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Podcast
135: Eliminate Dental Insurance Forever Welcome to another episode of the Dentalpreneur Podcast. One of my biggest pet peeves is exaggeration and hyperbole in copywriting. With that being said, I am extremely optimistic
April 28, 2017
by DrMarkCostes
Message Board
Views: 13399 | Replies: 423
nothing to do with what other out of network providers are doing and what major work they are doing. It simply states that treatment acceptance when taking a patient's insurance will differ from treatment acceptance when not taking the same patient's insurance. Green: Profitability and revenue
May 13, 2017
Patient Communication / Education
Message Board
Views: 518 | Replies: 17
I have carried disability income insurance for 35 years, and as it keeps going up, I still wonder if I would need it. Yeah, I know if I'm disabled, I would need it! My question is that now that I have just turned 62, if I were to drop it, would social security disability kick in (probably at lower
October 20, 2017
Personal Finance
Message Board
Views: 870 | Replies: 18
rider, and at your age, the COLA rider. I'd skip the FPO and the student loan rider, and just by a bigger policy if you want it. You can learn more about disability insurance on my site: Thank you Principal is as good as Guardian - same definitions of disability and at least 25% less. Anyone even
March 20, 2018
Personal Finance
Message Board
Views: 436 | Replies: 7
Hello fellow townies, I am very close to graduation (may 2014) and as a result I am being wined and dined by every insurance broker within the Kansas City area in regard to disability insurance. I admit, I am not the best at deciphering contractual language or evaluating insurance companies
March 23, 2014
Personal Finance
Message Board
Views: 174 | Replies: 1
What percentage of your patients that you refer to an oral surgeon will not go if the OS is not a contracted provider for their insurance? Are most OS fee for service or are they contracted with a lot of PPOs? I won't be there for another year, but I've been wondering about how important a role
June 01, 2014
Practice Management & Administrative Forum
Message Board
Views: 216 | Replies: 3
, just embracing technology. The dilemma is what to bill the insurance. My intentions are to bill the same as I would with regular 4BW, however, the CDT book specifies that it has to be intraoral. There is a code for extraoral images D0250 with an additional D0260. But, I believe that a narrative
November 17, 2020
Claims Processing
Message Board
Views: 874 | Replies: 31
Hi everyone. So I just bought a practice so I also had to get my family and I our own medical insurance. Seems like what I have covers nothing and everything just goes towards a huge deductible. Any suggestions? I'm in Georgia BTW. Thanks. Anyone?Going through obtaining family coverage myself
January 17, 2015
Medical / Health Insurance
Message Board
Views: 98 | Replies: 0
Do you take my insurance? By Dental Mama
September 26, 2019
Dental Insurance for Dentists
Message Board
Views: 1749 | Replies: 81
In January, our monthly health care premiums went up by 4X. ($400/mon to $1600/mon) After researching and speaking to other people who've also made the switch, we dropped our healthcare insurance and signed up with Medishare last month. $277 a month with Medishare now. Does anybody else have any
September 11, 2018
Personal Finance
Message Board
Views: 36 | Replies: 1
Looking for answers and not sure where to find them! If I'm an associate in an office that takes multiple insurance plans, but I want to also work at another office that is fee for service, am I still required to recognize the plans at the fee for service office? Is it state specific? State
September 18, 2019
PPOs and HMOs
Message Board
Views: 270 | Replies: 4
Gary Takacs is AWESOME! I had the great pleasure of speaking with him this week on his show The Thriving Dentist Show. Here is a link on Slaying that Insurance Monster! http://www.takacslearningcenter.com/tds134deana-zost/ Keep Smiling! Deana Zost Office Manager Heather E. Martinson, DDS 817
August 31, 2014
Delta Dental
Message Board
Views: 412 | Replies: 10
As more and more patients no longer have dental coverage through their employers, we find the number of questions that are asked about dental insurance vs. self pay are becoming increasingly overwhelming, especially when we are a Delta provider and those are the most common self insured plans
June 02, 2015
Delta Dental
Message Board
Views: 101 | Replies: 2
Can someone explain this to me like Im 5. Ive been an associate and in school the last 10 years and just gotten insurance through them.Im about to go out on my own and need some sort of health insurance plan for my family. The exchanges at are confusing the hell out me, and I called one company
May 01, 2021
Practice Acquisitions
Message Board
Views: 256 | Replies: 2
, but it would be nice to do something at least part time. I'm 65, healthy, and am under NO compulsion to get back into clinical for-profit dentistry as an associate or otherwise. Does anyone have any information about insurance claims consulting in terms of what it takes to get qualified to do
April 24, 2021
Life After Dentistry
Message Board
Views: 102 | Replies: 0
Morning Everyone, We are writing to learn if you could recommend 1- 3 best in class companies we could consider to assist us with the following scope of fraud prevention and insurance claim auditing procedures, 2-4 timex per year? We currently use Dentrix. Thanks, Scott Fraud Prevention
June 04, 2021
Billing
Dentaltown Magazine
with more than six different PPOs! Here’s why joining a PPO sounds good at first: Americans who have dental benefits are nearly twice as likely to go to the dentist at least annually as those without dental benefits. Lack of dental insurance is the most common reason
June 2021
by Dr. Howard Farran
Message Board
Views: 151 | Replies: 10
I've just started to work with a FFS practice and their aging report shows shows a total balance of A/R pending insurance claims at over $280,000, with $90,000 of it being over 90 days old. An additional $170,000 in Accounts Receivable owed by the patient with about $120,000 of it in the 30+ range
June 17, 2021
Practice Management & Administrative Forum
Message Board
Views: 40 | Replies: 0
Hi all. I'm in the process of buying out my partner as he begins to slow down. This means we will be a new entity be it a sole proprietor or s-corp, or whatever. Has anyone been able to use such an occasion to successfully re-negotiate PPO contracts? We're in network with a few, namely Delta...
June 23, 2021
Ask a Dental Consultant
Message Board
Views: 269 | Replies: 3
Delta has a way to check eligibility on the website. But is there a faster way to check for eligibilities, current remaining benefit, and a full comprehensive breakdown of coverages including downgrades? Wondering if calling insurance companies still the best way. Thanks! for the morning folks
February 03, 2021
Dental "Pearls"
Message Board
Views: 1021 | Replies: 11
usually keep my ears open for non-clinical opportunities, the insurance field being one of them. whats it pay? I remember a dentist on DT several yrs ago named Glenn said he put on headphones and looked though claims all day and was a pretty laid back gig. Said it paid $85,000 Dennis J. Leonard, CEO
March 05, 2021
Delta Dental
Message Board
Views: 67 | Replies: 2
HI, We have one patient has double insurances. If the primary insurance fee schedule lower than secondary insurance. will secondary insurance pay the balance of fee schedule between primary insurance and secondary insurance? for example as below: If the fee schedule for D1110 (prophy) is $50
March 06, 2021
Claims Processing
Message Board
Views: 2081 | Replies: 65
sign up with all those insurance plans, how many existing patients are on those plans? You will have to offer those patient in-network fees and lose right there. If the goal is to get more people in by participating with insurance, go visit the GPs who have been referring to this practice and ask them
July 17, 2021
PPOs and HMOs
Message Board
Views: 68 | Replies: 0
June 27, 2021
Medical / Health Insurance
Message Board
Views: 240 | Replies: 6
What should I do? Apparently some local company is switching from delta to different insurance and rep called me to ask if I would like to be in network. Is it worth it? She said fee schedule is negotiable but i know it wont be UCR level. Any thoughts? Should I give her my UCR fee and tell her
May 27, 2021
Pediatric Dentistry
Message Board
Views: 372 | Replies: 11
a complaint with the Ohio Insurance Commission and were told that these claims are actually under the jurisdiction of the federal government based on the kind of plan it is. All the patients are employees of Cleveland Clinic, so they probably have a self-funded plan. Is there a federal insurance
July 30, 2021
Claims Processing
Message Board
Views: 217 | Replies: 4
My malpractice insurance was paid by DSO, since I no longer work there , they sent me a quote to pay for tail coverage . Now I need to find a new insurance and also buy tail coverage for the years I worked . Whats good and affordable liability insurance I can buy ? Can they cover prior tail
July 09, 2021
Dental Liability Insurance
Message Board
Views: 166 | Replies: 3
submitting the insurance claims to any of the plans we are In-network with. I'm sure most people ignore it and just submit the claims as usual under the owner dentist's name, but I wanted to check and see if there is a correct thing to do first. Do I need to put a note in the claim about the fill
January 10, 2022
Practice Management & Administrative Forum
Message Board
Views: 166 | Replies: 4
Could I get the name of a company that will bill a patient's medical insurance for their appliance? I keep getting patients who want these, but I don't want to put any effort into the paperwork part. Thanks! We use a company called Pristine Medical Billing. For sleep appliances. Did not need them too much unfortunately, but I don't thing we are unhappy with them. My OM does most of the work.
January 11, 2022
Sleep Apnea / Snoring
Message Board
Views: 304 | Replies: 2
Last year I went OON and dropped BCBS and Delta. BCBS sent a letter to our patients scaring them that we no longer take their insurance. From what we can tell Delta did not send patients a letter. I'm wondering if we should send a letter notifying Delta patients that we are no longer in network
January 31, 2022
Going Out of Network
Message Board
Views: 405 | Replies: 27
how to respond to them. Here is a typical example and timeline: March 15: Employees employment ends. March 16: Patient shows up to your office for treatment. April 1: Human Resources (HR) department (former employer) sends a list to the insurance company of people no longer employed
September 01, 2022
Claims Processing
Message Board
Views: 162 | Replies: 1
into the purchase agreement so theres no disruption in business.Does every new associate you bring on really stay out of networks for months as they are credentialed? Do you guys really all bill out of network when you buy a new practice? Simple, you answered your own question, they are committing insurance fraud. They bill the new associates under the owner or other dentist until credentialed.
October 11, 2022
Practice Acquisitions
Message Board
Views: 384 | Replies: 15
I am finding out that one needs a life insurance to take out loan to buy a practice. I currently have 20 years term 1 million life. Is this enough? Thank you Would likely depend on how much loan you need. Banks always wanna cover their ass! they will want that policy to state they are the primary
November 10, 2022
Life Insurance
Message Board
Views: 563 | Replies: 8
Hi Everyone I am signing a new malpractice insurance contract as a GPR resident grad. I am planning to do bread and butter procedures as well as place implants/extract some partially impacts thirds. I was wondering if someone can give me a breakdown of the meaning of the words and recommendations
October 24, 2022
Malpractice Insurance
Message Board
Views: 754 | Replies: 15
I have narrowed down the insurance verification services I will use to: Trojan and Essential Dental Services. A key feature with both is they input the data in the Dentrix Coverage table. Does anyone have experience with either of these companies? If so, would you share your experiences with me
February 21, 2023
Ask a Dental Consultant
Message Board
Views: 1664 | Replies: 22
I'm on some insurance plans and dropping them one by one. I contacted AETNA to opt out of their Medicare/Medicaid plan since I have never accepted these plans. Sent them a letter requesting it and they miss read the letter and just dropped us out completely of all AETNA plans. At first I was like
March 15, 2023
Ask a Dental Consultant
Message Board
Views: 199 | Replies: 3
Hi, towniers is there any way to efficiently verify dental insurance or any recommendation? thanks PS: I know my front desk can go to website of dental insurance or call dental insurance to verify dental insurance. However, sometimes it is just very slow. We use AirPay: Built by a dentist
April 05, 2023
Claims Processing
Message Board
Views: 118 | Replies: 4
Dear Friends, IS there a report in Open Dental that we can generate to see what percentage of patients are coming from which insurance ? I am trying to see different percentages of the insurance patient I have in my practice. Thanks replying due to great personal interest Did you ever end up
April 12, 2023
Practice Management & Administrative Forum
Message Board
Views: 481 | Replies: 14
Up to this point, my FD has not been verifying insurance before patients appts. They have been doing it on the fly if patients only when patients ask when they are checking out. I ask because a patient came in the other day, and I placed 2 fillings. We normally bill patients after we receive
June 01, 2023
Dental Insurance for Dentists
Message Board
Views: 188 | Replies: 2
, what kind of fee raise are other people out there doing this year? Im also thinking about dropping one of my insurance plans probably Cigna. From what you wrote dont you think theres other more pressing things to work out? YOUR STAFF! I feel like I can work on multiple things at once. Im a multitasker.
May 17, 2023
Practice Management & Administrative Forum
Message Board
Views: 180 | Replies: 1
I am bringing on a part time associate for the first time. Is it normal to require them to bring their own malpractice insurance or is that something I should provide for them through the office? My first year of malpractice was paid for by my employer. Once I became an independent contractor rather than an employee, I took it on myself.
May 17, 2023
Legal Issues
Message Board
Views: 37 | Replies: 1
Hello, In a FFS that files insurance claims for patient. Area is mostly geriatric /polypharm patient. Heard a rumor that insurance companies where covering these for patients more often. Has anyone had any luck in receiving 3/4mrc pay from any insurances? Yes, if they qualify due to a medical
August 22, 2023
Claims Processing
Message Board
Views: 81 | Replies: 2
will not understand why they get a bill and argue/not pay. This is the insurance game though and it is an estimate. The only way to mitigate this partially is to make sure all treatment plans say this is an estimate and also say it in person when presenting treatment plans. You can always put a sign
August 25, 2023
Front Office Discussion
Message Board
Views: 41 | Replies: 1
Today, doing a filling on a supra erupted #2 and then fabricating a retainer to keep contact from opening and tooth from further supraerupting (Pt does not want to ext). What code would I use for the retainer? Orthodontic retention? Thanks! Yes, D8680 would be an ortho retainer code. Keep in mind...
October 10, 2023
Coding Q&A
Message Board
Views: 1703 | Replies: 50
It has been several years since I researched this topic in detail, but what I found was that the biggest obstacle to obtaining accurate information was the insurance company. There was a defined set of eligibility responses that can be queried electronically, but there were inconsistencies between
September 19, 2023
Billing
Blog
won't talk about. They usually want to talk about tax strategy, and honestly, I've had several podcasts on tax strategy, I bring lots of cool people on to talk about it, but we're gonna actually dive into... You mentioned dropping insurances, and I think we should hands down talk about
November 01, 2023
by The Dental A Team
Message Board
Views: 516 | Replies: 11
collections by dropping specific insurances and renewing some of your contracts. Bump Nothing new or unusual there. Unlock the PPO has been these EXACT things for many years. Unlock the PPO was great for us 3 years ago paid for itself 10x over. Painfully slow process though. Now the insurances moved
June 08, 2022
Going Out of Network
Message Board
Views: 199 | Replies: 5
HiI am purchasing an existing dental practice. The seller is in network with only one major PPO insurance.Currently, the insurance Credentialing is taking more than 6-8 weeks.So I and the seller agreed that they will let me use their provider status for 60 days after the purchase date.Now just
June 04, 2022
PPOs and HMOs
Message Board
Views: 129 | Replies: 3
It seems the task my office staff hate the most is insurance verification. I understand why as it's simply being on the phone and filling out a template all day. We currently have an assistant filling the roll, doing insurance part and part time doing chairside duties. I don't know how long
March 19, 2022
Practice Management & Administrative Forum
Message Board
Views: 4500 | Replies: 158
sensitivity, increase bond strength and restoration longevity. Otherwise I wish I had the testicular fortitude to go insurance free. ive done the Holy Triad for years. Im def a fan of it. what is it? Chlorhexidine? Thats what we did when we dropped Delta, with a similar response. I like how you polled
April 04, 2022
Going Out of Network
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