insurance for a building? I realize that in a NNN all expenses are passed on to the tenant one
February 13, 2014
Lease Terms and Negotiation
Message Board
Views: 57 | Replies: 4
hello; I have been doing all insurance work as I look for front desk help - I'm a victim of staff not wanting to come back after covid shutdown! Anyways - How long does Aetna typically take to pay a secondary insurance claim? Also, how long does delta take to pay as a secondary? There is no set
September 23, 2020
Front Office Discussion
Message Board
Views: 20 | Replies: 0
does anyone have this or has any dentist ever had loss of data/breach of data by hacking where a patient actually made a claim. ? My company offers it for $500, but still seems like paying for something that will never happen. I have backup, so no data would be lost. just wondering others thoughts....
October 30, 2017
Practice Management & Administrative Forum
Message Board
Views: 42 | Replies: 0
Received an email from a rep at a company called Level saying they are already through a third party I am in-network with. Anyone heard of it, or know what TPA they use? Any experiences?
March 12, 2020
PPOs and HMOs
Message Board
Views: 871 | Replies: 9
he had been working with the adjustments for too long. My disability insurance is with Northwestern Mutual. Yeah Tim, timing. If this last med doesn't help the jerk then accordingto Mayo, it'llbe time to filea disability claim. Let's say Northwestern agrees with the claim. How is a practice
December 30, 2019
Future Planning General Discussions
Message Board
Views: 516 | Replies: 1
Hi all, I've started to look into disability insurance after working for a few years already. So far, Mass Mutual offers me the cheapest individual policy, around $300/month premium for 5k/month benefit, because they have this unisex discount rate going on. Anyone knows if there might be any catch
February 23, 2019
Dental Liability Insurance
Message Board
Views: 187 | Replies: 5
This may sound like an odd question, but I was wondering if I could submit a claim for a night guard for myself? I am a general dentist and have dental insurance and feel that I can easily take the impressions on myself. Is this allowed legally? I've heard of a lot of insurance companies
October 01, 2014
Claims Processing
Message Board
Views: 99 | Replies: 1
I have this patient who first come to my office for cleaning. He recently moved from another state and I told him that the discounted price for cleaning is $50. During the examination, I find that he needs a post and crown for repairing a broken tooth. Then he said he wants to use the insurance
August 05, 2014
Claims Processing
Message Board
Views: 322 | Replies: 5
I posted a topic earlier about electronically verifying insurance however didn't really get a good response. Changing the question a little: In pedo we see so much volume, what is the best way you guys have found to verify coverage and history for patients? It is very time consuming to have
July 25, 2016
Pediatric Dentistry
Message Board
Views: 76 | Replies: 1
We have just installed PMS which is working well with the exception of the time to load info into the patient's profile. The insurance clerk sometimes takes as long as two hours (exclusive of time waiting to receive fax from insurance companies detailing coverage) to get all the details
October 09, 2014
Practice Management & Administrative Forum
Message Board
Views: 152 | Replies: 6
This might be a silly question, but I know little about running a business. I have heard so much about the catastrophic effects of ransomware, I was wondering if most businesses have insurance for this and if so what are the premiums like? Do the providers of the software provide any insurance
July 13, 2019
Selecting / Installing Software
Message Board
Views: 579 | Replies: 17
I have a busy PPO driven office. I was wondering if anyone knew of a company that could help me with insurance verification? Thanks I would like someone to explain to me why hiring a company to do this is more efficient than just having the front desk quickly type in the member ID number
December 28, 2018
Ask a Dental Consultant
Message Board
Views: 603 | Replies: 10
I'm in a weird situation. LONG story short, I'm an associate in an office that I'm hoping to buy. The owner had to move and I am now the only provider in the office. Now the FD is having issues with insurance paying for my work. Despite my recommendation, they never did try to get me credentialed
July 26, 2017
Claims Processing
Message Board
Views: 514 | Replies: 1
Every year my insurance agents wants me to increase my disability and or go to a level premium. I currently have $10,000 worth of coverage with cost of living adjustments and own occupation clauses. I am easily 1/4 to 1/3 of the way towards my retirement goal and $10,000 a month covers my living
July 17, 2017
Personal Finance
Message Board
Views: 158 | Replies: 4
I did some work for a patient who has two insurance plans. He is covered on his own and on his wife's plan. Primary insurance is through a union. I am not contracted with the plan. Secondary insurance is Met Life and I am a PPO provider. Let's say I did $400 worth of dental services
February 22, 2016
Practice Management & Administrative Forum
Message Board
Views: 198 | Replies: 4
I am in the process of buying a practice. What are some good carriers for contents insurance? If this is not the correct forum mods, please move it to the correct... I just worked with my home and auto agent as they have a commercial branch as well. I was in a bind because the bank required e
September 07, 2016
Practice Acquisitions
Message Board
Views: 693 | Replies: 6
pics to insurance companies and the expensive one that i have was dropped and the lens is crackedI don't remember the full name at the momentbut, the came costsabout $150.00 and had the word you in the name. E-Bay purchase. The camera interfaces easily with Apteryx x-ray vision and gives a nice
March 08, 2015
Claims Processing
Message Board
Views: 197 | Replies: 5
be restoring the case. Any ideas how to manage this? We're pretty much a fee for service practice except my one insurance company and I never would say I'm in network that's stupid... I would definitely not write off the balance if documentation is on your side. It is a lose-lose if you write off
July 27, 2016
Ethical Issues
Message Board
Views: 75 | Replies: 0
I've sat though enough. The clip is from 4:44 to 8:50
June 16, 2014
Leisure
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