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Message Board
Views: 272 | Replies: 1
it filing under your name, yes, I would let the insurance company know. If your name was not on the claim form (and they are not using your name now), I would let those chips fall where they may.
July 20, 2017
Ethical Issues
Message Board
Views: 129 | Replies: 1
NJ Legislature Votes To Curtail Insurers' Dental Pricing Share us on:By Joshua Alston Law360, New York (October 16, 2014, 4:48 PM ET) -- The New Jersey Legislature on Thursday passed a bill that would prohibit dental insurers from setting the prices for services not covered under their insurance
October 23, 2014
Dental Insurance for Dentists
Message Board
Views: 84 | Replies: 0
We filed our first insurance claim, called the insurance company prior to filing and did everything that we needed to for our predetermination. We just received a response and the insurance company stated that they would only pay $1000 and that we could not charge the patient for the remainder
November 20, 2014
Claims Processing
Message Board
Views: 91 | Replies: 3
Just got my new premium today. Up 26% .FREAKING NICE !!!!!!!!!! I have a high deductable and have never used the darn thing in 15 years since I had the policy. Make to much to get Ocare. I feel for those who make just a little too much to Qualify. Thinking about dropping the darn thing and...
January 05, 2014
General Health
Message Board
Views: 58 | Replies: 0
What's a girl to do? Insurance over pays... Are my fees too low? Do I send money back to insurance? Do I allow patient to use credit for more treatment? I only notice this issue with BCBS and Delta - obviously the All Star insurances and the only ones we will remain in network with once we
October 30, 2017
Claims Processing
Message Board
Views: 134 | Replies: 3
be in for a fight, and don't back down! Call the insurance company and check benefits. Get a reference# for the call. Inform pt that even if they approve it, they may change their mind later on.
July 16, 2015
Front Office Discussion
Message Board
Views: 518 | Replies: 20
This is probably a simple question but insurance rules confuse me. Im 2 years out of school and just now beginning to understand. My employer is telling me one thing but I think it's actually insurance fraud...but maybe not. What do I know? If you decide to give a patient a 20
July 20, 2018
Delta Dental
Message Board
Views: 234 | Replies: 5
of liability insurance (which I have done in the past, no surprise) but now with THEM added as a loss payee. So is this standard and should have been this way all along or is this an unusual request? Bump for morning...I think I have heard of this. I believe it is to prevent someone from
October 09, 2015
Lease Terms and Negotiation
Message Board
Views: 315 | Replies: 9
So I am discovering that my front desk is spending a ridiculous amount of time dealing with insurance companies after submitting claims correctly electronically. For example, she will send the case with radiographs, then they will say they did not receive the radiographs and then they will deny
March 09, 2017
Claims Processing
Message Board
Views: 442 | Replies: 6
be where insurance companies would figure out how to start paying on the lower paying option. We just got confirmation for the first time in writing with a company (that will remain unnamed) that a shared network agreement can take priority over a direct contract with them based on which fee schedules
April 28, 2015
Practice Management & Administrative Forum
Message Board
Views: 175 | Replies: 1
. dentalclaimscleanup.com we do call electronic eligibility checks, we call insurances on fullplan breakdowns,as well as,we enter them into your system. We have found that insurance wait time has increased and therefore hasbecome very cumbersome inthe practices for front desk office to accomplish during clinical live operations. we use our own benefits verification worksheet or we can use the one that the practice currently uses.
January 27, 2017
Claims Processing
Message Board
Views: 134 | Replies: 5
Hello, I have a client whodesperatelyneeds someone to assist them with the management of their insurance claims. Do you know anyone who provides this type of service? Thanks in advance for your recommendations. Warm Regards, Josh Does your client want to keep insurance verification, etc
September 02, 2016
Practice Management & Administrative Forum
Message Board
Views: 193 | Replies: 3
Question: If ones office overhead is 63-67% , and a particular insurance is paying between 45% and 51% of your fee schedule, what other parameters are to be looked at before dumping that particular insurance plan? i dont want to shoot myself in the foot, we are busy and profitable but upon
January 23, 2018
Practice Management & Administrative Forum
Message Board
Views: 93 | Replies: 5
with a copy of the primary preauth? I feel like there must be a better way...then again, we're talking about insurance, so probably... I'm not sure if it helps, but in this case, the primary is United Concordia and the secondary is Metlife. We are out-of-network for both. Neither plan has a non
July 11, 2018
Claims Processing
Message Board
Views: 565 | Replies: 41
So one of my friends (close but not super close) meets me on vacation for an overlapped day. He is a financial advisor and planner. He tells me he uses something for himself called principle financed life insurance. Anyone know about this? Now when we were talking about this, we were bottles
June 13, 2018
Personal Finance
Message Board
Views: 148 | Replies: 1
I have a patient on whom I am trying to start invisalign. She wants to get pre-appoval from her insurance and I am required to fill out some paperwork. The insurance forms are asking for me to state the treatment mechanics. Does anyone have any experience in what they are asking for? I spoke
March 06, 2014
Orthodontics
Message Board
Views: 279 | Replies: 4
Can anyone give me some insight on worker's comp insurance? Do I need to sign up as a provider? If so, what company provides it (I assume there are probably multiple)? Is it worth it? I assume you agree to a lower fee, just as any in-network provider, but then again, I would think most patients
February 02, 2017
PPOs and HMOs
Message Board
Views: 395 | Replies: 9
. This is a first for me. I assumed they will deduct it from future checks. My question is being that it is over a yr ago isn't there a statue ? Here's the deal. And I learned this first hand. GEHA is a FEDERAL plan and so Federally regulated. They do not have to follow the insurance regs of any state
May 23, 2018
Claims Processing
Message Board
Views: 98 | Replies: 1
I have 2 claims from Premier Access that requires a refund because they processed the claims as being out of network . We moved last year at a new address at we updated all our directories . Basically they processed the claims at old address. They want to get the refund of what they paid and issue...
March 20, 2018
Claims Processing
Message Board
Views: 245 | Replies: 4
I am currently working with a patient with a government dental insurance plan with a 10k limit! The freedom that this kind of limit gave us, to do work that he really needs and avoid a path that he was heading towards, was so amazing. If I'm stuck as a single tooth dentist due to patients
February 26, 2015
Restorative Dentistry
Blog
Marketing is the best life insurance that you can get to insure the health of your business. Un-Advertising employs storytelling and community-oriented strategies to get dental new patients through your door at a steady and controllable rate. It isn’t traditional advertising
November 11, 2016
by hflasch
Message Board
Views: 327 | Replies: 9
I am needing some tips on medical insurance billing, if you are billing insurance is it really a money-maker or is it more trouble than its worth. If anyone has any helpful info they can share, or any class recommendations, it would be greatly appreciated! I think it depends on the procedures you
April 30, 2019
Front Office Discussion
Message Board
Views: 152 | Replies: 2
then minor chips. since then he never saw a dentist again. today he has a bunch of cavities. And he wants the car accident insurance to pay for it. Nope. Not going to happen. I explained to him that they won't pay for anything without x rays and the x rays are clearly showing obvious decay. Day after day
July 27, 2017
Just Plain Bitching and Moaning
Blog
When it comes to insurance, on this much everyone will agree: insurance lingo is confusing. You know the kind I'm talking about: terms that are seemingly made from spilled alphabet soup on a Scrabble board sitting atop a Merriam-Webster tablecloth. But according to a recent survey, just 14
January 08, 2014
by DentInsStore
Message Board
Views: 19 | Replies: 0
Does anyone have any recommendations on both timing and scripting of an email that asks for new insurance? Should this be done right after the new year? Any recommendation on dates for maximum effectiveness? Should we do multiple emailblasts? Does this dramatically cut down on chasing
December 02, 2015
Practice Management & Administrative Forum
Message Board
Views: 300 | Replies: 4
on the premium, but that hasn't been the case for me. Dentists Advantage might be worth looking into if you're an AGD member....Those numbers seem a bit high make sure whatever policy you get gives you the ability to decide whether you want to settle a case and that its not in the hands of the insurance
May 12, 2016
Malpractice Insurance
Message Board
Views: 284 | Replies: 8
I am wondering about the PPO typical reimbursement of Florida would compare against other states, such as MA. Can anyone from Florida would provide me that typical PPO rates of Crown, Adult prophylaxis, 2-surface composite, and Posterior Molar endo? I know it would vary from insurance
May 26, 2019
PPOs and HMOs
Message Board
Views: 352 | Replies: 7
How do bill medical insurance for 3rd molor removals, exams, Pano's? Getting the forms is not a problem, but what are the codes? In order to file with medical insurance, you will need to have a diagnosis that shows a medical necessity for these extractions. If that is the case, I can help you out
February 06, 2015
Claims Processing
Message Board
Views: 305 | Replies: 3
, I don't know which insurance carrier is prevalent in the area 2) I do not know how to negotiate. Well, at least effectively. Is there someone whom I can hire to negotiate fees (and research which insurance carrier is present in the area?) Thank you. Google this: Unlock The PPO
October 15, 2018
Ask a Dental Consultant
Message Board
Views: 70 | Replies: 0
employees? Second question, can an employee who currently has a private grandfathered health insurance policy cancel and join the office group policy without qualifying reasons or only do it during the sign up period for Obamacare? Thanks
May 08, 2016
Ask a Dental Consultant
Message Board
Views: 616 | Replies: 5
Hi everyone, I'm currently in the process of moving home to California after practicing out of state for a few years, and since my current insurance company doesn't cover the state of CA, I was wondering if anyone has any suggestion on some good companies through which to procure a policy before I
December 14, 2015
Malpractice Insurance
Message Board
Views: 293 | Replies: 2
Has anyone found any insurance companies that pay D1354 for SDF? I've been coding it as Indirect Pulp Cap for use under restorations, and I haven't found a company that pays, so I don't bill to insurance. I'm in a non-covered service state, so I can charge full fee, and including it in the claim
September 27, 2016
Pediatric Dentistry
Message Board
Views: 842 | Replies: 17
. Most of the big insurance groups have different branches (disability, life, business, etc...) and overall I'd say MetLife has a pretty good reputation. I agree with trying to get the elimination period down to 90 days if you can. Either way, make sure you have an emergency fund to carry you through
April 27, 2015
Disability Insurance
Message Board
Views: 262 | Replies: 1
I have a patient who has DeltaCare as primary and Zenith Administrators as secondary. We are not contracted with her DeltaCare plan, which is an HMO. The patient knows that her primary insurance won't cover anything and she is still choosing to come to our office and pay what secondary doesn't pay
October 27, 2015
Claims Processing
Message Board
Views: 160 | Replies: 1
Any recommendations for malpractice insurance company in Tx. How much is the average annual rate for GP that does no implants or impacted wisdom teeth? I use MedPro for liabilityinsurance. Their rates are pretty reasonable.
October 28, 2019
Dental Liability Insurance
Message Board
Views: 227 | Replies: 2
umbrella liability. Very cheap, at least in my geographic area. Either amount. Whichever makes you feel comfortable with the cost. The key is to have the umbrella. The lawyers for the insurance company are going to work just as hard as they would if you had $1 million.
October 28, 2014
Personal Finance
Message Board
Views: 224 | Replies: 1
The practice that I'm taking over only has 2 employees who currently have half of their medical insurance premium paid by the current doctor. I am already insured through my husband's insurance policy and will not be needing coverage. So, how do I go about finding an affordable medical insurance
May 19, 2014
Practice Acquisitions
Message Board
Views: 132 | Replies: 1
I'm with nationwide now @ 1200/year--- (insured on $250k on equipment) I got a quote from the state farm guy next door who is a patient who quoted me $1700/year.... I have no affiliation to nationwide other than the policy......... Does State farm or insurance people price match? Since he's
October 04, 2014
Practice Management & Administrative Forum
Message Board
Views: 1788 | Replies: 51
. In any case, try to collect all possible balances due from the patient. For secondary coverage, I suggest always letting the insurance check go to the patient. That avoids unexpected denials, or even worse, claw-backs from other patients. I agree with others - charge a standard fee, and don't
November 16, 2016
Claims Processing
Message Board
Views: 374 | Replies: 6
I have 2 different insurance companies who are requesting a refund from 2 years ago. What is the legal way about handling this? By state law (PA) are we suppose to refund the insurance, even after this... We are not in network with any insurers... so I am wouldn't know what your contractual
December 07, 2016
Patient Finance Plans
Message Board
Views: 276 | Replies: 1
I am in the process of looking at some insurances to become credentialed in for my practice. I was wondering if any of you can give me any insight on these insurances. they are good to work with? reimbursement? etc. Access Premier, Guardian, DentaMax, Delta Dental PPO, Assurant, Met Life, Cigna
August 17, 2015
Dental Insurance for Dentists
Message Board
Views: 239 | Replies: 1
Please tell me what most offices pay towards medical health insurance in a solo practitioner working 4 days a week? Do you pay them a set amount per month? Does anyone pay the whole premium? thank you for your answers I don't pay for medical, but several friends in my area pay $200-400 per month for employee health insurance. Some pay the premium and some just effectively subsidize it with a bonus.
June 16, 2020
Staff Management Issues
Message Board
Views: 414 | Replies: 5
We want to outsource our entire insurance department. Just wondering if anyone has tried this and what has been your experience? Are there companies that offer this service? Outsourcing insurance claims management has been around for years in the medical industry. They got rid of it from
March 13, 2019
Claims Processing
Message Board
Views: 367 | Replies: 18
Had a patient recently with trauma. Mother has gone over her limited exams in a year and would like us to bill medical insurance. Is this typical? It is just for examination and radiographs. Treatment was done at the oral surgeon. It is going to take me longer to figure out how to set it up
August 30, 2018
Pediatric Dentistry
Message Board
Views: 396 | Replies: 24
I gettons of junk email, recently I notice life insurance for children in my e mail, just wondering why parents need to buy life insurance on their children? Some said it has cash value . Any one has experience with these kind of product? Please enlighten me. Believe it or not, kids do die
January 23, 2017
Personal Finance
Message Board
Views: 233 | Replies: 3
I'm looking for some wise thoughts on which insurance to purchase. My broker who I purchased disability insurance through, and later life insurance for bank loan purposes,they are asking me to buy:1 - because my disability insur maxed out - they've suggested a $1m critical life insurance
August 04, 2014
Personal Finance
Message Board
Views: 60 | Replies: 2
In the lease agreement the owner of the building said that I need to provide a one million dollar policy for publicLiability insurance. Doesn't the owner of the building pay for this? Or is it the renter? It all depends upon what the landlord can get you to agree to. If you're referring
April 14, 2016
Practice Acquisitions
Message Board
Views: 145 | Replies: 3
I had patient who had bridge done 4 units. Insurance denied claims for not having extraction date. Patient not remember date of extraction and we don't have record either. Insurance have missing tooth clause. Insurance asking for approximately month and year. Can you suggest me how Ireply
January 16, 2018
Claims Processing
Message Board
Views: 1303 | Replies: 44
My thoughts as an older dentist in my latest newspaper column: The Unintended Consequences of Insurance As a third generation dentist and brother to a dentist, I fear for the dental profession. I am also worried about how the public's dental needs will be served in the future. Dentistry is a very
January 13, 2019
PPOs and HMOs
Message Board
Views: 192 | Replies: 4
I don't do very much ortho, just the occasional easy Invisalign case. I don't understand insurance sometimes, as they always want to know how long the projected treatment will be, and then they seem to pay based on that. I have one company, for example, that pays their ortho coverage quarterly, so
September 21, 2016
Claims Processing
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