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Message Board
Views: 544 | Replies: 20
I have patient who is studying in Ottawa. I just saw her today and asked me if I was a member of her insurance plan. She sais that the company has a list of dentists who are members. She was not sure about the plan, as it was new to her, but have a feeling that insurance companies are trying
December 13, 2016
Canada
Message Board
Views: 57 | Replies: 0
I am in the process of relocating my practice and I started to dust off my insurance policies. I called my agent to discuss my needs and they were far from helpful. Can any one recommend a good insurance agent for property casualty and business insurance. I am located in the nyc area. thanks
February 16, 2016
Dental Insurance for Dentists
Message Board
Views: 155 | Replies: 13
. It's human error. And patient ignorance, indifference or dishonesty. The cost of doing business when you accept assignment of benefits.Please re-read my post. Having done dental insurance for decades, this retro-demand for monies back is a new trick. If we call and verify eligibility, why now can't
April 06, 2017
Claims Processing
Message Board
Views: 238 | Replies: 11
We had a patient come in a while ago maybe 18 months or so. PT isout of networkwith Aetna which I've since come to find out is an employer funded plan so it's not exactly an insurance. We call Aetna get the details PT has benefits and the plan pay X dollars etc. We do the work get paid (it's
November 29, 2018
Legal Issues
Message Board
Views: 320 | Replies: 3
So I spoke to a rep regarding setting up Business owner's insurance (BOP) and he wanted to know the replacement value of the equipment in case of catastrophe. I know there is a value on the bill of sale but I tend to believe that is significantly lower than replacement value. I am looking
April 07, 2016
Practice Acquisitions
Message Board
Views: 358 | Replies: 12
I was wondering how many people on DT have Cyber Security... Yep, I'd like to know the same. I just heard about it at a lecture and got a quote. It seems like this may be a growing...Trying to restart this thread. Im looking into this type of insurance. Anyone have any input or thoughts? AnnieWe
February 21, 2017
Dental Liability Insurance
Message Board
Views: 284 | Replies: 3
Does anyone know what is the average acceptance rate for cbct by insurance? i.e. denied vs paid? Also what is a rough average that they pay? (if they do) Denied with every insurance (dental) that I know of. There was also a thread here on DT of a doc that submitted them as panorex to Delta. His
April 19, 2017
Implantology
Message Board
Views: 76 | Replies: 1
Lets say you take Delta and your pt needs a full mouth reconstruction due to wear. You know how to do it, you feel comfortable doing it. The pt is willing to pay your FFS price, but she has Delta insurance and you are in network with that insurance. Is there anyway to work around the horrible contracted rates of delta? I need some ideas otherwise I will be referring to my friendly Pros. Thanks What are the non covered services laws in your state?
May 18, 2017
Delta Dental
Message Board
Views: 188 | Replies: 4
I am about to purchase an existing practice - currently the practice is only in network with delta premiere. do I need to contact the other insurance companies (aetna, cigna, etc) to have them list me as an out of network provider? or do I just submit the paperwork for the services and they see
September 28, 2015
Practice Acquisitions
Message Board
Views: 98 | Replies: 0
When purchasing a practice or startup, Does one have to contact all previously contracted insurances and let them know you will no longer be in network with them? What if you were credentialed in a different state? What if you were credentialled in a different city?
August 02, 2017
Practice Acquisitions
Message Board
Views: 1203 | Replies: 17
Hi there! Question, someone told me that there is a company out there (online website) that I can send my patients to, and they can fill out their insurance information before their appointment. Apparently, this website verifies it for us, and also syncs in w my management software. This sounds
December 31, 2015
Ideas To Make Your Practice Grow
Message Board
Views: 160 | Replies: 0
Looking to outsource the insurance verification process. Anyone familiar with companies that are reliable and accurate? Thank you.
August 25, 2020
PPOs and HMOs
Message Board
Views: 175 | Replies: 8
. Her concerns... 1. You have to have a group number for dentalxchange to workthrough open dentaland people generallydon't know their group numbers. So she ends up calling, getting on dentalxchange's website, or insurance portals where she doesn't
December 21, 2018
Pediatric Dentistry
Message Board
Views: 295 | Replies: 13
can get down to 55-60% by next quarter. I'll have to see what the breakdown is for new patients and their ages and insurance. Most of my new patients are under six; which is a good thing for growth.Jared, I'm in the almost exact same position. First available sedation appt is in Oct and first GA
May 15, 2019
Pediatric Dentistry
Message Board
Views: 117 | Replies: 2
as a patient. The insco assigned benefits to me and requested them back from the doctor, however it was not a PPO agreement, so doc didn't have to pay, I did (which actually makes a lot more sense to me).I am not in network with the secondary insurance. And I don't know why they are seeking more than what they paid on the claim! Crazy.....
September 07, 2016
Claims Processing
Message Board
Views: 284 | Replies: 4
...... Hmmmmmm.. Sorry Mrs, Jones, if you want to utilize your insurance to it's greatest benefit, you will have to waste your time and mine by coming in 4 different appointments. Sounds like the typical HMO type scam some dentists do except the doctor does not receive a monthly check
February 11, 2015
Claims Processing
Message Board
Views: 132 | Replies: 6
Any one have an insurance inspection? Couple things we were told that I want to follow up on. Any information is appreciated. -We were told we must specifically ask about alcohol and substance abuse and nicotine on our medical history form, the form must be signed by both Dr and patient. -Our
January 20, 2018
Medicaid and Welfare Issues
Message Board
Views: 48 | Replies: 0
Anyone ever heard of this? Had a guy come in wanting to sell us cyber security insurance, to protect against hackers or compromised information. Basically to cover the cost of having to notify patients, etc., if something were to happen? I've never heard of it myself and I'm suspicious that it would even be worth it. Anybody else ever heard of this or done it? Thanks
January 11, 2017
Dental Liability Insurance
Message Board
Views: 374 | Replies: 13
Supragingival calc doesn't need 4 quads of SRP Most insurance companies require an FMX and probing and charting to bill for SRP -otherwise they will deny the claim. Did you submit those? I have a simple rule in my office, if we diagnose it and Srp gets done, we get paid. I dont care if insurance
August 31, 2020
Alternatives to Dental Insurance
Message Board
Views: 187 | Replies: 4
Hi everyone so I am in network with some PPOs and I have noticed that their fee schedules for lab fabricated Laminate Veneers are super low like around 650-750 while crown fees are much better closer to 950 I have patients who wants to do Veneers and they know they are paying for it since insurance
February 28, 2020
PPOs and HMOs
Message Board
Views: 94 | Replies: 2
be providing. Do you have workman's comp insurance? That would be the extent of coverage I would provide for disability to an employee.Is the concensus that short term disability is being overinsured? It just seems wasteful to me to make this monthly payment when at best you may collect a portion of regular pay for a short period of time.
December 08, 2015
Medical / Health Insurance
Message Board
Views: 380 | Replies: 5
to satisfy the insurance company that it is a legitimate claim. I could see involving a lawyer if you went through the medical steps and were denied, but until the medical part of it is complete I can't imagine any competent lawyer advising much except following the rules the insurance company laid out
March 11, 2017
Legal Issues
Blog
Handling insurances have been a real pain for dental practices over the past few years. Learn from the expert on how to push back your outdated insurance systems and focus on taking your revenue cycle to the next level of operational efficiency. Panelists:Teresa Duncan, MS Know more about CareStack here:
September 28, 2020
by HarshaMadhu
Message Board
Views: 75 | Replies: 1
Hi. Im an oral surgeon opening up a startup practice. My partner and I will be affiliated with local hospitals and will be doing larger OR cases (orthognathic, trauma, pathology, etc) there What companies have any of you used to get credentialed with medical insurances? Any advice/feedback will be greatly appreciated. Thank you! My group uses these folks and like them:
November 15, 2020
Alternatives to Dental Insurance
Message Board
Views: 735 | Replies: 31
How do you all deal with insurance plans that state they cover certain services at a specific percentage, but when you get the EOB back some of the common services in that category are non-covered or 100% covered services are applied to deductible? I have a mom of the sweetest patient who
February 29, 2016
Pediatric Dentistry
Message Board
Views: 104 | Replies: 0
My biller/insurance coordinator is out due to health reasons. I'm not sure when/if she will be back. I am thinking of hiring an outside billing company until I either find a replacement or she comes back to work. Any suggestions/recommendations?
June 22, 2020
Practice Management & Administrative Forum
Message Board
Views: 41 | Replies: 0
Dental Insurance in Switzerland How can you insure your wallet against dental expenses? Is dental insurance worth it? Get informed with this guide to dental insurance options in Switzerland. Switzerland may be the land of delicious chocolates, herbal candy and quality ice cream, but it is also
April 20, 2021
Switzerland
Message Board
Views: 178 | Replies: 5
If a patient has dual insurance and they paid their co-pay with their primary insurance, and youve applied the primary insurance payment and the primary insurance write off, and they have a zero balance should you still send notification to the secondary insurance company? Absolutely. That's
April 08, 2021
Claims Processing
Message Board
Views: 430 | Replies: 20
It is really frightening how 1/3 of our country's economy/GDP (gross domestic product) is healthcare which is about 3 Trillion dollars annually, and people have no idea about how THEIR own insurance works. Can we afford to continue where the parent has no idea how this system works, deductibles
April 23, 2021
Pediatric Dentistry
Message Board
Views: 309 | Replies: 13
good policies in place buy some extra insurance in case of breach. I am wondering what other companies are providing this type of insurance? Have any of you bought it who were previously putting it off? Can anyone update on the requirement of this insurance? I got a quote and I am not sure if this is a useful service? Thanks, saravs
April 24, 2021
Dental Liability Insurance
Message Board
Views: 136 | Replies: 3
Hello DT,So I am in the middle of a ortho practice transition out of residency. I have found an independent insurance guy who have found me a quote roughly 250 with 6000 with principal.Its without any financial or medical proof . He said we can override this next year when my income increase
April 24, 2021
Disability Insurance
Message Board
Views: 162 | Replies: 6
Hey Everyone, Just wanted to get some opinions on what the best way to treat spouse/family members without dental insurance. I am going to take care of their dental needs regardless, so do you treat them at no charge or should you buy them dental insurance so that you can bill for something
February 15, 2021
PPOs and HMOs
Message Board
Views: 403 | Replies: 13
of Alabamas families and Medicaid population with the idea that everyone deserves the same quality care no matter the payment plan or insurance type. Founded in 2004 in Anniston, Ala., Sarrell Dental has grown to include twelve practices located throughout the state and since 2006, Sarrell Dental also
February 16, 2021
Personal Finance
Message Board
Views: 2081 | Replies: 65
Anyone successful while accepting dental insurance or is FFS the only way to go these days?Thanks I'm sure lots of people are successful accepting insurance. Depends how you define rich and how you define success. I took over a FFS practice collecting around 400k on about 40% OH. I had a hard time
July 17, 2021
PPOs and HMOs
Message Board
Views: 394 | Replies: 2
Can anyone recommend an outsourcing dental insurance verification company they like. We are thinking of doing it. This was just done recently: Administrator. Reason: The post that you placed regarding your company or product had been edited or deleted as this is considered self-promotion
June 23, 2021
Practice Management & Administrative Forum
Message Board
Views: 238 | Replies: 6
fee) We passed all the info straight from the insurance company to the patient. would have made more money NOT seeing this patient. Input appreciated. Thanks I'm in a similar position to yours. Not sure if it's the same. Here is what I do. I believe GEHA is not paying you because they don't have
May 25, 2021
Claims Processing
Message Board
Views: 103 | Replies: 5
premier to PPO takes place. Is there a way to generate a report in Eaglesoft to show production and collections by insurance careers? If not, what's the best way to figure this out. Back of the napkin, I am thinking I would just multiply the sum of the 1099s by 1.5 to get a rough estimate
May 27, 2021
EagleSoft
Message Board
Views: 783 | Replies: 17
. In EVERY office, no matter the state, insurance and the public's expectations creates one of the biggest problems dental offices have. Let me assure you, patients are the same no matter where you live; only the accents are different. This reality prompted me to write the following in my monthly
December 16, 2017
Ask a Dental Consultant
Message Board
Views: 114 | Replies: 3
A number of patients are telling us GEHA is their primary insurance. We submit claims to GEHA. We have received EOBs from GEHA with a line stating other coverage payment with a dollar amount the other coverage paid. We did not submit a claim to another insurance and the patients are not sure what
January 27, 2022
Claims Processing
Message Board
Views: 618 | Replies: 8
Hi all! I was listening to Mark Costes' podcasts the other day, and he mentioned there are people out in India or Philippines that helps with insurance verification in a dental office. Are any of you doing that? Can I get some recommendations? Best, Howard We were using a company for insurance
February 01, 2022
Ask a Dental Consultant
Message Board
Views: 136 | Replies: 8
Patient had tooth #20 fracture at gumline. He needs a bridge #19-21, not interested in an implant. crown on #19 was placed in 2021. Do insurances typically provide coverage for the retainer on #19 in this situation, or will it fall under a frequency limitation for that retainer and then cover
October 18, 2022
Claims Processing
Message Board
Views: 206 | Replies: 2
Any recommendations on an insurance consultant that could help us go through our Insurance contracts and help us to figure out which ones to drop? My husband and I just don't have time to dig into the numbers on our own and could really use some guidance. Thanks! look up: 5 Lakes Insurance
March 02, 2023
PPOs and HMOs
Message Board
Views: 150 | Replies: 2
Got myself in a little pickle, need insurance gurus to give me some advice. I have a patient which received about 2k worth of work last November. Ins was verified and fax received. Care was rendered and payments were made by both pt and insurance company. Now we receive a letter from UHC saying
February 24, 2023
PPOs and HMOs
Message Board
Views: 725 | Replies: 20
I can only imagine this topic has been quite a bit, but could someone tell me if there is any third-party software that works well for insurance verification, getting individual insurance coverage breakdowns, frequencies of procedures, etc.? There are several but none that work well. For me, it's
February 23, 2023
DentiMax Practice Management Software
Message Board
Views: 113 | Replies: 0
Will be purchasing a practice and planning for the seller to work as 1099 during the transition. Given that I will be the owner and forming a new entity with new tax ID, etc, I'm trying to plan out the best way to keep a smooth transition with insurances. The office is fully OON and will remain
February 23, 2023
Practice Acquisitions
Message Board
Views: 611 | Replies: 19
Someone forged a CareFirst insurance check for ~$600 to my office. It apparently was deposited in Wells Fargo. Either it was stolen from the mail or stolen at CareFirst, or stolen by another dentist that it accidentally got mailed to. I have been trying to get electronic funds transfer for nearly
March 12, 2023
Claims Processing
Message Board
Views: 455 | Replies: 9
the pace I was going. I don't regret it one bit and I look at it as a way to tell Delta to go to Hell. They really have been sticking it to dentists for the last 5 years and will get worse unless we stick up for ourselves. Dropping them is the only thing that insurances even remotely care about. Just saw
June 07, 2023
PPOs and HMOs
Message Board
Views: 199 | Replies: 8
I don't understand... The purpose of insurance in any industry is risk management for events that can lead to crippling financial situations, and dentistry isn't plagued with such high cost procedures. So how is it that dental organizations (such as the ADA) fails to address the issue
May 30, 2023
Ideas To Make Your Practice Grow
Message Board
Views: 197 | Replies: 4
If an insurance policy changes a 3 surface filling to a one surface filling, can the insurance dictate that difference to be non-billable in Texas? I am in network with connection and I dont believe I that is in the contract. If you're in-network, they can disallow the additional surfaces due
August 23, 2023
Claims Processing
Message Board
Views: 34 | Replies: 0
what is your opinion on critical illness insurance with full return of premiums after 15 years. My insurance broker says that I can save a ton on taxes with this option through the corporation. Its essentially 500k payout if I get a list of serious diseases and is gonna cost 818 dollars per month and after 15 years I can have the money back tax free. Is there any benefit to this or should I avoid?
September 21, 2023
Personal Finance
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