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Message Board
Views: 248 | Replies: 16
We checked a patient's insurance eligibilty and coverage. We got a confirmation and a breakdown of benefits. The claim was submitted and declined due to no coverage. We called and the insurance company said the patient was not covered on the date of service. She had been terminated from her job
July 21, 2017
Practice Management & Administrative Forum
Message Board
Views: 51 | Replies: 0
Does anybody know the CPT codes for implant, bone graft and IV conscious sedation? I'm also trying to figure out ICD-10 codes for congenitally missing teeth....
January 10, 2017
Medical / Health Insurance
Message Board
Views: 148 | Replies: 3
Hello, I have a patient who has dental insurance with Metlife through her father. She recently started a job and now also has Delta Dental with her new job. Does Delta become her primary insurance or vice versa? deltya is her primary since she is the subscriber and it's her policy. met life would
August 04, 2016
Claims Processing
Message Board
Views: 146 | Replies: 4
to crown it. If this is the case, write a narrative to the insurance company explaining that the tooth is hurting and that generally does the trick. Here is the thing many dentists and offices fail to understand: There is a difference between whether something is needed, and if insurance will pay
October 21, 2020
Claims Processing
Message Board
Views: 199 | Replies: 3
Any recommendations for the best/most affordable insurance credentialingservice for a startup?
May 11, 2018
PPOs and HMOs
Message Board
Views: 210 | Replies: 4
OK, So... I got talked into cyber liability insurance via my malpractice carrier. It is not a huge nut, but expensive over the long haul. 480/yr for cyber inusurance? Anyone else part of this scam? Can I drop it now that I have it? Wouldn't the safeguards of Eaglesoft negate this? what kind
July 27, 2017
Personal Finance
Message Board
Views: 40 | Replies: 0
How can I check as an associate dentist what claims were submitted under my Medicaid provider ID?Let's say you work as an associate dentist in a dental office and you are a Medicaid provider,but a part of a dentalgroup. Thank you.
March 26, 2019
Associates Corner
Message Board
Views: 137 | Replies: 4
I just had a pt had delta dental 2 years ago 5000$ max and covers implant so the surgeon did 2 implants 3031. And insurance paid for it. Last year right before we do the implant restore he switch to Aetna but has the same coverage suppose to cover implant too after 6 month of back and force
February 15, 2018
PPOs and HMOs
Message Board
Views: 304 | Replies: 5
sharing. I can't take$1,200/month for insurance we never use.Thanks everyone. I didn't know that there were so many organizations like Medishare until we started investigating it. I have several friends locally that are using Liberty and seem to be pleased. To further cement my frustrations
November 28, 2016
Medical / Health Insurance
Message Board
Views: 1117 | Replies: 34
I sold my large group practice three years ago (when three associates bought the practice - wasn't really ready to sell but not knowing when an opportunity like this would happen again, I took the money). For the past three years, I worked with another doctor and we had a group health insurance
June 08, 2018
Pediatric Dentistry
Message Board
Views: 227 | Replies: 6
I'm in the process of dropping Delta. As I sit here, preparing letters to patients, I find that I don't know the history of dental insurance well. Is there a book that I can buy? I'm perplexed with this idea: If dental insurance can be bought with pre-tax dollars (allowing leverage
August 16, 2020
Going Out of Network
Message Board
Views: 356 | Replies: 4
Does anyone outsource their insurance verification using Stella's Desk or Dentalsupportspecialties? I feel like I am wasting too much staff time & money on that and more important tasks are being neglected, since it's so time consuming. Thoughts? Yes. I do. Look up Stella Desk on DT. Does
August 10, 2015
Pediatric Dentistry
Message Board
Views: 146 | Replies: 1
I'm trying to print out a list of all patients by insurance company in Dentrix G4. I've tried to print out a list from here: Office Manager > Reports > Reference > Insurance Carrier List > (clicked on Include Subscribers and clicked off of Standard List). But it doesn't seem
May 07, 2015
Front Office Discussion
Message Board
Views: 117 | Replies: 0
What is the best way to determine how many insurance members are in an area? Is the easiest way just a phone call to the insurance carriers? Looking in regards to a potential practice purchase. The town is small, most employers are 30 minute or so away. Thanks!
October 12, 2015
Practice Acquisitions
Message Board
Views: 74 | Replies: 0
I was wondering how necessary it was to get disability insurance as an orthodontist? I'm currently a 28 year old general dentist but will start orthodontics residency next summer. I currently pay 130 a month for I believe 4200 a month coverage. I got this policy back when I was 25 and just starting
December 05, 2018
Practice Management & Administrative Forum
Message Board
Views: 4364 | Replies: 284
We enhance dental practices by streamlining the patient process. Instead of a dentist advertising and dealing with all the headaches and expense associated with filling empty appointment openings in a conventional manner, we have created a package that pays better than insurance, provides a dentist
February 06, 2016
Claims Processing
Message Board
Views: 682 | Replies: 11
I currently have a business overhead insurance policy for $25K that costs me $3000 annually. I'm wondering if its actually worth it. My practice collects around $70-75K a month. Would a line of credit be a cheaper option to serve as an unofficial insurance policy? Worst case scenario, if I can't
November 08, 2017
Ask a Dental Consultant
Message Board
Views: 184 | Replies: 3
I am looking for a company to perform an audit of my insurance billing practices to confirm I am performing it correctly. Does anyone have a company they recommend? markCall me this week. We can...Are you looking for someone to audit your insurance claims, coding, outstanding claims, or insurance...
August 15, 2018
Dental Insurance for Dentists
Message Board
Views: 201 | Replies: 3
Hi! I am wondering what other dentists do to minimize revenue loss once mistakes are made by the insurance coordinator regarding coverage, etc. My insurance coordinator is pretty good, but everyone makes mistakes. She incorrectly quoted a patient that Arrestin was covered by their insurance when
May 21, 2014
Staff Management Issues
Message Board
Views: 302 | Replies: 9
I'm in the process of a major FD re-education process, and part of that includes having have patients pay at the time of service. I'm struggling with estimated insurance payments. Most of my patients are Delta---today, I had Delta send me the fee schedules. Here's my question: Our regular fee
September 02, 2014
Front Office Discussion
Message Board
Views: 294 | Replies: 4
So I decided to make the transition from Corp to private. TDIC (The Dentist Insurance Company) representative advise me to purchase tailgate insurance since according to her, the company I am leaving will leave me out in the cold if claims made after I leave during the time I was employed
March 19, 2016
Malpractice Insurance
Message Board
Views: 27 | Replies: 0
Hello all, I am about to lose my healthbenefits through my residency and my wife does not have health insurance as an independent contractor. Can anybody recommend a health insurance planfor a husband/wife expecting a new baby in July? Any advice orthoughts regarding a particular type of policy based on experience? Thanks Grady
May 18, 2016
Medical / Health Insurance
Message Board
Views: 267 | Replies: 4
Hello. Has anyone used a person or service to help decide if/when/how we can go out of network? Were down to two insurance companies but wed really like to be out from under their thumb. Looking for recommendations. Thanks! Build or hold some time in your schedule for the kinds of patients you
September 03, 2020
Ask a Dental Consultant
Message Board
Views: 141 | Replies: 1
Ok so here is the situation. A child patient was seen and paid for the treatment up front $675. Then the insurance was billed. The insurance is in the name of the mother and the child is a dependent on that insurance. The father called and asked if the insurance has paid so that they can get
October 02, 2015
Legal Issues
Dentaltown Magazine
Townies discuss whether it's possible to free themselves from the shackles of PPO insurance plans and how doing so might affect the number of patients they see, as well as their doctor-patient relationships. to join this conversation.
April 2017
Message Board
Views: 88 | Replies: 1
Is it possible to get a liability policy to cover a 90 day gap in malpractice insurance? bump. Does anyone have experience with this situation?
January 28, 2020
Dental Liability Insurance
Message Board
Views: 153 | Replies: 1
I'm in a partnership currently is there any value to having buisness overhead insurance if you have a partner who can cover if your hurt? Can one of the partners cover 100% of all overhead expenses plus any additional expenses that relate to the other partner's disability, e.g. increased accounting
February 27, 2017
Dental Liability Insurance
Message Board
Views: 317 | Replies: 1
Need recommendations for business liability and workers comp in California other than... I have done dentist package policy from Cincinnatti Life Ins.for 26 years. No problems ever. Don't know if they do business in California. Can't hurt to find out. Dave
July 30, 2017
Practice Acquisitions
Message Board
Views: 194 | Replies: 2
Hi I have seen some offices that are offering their own insurance programs instead of taking Aetna Access and other dental discount programs. You can limit what it will apply to so as to control your payments. For example you may offer 2 free cleanings a year but only offer 10% off of crown
June 06, 2017
Dental Insurance for Dentists
Message Board
Views: 201 | Replies: 0
I'm looking to purchase a CBCT for my office. In order for me to figure out the numbers side of things, I need help understanding the insurance side of things. What codes do insurances pay for? Can I take a cone beam in place of the pano and charge out for the pano/FMX? When I
February 07, 2016
Coding Q&A
Message Board
Views: 506 | Replies: 6
I would like to offer my current employees health insurance. Does anyone in the forum know any health plan which is cheaper and affordable to offer them? Don't know if you can still do it, but I used to give my staff a health insurance stipend. $X per month for them to buy it. Some staffers were
May 16, 2018
Staff Management Issues
Message Board
Views: 981 | Replies: 18
Please tell me if I am wrong but I have always been told that if you don't try to collect the patient's portion, that that is insurance fraud. To tell a patient, We will write off whatever the insurance doesn't cover. Isn't that insurance fraud? yes according to insurance company. morally? I don't
June 24, 2016
Delta Dental
Message Board
Views: 139 | Replies: 3
On a standard insurance form, there is a box that can be checked for orthodontic tx. When you do a space maintainer, should this box be checked or left blank? Sorry if this seems like a dumb question. I see you got a lot of help; ) Wish I knew but, considering it is a preventive code, I would vote no.Dental Code, not ortho. Is it bilateral or unilateral? D1510 or D1515Thanks...
May 28, 2017
Orthodontics
Blog
Let's think about the very, very, very best business life insurance you can possibly get. In fact, I believe it is the only business life insurance you can get. Let's right away define business life insurance. This type of insurance, I am going to write about, is keeping your business alive
December 14, 2017
by hflasch
Message Board
Views: 221 | Replies: 6
I currently own an office which is only in network with Delta Dental. I am considering purchasing another practice several miles down the road that is a provider for many insurances. My question is this.....If I purchase the other practice, will I have to be a provider with all insurances at both
September 09, 2014
Dental Insurance for Dentists
Message Board
Views: 328 | Replies: 7
I had a question about dual insurance. I'll give a little background first: Patient has primary insurance GEHA which utilizes the Connection Dental fee schedule, which we are in network providers for. Patient also has secondary insurance United Concordia FEDVIP who we are also in network
August 08, 2015
Claims Processing
Message Board
Views: 172 | Replies: 5
the storm. Matt hit the nail on the head. The ADA is supposed to be our advocate. More and more it seems like they are just getting in bed with the insurance companies and pissing on the dentists. Thank heavens I have the AGD to lean on for my support because the ADA is a freaking joke
September 25, 2014
Dental Insurance for Dentists
Message Board
Views: 88 | Replies: 1
Hello Townies!!! I am inquiring about ANY ideas for small dental offices in the state of Maryland for health insurance?? Any suggestions on what you are using?? I really appreciate any feedback!!!! Thanks KRV I don't know what is going on in Maryland, but my suggestion is to get out
July 28, 2014
Medical / Health Insurance
Message Board
Views: 79 | Replies: 0
June 15, 2015
Practice Management & Administrative Forum
Message Board
Views: 324 | Replies: 14
Looking for help with my retirement plans. I am 62 and am currently employed by a corp which provides me and my family with health insurance. I previously owned a practice and still have the PC registered even though there's really no business or employees. How would I go about acquiring health
August 15, 2020
Retirement Planning
Message Board
Views: 109 | Replies: 0
Has anyone ever tried a bonus system for an Insurance biller? Meaning a bonus based on insurance money collected? Did it work? I'd like to get my insurance biller more motivated- any...
March 25, 2015
Front Office Discussion
Message Board
Views: 297 | Replies: 6
I have a question regarding cleanby thebook billing of an insurance company. My associate who is in network with a PPO did a crown at in network fees billed under her name. The patient now needs a root canal on it. The patient was surprised because
April 10, 2019
Claims Processing
Message Board
Views: 141 | Replies: 0
Yep, homemade Italian lasagna....
March 16, 2015
Pediatric Dentistry
Message Board
Views: 75 | Replies: 0
Hey - the insurance fees in the Treatment Planner are not showing up correctly. Neither are the patient portions, obviously. The fees in the Progress Notes are correct though. Patient is arriving in a couple of hours for her treatment plan review.
August 19, 2014
Dentrix
Message Board
Views: 434 | Replies: 16
We are out of network with this insurance. They paid 4 quads D4341, patient made his payment, all good. Insurance comes back month later and says they overpaid because they want to downgrade to D4342. The case is clearly 4-7 on each quad that have 4+mm CAL. We wrote them a nice letter saying
July 06, 2015
Claims Processing
Message Board
Views: 205 | Replies: 2
For those of you who do Invisalign, when do you submit it to insurance? the day you take impressions and pictures and send it to the lab with the rx or the day you deliver the aligners? does it really matter? thank you! You submit the claim after the first set of aligners have been delivered
February 09, 2016
Orthodontics
Message Board
Views: 702 | Replies: 11
I'm trying to get all my patients' insurance verified and put into open dental. Does anyone know of someone that does this? Can I outsource this overseas? Breakaway will verify insurance for $12 a pop. Seems a little expensive. Thanks Ben I know nothing about outsourcing insurance verification
September 14, 2017
Ask a Dental Consultant
Message Board
Views: 249 | Replies: 9
I know insurance is one of those things you don't know if you are gonna use it until you need it..but I wanted to know does anyone practice without it (the insurance in the event that your office get burned down or whatever) I know with a loan on the practice they bank wants you to have
February 17, 2016
Practice Management & Administrative Forum
Message Board
Views: 383 | Replies: 3
I have my disability insurance through the ADA (Great-West). I'm currently paying for a Cost of Living Adjustment (COLA) benefit and a Residual Disability Income Benefit Plus. Are these necessary or should I drop them? Good question and I'd say they are both important features of a disability
April 18, 2019
Personal Finance
Message Board
Views: 307 | Replies: 3
I will be graduating in May and was looking for advice on companies that everyone uses. Any good/bad... Use a specialist that only works with dentists, not your families local agent. There is a lot if room error. You want the policy to be worded kin your favor and not the insurance companies
February 23, 2015
Disability Insurance
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