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Message Board
Views: 148 | Replies: 1
normal...except, your friend actually was in violation of HIPAA. According to HHS, they consider a ransomware infection to be a breach: (item #6). So, he really should have contacted his patients, the HHS While having cyberliability insurance is always a good thing (we provide a $500,000 policy
December 19, 2018
Computer Hardware
Blog
California announced in June the health and dental insurers that will be participating in Covered California, the state’s insurance exchange, but it didn't take long for groups from all sides to express their displeasure. Children’s oral health care is defined under the Affordable Care
July 19, 2013
by DentInsStore
Message Board
Views: 170 | Replies: 2
Hi everyone I have a question do you know any narrative for insurance to justify placement of dental implants?thanks How about to replace missing or unrestorable tooth or to anchor/support removable or fixed prosthesis (hybrid) with inadequate alveolar ridge? Are you a resident currently? Do you
May 14, 2018
Front Office Discussion
Message Board
Views: 262 | Replies: 7
is still better than what we had with Kaiser for $1,500. I decided to join Medi-share since they look more like a traditional insurance, they have their network and we have many their doctors and facilities in our area. Cannot tell you more at this point but yes, we dropped a regular coverage and went
January 31, 2018
Medical / Health Insurance
Message Board
Views: 1011 | Replies: 28
So, apparently they are advertising ... the price you’re quoted is the price you pay—and if your insurance pays less than estimated, your Aspen Dental practice will cover the difference. https://www.aspendental.com/what-to-expect/peace-of-mind-promise So, how does this work
October 18, 2015
Claims Processing
Message Board
Views: 404 | Replies: 5
New grad here, I currently have Medpro as my malpractice insurance and are now looking into other options once my first year is up. I've been hearing some recommendations about staying with Medpro or going local like EDIC.I'm doing some research myself but don't have much experience would
January 20, 2020
Malpractice Insurance
Message Board
Views: 109 | Replies: 7
This more a medical insurance question.............I go to get an MRI ......I have BCBS with a $6750 deductible PPO............ I check in and I know I have to pay out of pocket bc my deductible is crazy high.........so i told them I don't expect any insurance coverage so what's the bill
August 20, 2020
PPOs and HMOs
Blog
If you are looking for to find a great full coverage dental insurance plan. So what exactly does a full coverage dental insurance plan mean? In the dental insurance world there are three types of coverage: preventive, minor, and major. A full coverage dental insurance plan would mean
July 13, 2015
by dentalinsuranceshop
Message Board
Views: 2642 | Replies: 67
mean that the patient isn't concerned about what their insurance is going to cover.I'd venture a guess that almost all of those 44% non-participants are very well established practitioners in relatively sparsely populated areas with enviable dentist/patient ratios. A few are a peculiar variety
March 20, 2018
PPOs and HMOs
Message Board
Views: 20 | Replies: 0
to call the insurance companies directly. We narrowed it down and it seems Mony is processing claims for AXA/Equitable, but when we call the insurance company to try and get EOB's they say they don't know what we are talking about and contact whoever is paying the claims. If anyone has any ideas how we can track down the EOB's it would be very much appreciated.
August 03, 2020
PPOs and HMOs
Message Board
Views: 177 | Replies: 5
, root canals, and other major work. We generally quote the patient ahead of time with and ESTIMATE of what we think insurance will pay, then collect the estimated amount prior to the patients leaving the office and tell them if we have any issues with insurance or if insurance pays less than we
June 17, 2015
Practice Management & Administrative Forum
Message Board
Views: 533 | Replies: 14
Hi everyone, hoping to get a few opinions... We have always offered our staff health insurance but due to rapidly increasing costs, we are going to cancel the office's policy and have the staff switch to obtain an ACA plan. We want to help the staff out to bridge any gaps financially between
October 01, 2014
Staff Management Issues
Message Board
Views: 58 | Replies: 2
Hi all, I am trying to keep track of my production and adjustments by insurance providers each year. I use Softdent but have not been able to find a way to do this other than manually (yikes!) (Softdent can give us the adjustment, however getting the production is another story.) Does anyone have
June 14, 2017
Practice Management & Administrative Forum
Message Board
Views: 163 | Replies: 14
How does everyone treat young adults still on their parents insurance? I have several 18/19/20 year old patients who are still on their parent's insurance and still live at home. I know that usually when a patient turns 18, they are responsible for their own finances legally but what
March 16, 2016
Patient Finance Plans
Message Board
Views: 143 | Replies: 2
Hello all, I have a good portion of my patient pool that is non-insurance patients. They don't have insurance and pay fee for service. To have clear communication in the office, in the family module, we decide NOT to leave the insurance plans section empty as that leaves for interpretation, whether
October 04, 2019
Open Dental
Message Board
Views: 406 | Replies: 9
Before I waste my time playing with numbers- who has already created a formula for when to drop insurance?Missing some steps but something like:If my patient pool is X and Y % have Insurance and Insurance is paying Z% for my fees than it will take how long to make the same amount of money without
September 12, 2019
PPOs and HMOs
Message Board
Views: 220 | Replies: 3
with the option of GA in office. I will have anesthesia in office in near future (not near enough), but there is no one within 4 hour drive that provides this service. Has anyone had this response or dealt with this? Welcome to the new world of dental insurance. Now they are making medical decisions for our
October 08, 2015
Pediatric Dentistry
Message Board
Views: 95 | Replies: 3
I'm in the process of purchasing an office that uses Softdent(version 17) I have the option to buy the A/R at a discount. When I pull the report, all the insurance is listed as current even if it is 30, 60, or 90 days out. Is there a way to see the true insurance aging?Thank you! Yes...softdent has
April 08, 2019
Practice Management Software
Message Board
Views: 186 | Replies: 2
Oh brother! Today at a staff meeting it came to my attention that the insurance carrier TML (which insures our local municipality) is sending us paper forms or faxes with credit card numbers rather than a traditional paper check. This causes a couple of problems: 1. It adds a lot of time
February 04, 2015
Claims Processing
Blog
The week of step-by-steps with Kiera continues! Today is about insurance verification - not sexy, but necessary. It's important to check to make sure your patients are still active with their insurance companies. Below are a few tips to help you out: Create insurance view to cluster groups
June 11, 2020
by The Dental A Team
Message Board
Views: 202 | Replies: 2
I am in the middle of designing a new office. A colleague told me that one of the insurance companies in the area, Healthplex, requires that there is a sink in each operatory in order that one can be an In Network provider. He also said that there has to be an eye washing station on each
October 16, 2017
Pediatric Dentistry
Message Board
Views: 171 | Replies: 2
so i am buying my fathers dental practice (sole proprietor). I am in the process of switching it to an S corp. When I do this, does insurance make the payments out to the corp now? Do I need to fill out a w-9 again? My understanding is that the Corporation will be collecting the money now
August 10, 2017
Claims Processing
Message Board
Views: 714 | Replies: 21
will result in a loss of patients.Run because they are lac on copay or because on is in with two insurance and the other out ?... Curious why that is a issue or insurance fraud?The question is are these factors deal breaker ?...Ryan its insurance fraud to not collect copay and don't tell insurance
July 22, 2015
Practice Acquisitions
Message Board
Views: 369 | Replies: 14
Any suggestions on how I should bonus my insurance coordinator on a monthly basis? She doesn't present treatment or schedule pts often. She mainly follows up on claims, submits narratives, logs payments, verifications,etc. Any suggestions are welcome Can you bonus on aging of outstandinginsurance
May 03, 2019
Ask a Dental Consultant
Blog
Many times a dental practice owner will ask about certain insurance coverages and exactly what each particular type of insurance covers. Below is a list of insurance for businesses and their specific purpose: PROFESSIONAL LIABILITY INSURANCE Malpractice coverage for individuals, corporations
September 15, 2015
by dentalattorney
Message Board
Views: 13399 | Replies: 423
Mac's got the formula! And on case you missed it, that's the secret to going free of insurance. Unless you don't stop taking ownership of patient's benefits insurance will always be your issue. Stop estimating, stop promising, stop saying your insurance will pay, your insurance covers -- stop
January 06, 2017
Patient Communication / Education
Message Board
Views: 1295 | Replies: 18
for malpractice insurance doesn't sit well with me. Is there anyone out there who knows how long I can expect to be uninsurable with a standard company? The case opened in 2011 but did not close until 2014. I think they start the clock the day the claim closes. This is ridiculous. Sorry to hear
September 07, 2014
Malpractice Insurance
Podcast
Laci discovered at an early age her true passion for speaking and entertaining audiences. As a founding partner at Practice Dynamics she combines her knowledge of dentistry and with passion for teams to deliver customized coaching, workshops and speaking events throughout the country. Laci began...
May 06, 2019
by Jordon Comstock
Message Board
Views: 115 | Replies: 1
I am a new (1.5 yr) practice owner. I have noticed that insurance payments seem to slow down at the end of the quarter, and then we get a big stack of checks at the start of the next month. It makes sense for insurance companies to do this for favorable EOQ financials - does it really happen? or am I imagining things/coincidence? You're not the only the is imagining this. I have had the same Hmmm? experience for 14 years.
June 20, 2014
Claims Processing
Podcast
, it’s necessary, it’s important, but it doesn't have to be in a quote on quote SOAP format, it just needs to be a note that gets the story across, that builds the story and gives, if we were ever required or requested to send the information in, that tells the medical insurance company
June 04, 2016
by tagarwalnc
Message Board
Views: 108 | Replies: 0
Looking at a practice Two dentist joined each other several years ago to share space but different entities. I just find out that one dentist is out of network with guardian and one is out of network with Aetna and delta so I don't know the impact once I join or get out of both.Plus the one thats...
July 22, 2015
Practice Acquisitions
Message Board
Views: 84 | Replies: 0
is the ada in pressuring insurance companies to just allow a 2 cleanings in one year policy like lots of them do. I know the answer unfortunately. Cleanings are not essential dental treatment. Something I am not sure why the dental hygiene wet panties are not up in arms against, rather they want
April 30, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 565 | Replies: 4
Hi all, I am a new graduate and will start working soon. I will be responsible for my professional liability Insurance. Minimum requirement is 1,000,000/3,000,000. Got the quote from medical protective and it's like this : For an occurrence policy with $1,000,000/$3,000,000 limits and pure
July 15, 2017
Dental Liability Insurance
Message Board
Views: 73 | Replies: 1
I've read through a couple of related threads but still don't feel like I know quite how to legally handle these two situations. 1. The basic professional courtesy discount. I've read a few replies to similar questions that make it sound like the following scenario could be considered insurance
November 30, 2018
Claims Processing
Message Board
Views: 129 | Replies: 5
Ive had medical insurance through my husbands company the past 16 years and am not familiar with the newer, non PPO options. im looking at continuing COBRA or the marketplace. However, at a fairly brief glance I cannot see much difference in many of the plans, but they seem to have widely varying
November 17, 2020
Medical / Health Insurance
Message Board
Views: 233 | Replies: 3
How many of you have encountered this... You do a pre auth or even finish treatment collect payment and the patient says I'm going to call my insurance and see if they will pay more. Or I don't understand why they won't pay for composite Drives me and my staff insane because we spent
January 29, 2015
Claims Processing
Message Board
Views: 309 | Replies: 19
What systems do you use for sending end of year reminders that patient have insurance benefits remaining for the year? Individual phone calls? Have receptionists call a giant list? Letters to each? If you send letters to each, doesn't it waste time to address like hundreds of envelopes that might
September 26, 2020
Practice Management & Administrative Forum
Message Board
Views: 55 | Replies: 0
Did anyone work with Beam Dental insurance? Sound a bit TGTBT:
June 24, 2019
PPOs and HMOs
Message Board
Views: 211 | Replies: 2
searched DT, but can't find any good answers. I do participate in some PPO's and looking at the fee schedules, some insurance list nothing, some list a total fee, then some DON'T list a total fee but under D8090 list several other things. Cigna for instance has this D8090 Comprehehsive Orthodontic
March 28, 2017
Orthodontics
Message Board
Views: 170 | Replies: 12
Would you sign up with an insurance that pays the following amounts: $39 for periodic exam $70 for cleaning $48 for 4BW $890 for zirconia crown $750 for custom abutment $937 for implant zirconia crown $100 for one surface amalgam $165 for 4+ surface amalgam $115 for one surface post composite $219
October 11, 2020
PPOs and HMOs
Message Board
Views: 86 | Replies: 1
I am a practicing GP going back to school for residency. Is there a way to inactivate payments until I graduate? Or would I keep paying it through residency too? I suggest you contact customer services number on your policy, but my personal feeling is this is inadvisable. If you should have a claim...
March 14, 2018
Disability Insurance
Message Board
Views: 389 | Replies: 6
is submitting old fees and the insurance company has actually raised their fees, they will pay the practice based on the older submitted fee schedule. Most dental software allow for the entry of several fee schedules. The contracted fee schedule can be used to determine co-payments but should
January 12, 2016
Claims Processing
Message Board
Views: 99 | Replies: 1
Our claims are being sent at the insurance fee schedule and not our UCR for some reason. We have dentrix G6, and typically we enter the fee schedule into the chart in the family file and also in the insurance data screen. We click the 2012 claim. In the past it sent at our UCR but now it is being
April 02, 2017
Claims Processing
Message Board
Views: 334 | Replies: 6
SO patient had premolar occlusion on bottom arch. Had to ext #21. Went over options and patient decided he wanted a bridge from 20-22 to keep his occlusion where it was so he wouldn't have to wear a denture. Claim comes back from insurance. Charged procedure 6240, 6750, 6750= $3194
May 06, 2014
Claims Processing
Message Board
Views: 180 | Replies: 2
a week when I joined. The owner dentist and myself recently introduced our new fee schedule for 2014. The owner dentist has made it a point to stay under the allowed fees of insurance companies We increased the fees at approximately 3% for most all procedures this year, but increased our amalgam fees
May 08, 2014
Claims Processing
Message Board
Views: 119 | Replies: 2
The company that services my malpractice insurance package has sold its book of business to an other company. I have not been happy with this company for several years and have already moved my workers' compensation insurance to another broker. I would like to switch to a new insurance company
October 02, 2021
Malpractice Insurance
Message Board
Views: 255 | Replies: 6
Hi DT, I'm in the process of acquiring a practice that is mostly PPO and a small % cash. I've just received over 20 pages of insurance plans that the office takes and was wondering: Do I call every single one of these plans to apply for credentialing or would it be wiser to have a consultant
October 19, 2021
Practice Acquisitions
Message Board
Views: 163 | Replies: 1
We have a patient who has Aetna insurance and they pay $3902 for Ortho. If patient has Invisalign can we charge more? With a lab bill of close to 2K for Invisalign it doesnt make sense to do the case Invisalign is usually 5,000 and up. You can compare with fees around your location
August 27, 2021
Orthodontics
Message Board
Views: 434 | Replies: 19
I ask this question here, because pediatric offices are just such different animals. With over 200 patients per week, my staff is getting so swamped with ins verification. What do you guys typically do? Have your staff verify each pt insurance each visit? Use a 3rd party to verify? Does anyone
August 11, 2021
Pediatric Dentistry
Message Board
Views: 104 | Replies: 0
Has any one ever successfully collected on disability? If so for what condition. Like many in the dental profession , I have spine issues. my neck. Stuff like spondylosis, disc degeneration, disc bulging. Progressive. Anyways, this causes pain and funny bone like zaps in my hands. I get steroid...
September 02, 2021
Future Planning General Discussions
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