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Message Board
Views: 165 | Replies: 9
or dental problem and decayed very quickly on eruption. Because the adoption has not been finalized, she has no insurance coverage. Grandma is on disability, Grandpa can't add her as a dependent on his insurance through his work because she hasn't been adopted yet. I suspect she might qualify
March 06, 2018
Pediatric Dentistry
Message Board
Views: 185 | Replies: 1
Anyone found a decent costing health insurance out there? Our rates are scheduled to rise 39% if untouched (this after an average of 5% annually for decent coverage the last 5 years) It was a sucky plan already. Now it's either big increases in rates or big deductibles. We've been using Mass
December 08, 2015
Personal Finance
Blog
For all the Dental professionals out there, Come hang out with me andGary Takacsand learn how your practice can break free from the shackles of dental insurance. We discuss how Gary's practice went full fee for service and how he has used a membership program to attract and retain an uninsured
May 03, 2018
by Jordon Comstock
Blog
Insurance companies force you to cut your fees, reject patient claims and are just a challenge to work with. If you ask any office manager or insurance coordinator about how they feel about dental insurance they all cringe and don't want to even think about it. Insurance can make patients have
July 02, 2016
by Jordon Comstock
Message Board
Views: 97 | Replies: 0
I am currently working as an associate dentist at several offices in southern california. So far at all of the offices except one, I was never asked to be enrolled as a provider for certain insurances or dentical and basically performed procedures without worrying about those issues. However
May 06, 2020
PPOs and HMOs
Message Board
Views: 435 | Replies: 9
We give our patients an estimated insurance payment. We underestimate so we give more refunds then bills. But what is everyone's recommended protocol for when insurance pays less then anticipated. For example, EOB comes in today, insurance didn't cover a filling because it was done within 24
September 27, 2015
Ask a Dental Consultant
Message Board
Views: 93 | Replies: 3
Hi All, I have a very strange question and I am hoping someone can help me out with primary and secondary dental insurance. We have run into this problem a couple of times and I am hoping someone can guide me to the proper way to send the claims and what to about the write offs. We have a patient
January 30, 2020
Claims Processing
Message Board
Views: 223 | Replies: 3
It seems like all of the corporations in our area are taking up the first 5 pages in our zip code. There is one that literally dominates page 1-3 because they have so many associates, they are all credentialed with the insurance company (even after they quit) so to a prospective patient it looks
October 15, 2015
Marketing
Message Board
Views: 1044 | Replies: 11
with a representative, she admitted to me that the rates have increased due to increase in claims being paid. I've been using Great-West since 2009 for several ADA sponsored insurance products and I find the lack of transparency troubling. Can anyone chime in on the legality of dropping the premium credit (thereby
November 24, 2014
Disability Insurance
Message Board
Views: 193 | Replies: 2
I purchased a practice where the selling doctor's wife ran the front desk and was writing off around $25 a patient on prophy/exam/BWs on Delta. We were and are OON with Delta. She would submit to insurance with no intent of collecting the full amount owed by the patient in order to keep patients
March 17, 2016
Claims Processing
Message Board
Views: 1786 | Replies: 44
Since before graduating.The one no vote is hopefully someone 65+There are 2 now 2nd question: Is your benefit the maximum amount you qualified for? How much is it?I plan to keep disability insurance until I'm completely out of debt including student, practice, and house. After that I'll drop
March 10, 2019
Disability Insurance
Message Board
Views: 386 | Replies: 9
Hey y'all, we recently got a post card from a company claiming to do insurance billing and collections as a third party, and it advertised as works with Open Dental which is what our office uses. Does anyone have experience using one of these companies? It sure would be nice to free up some
December 07, 2018
Pediatric Dentistry
Message Board
Views: 69 | Replies: 0
Here is a question from a client office and something that is seen a lot in the world of dental insurance billing. The insurance company only sees what is front of them, they don't assume anything in the way of future treatment. Our patient is getting a implant 3 months from now but had a bone
April 09, 2018
Claims Processing
Blog
the ground up. These are just two, real-life examples of clients who experienced a dramatic life event that affected their ability to earn a living for their family. Financially, what would have happened to either Dr. Jones or Dr. Williams had they not had the appropriate insurance to cover
December 13, 2017
by Buckingham Strategic Wealth
Message Board
Views: 848 | Replies: 23
are a marathon runner, you will be rated lower. I was supposed to get a dividend after 2 yrs that would have chopped the premium in half. I got rated, so I let it sit for a year and then had the insurance run the blood again. This time, I talked to my doc about how to improve my numbers. My glucose
April 13, 2018
Retirement Planning
Dentaltown Magazine
step called, What should we tell the insurance company? don't do it. The patient deserves for you to tell the insurance company the truth. Anything other than the truth treads the path of insurance fraud. Evaluation vs
September 2015
by Tom M. Limoli, Jr.
Message Board
Views: 197 | Replies: 4
A little help would be appreciated. Drop a little knowledge here! I associate in a FFS office. However, I have been in discussions with another office to come in to do implants, surgery, sedation 1-2x per month. This office takes a myriad of PPO insurances. Someone noted that if I sign up
July 20, 2016
Claims Processing
Message Board
Views: 646 | Replies: 43
Existing patient showed up for cleaning appointment and told us she got a new insurance. I think my front desk told her we took it b/c it was delta, but it turns out to be delta hmo so they won't pay us anything. I'm torn between just writing it off or charging the patient delta's fees
August 22, 2019
PPOs and HMOs
Message Board
Views: 204 | Replies: 0
Affinity bank is requesting that I have property insurance, business insurance and general liability coverage. I guess this is insurance that I need regardless of the lender. Any suggestions? What questions do I have to ask before purchasing this? The building is probably valued at $65K and the equipment/furniture at $30K. Old building and old equipment. Thanks!
October 05, 2018
Practice Acquisitions
Message Board
Views: 13 | Replies: 0
HiThe lifetime benefits dental insurance fees dont look bad. They proposed we participate with them.Has anyone had any experience with lifetime benefits dental insurance ?Thanks in advance
September 01, 2020
Dental Insurance for Dentists
Blog
like natural teeth and have more than 90% success rate. The only concern with dental implants is that they are more expensive than obtaining dentures or a bridge; the price range depends on the quality. The worst part is many dental insurance plans take implants as a cosmetic procedure
October 23, 2020
by Belmont Dental Care
Message Board
Views: 399 | Replies: 4
of treatment such as: scaling root planing (CDT codes 4341, 4242), surgical extractions (codes 7210, 7250), crown lengthening (4249), occlusal guard (9940), etc. Although you wouldn't be submitting pre-determination of benefits for PPO insurances, you should have a form with rationale options for all
April 26, 2017
Dental Insurance for Dentists
Message Board
Views: 427 | Replies: 2
Any helpful tips on getting dental insurance to pay for cone beam images? I am aware of 2 different codes that are avaiable: D0360 for data capture, and D0363 for image reconstruction. Are you using both? and what are you charging for each code? Thanks!!! Carol Harper Carol, I can't offer much
April 06, 2014
Cone Beam CT Imaging
Message Board
Views: 122 | Replies: 3
Hello, I'm a pediatric dentist. I used to do lingual and max frenectomies here and there, but more frequently now that my practice has grown. What I've noticed is that medical insurance covers these types of procedures. Do oral surgeons contract with medical insurance companies and submit medical
October 27, 2016
Oral & Maxillofacial Surgery
Message Board
Views: 179 | Replies: 7
Hi all, I'm new to ownership and trying to figure out a few things. I have 3 questions: 1. I am billing our full fee to insurance (even if I'm a contracted in network provider). I believe I should be doing this so patients will see what the actual market rate fee is, and so insurances see
January 19, 2020
Ask a Dental Consultant
Message Board
Views: 216 | Replies: 3
Looking for a script to write insurance company denying bone graft at time extraction, for future implant site. I'm sure this topic has been covered on here before but if anyone can supply me with wording or a link to an older board I would greatly appreciate. Bryan Bryan-what are the citing
March 18, 2014
Implantology
Message Board
Views: 196 | Replies: 11
Just curious as to how often your office gets audited to provide employee compensation data to your insurance company that handles your workmans comp? I've NEVER had a single claim filed for this nor has my staff sized changed and suddenly we seem to be getting audited more regularly now? I just
January 25, 2018
Staff Management Issues
Message Board
Views: 75 | Replies: 6
I am not sure what category to ask this. I pay a portion of the Horizon BCBS bill for each employee. They pay the difference. I have been paying $500 a month and it is really a stress, so new hires get $350 toward the insurance paid through the office. I have recently encountered an issue. Two
February 12, 2020
Practice Management & Administrative Forum
Message Board
Views: 1333 | Replies: 38
Do you accept our insurance????????? This is a question that we often get asked how best to answer as dental practice consultants. We would love to see the patients, but we want to be truthful, as well. If a patient asks this question, we cant automatically assume that he or she is looking
March 17, 2016
Front Office Discussion
Message Board
Views: 118 | Replies: 6
can anyone give some insight on collecting copays. We are providers of mostly premier insurance and a couple of ppo's in which we have negotiated acceptable fees. My problem is that my front desk person wants to collect copay a time of visit . How do know know what the copay is or do just blance
March 19, 2014
Claims Processing
Blog
...
December 02, 2013
by larryjmeyer
Message Board
Views: 136 | Replies: 5
Just wondering what auto coverage townies have? Mine is 250K/100K/250K with $500 deductible. Sorry I can't answer your question but I also have an umbrella policy for a mil. cost a couple hundred of...Mine is whatever they told me I needed to meet the requirements for the umbrella, which...
February 18, 2014
Personal Finance
Message Board
Views: 317 | Replies: 6
So we have a few patients that are on two plans where we file their primary insurance through an insurance company that we are not contracted with (out-of-network) and their secondary we are in-network with. What is the proper way to do the contractual adjustments? I understand if we
March 17, 2015
Claims Processing
Message Board
Views: 419 | Replies: 10
How do you explain this to patients concisely in terms they would understand? This is particularly a challenge in a lower middle class small town. I usually start my saying that all insurance plans are different and that some simply do not support the level of care the we are obligated to... I may
October 01, 2018
Ask a Dental Consultant
Message Board
Views: 344 | Replies: 15
Interesting article on dental insurance Drivel. Typifies American attitudes of shunned personal responsibility and accountability. It's someone else's faulty or I shouldn't have to pay for this. Blah, blah, blah..meh-self edited. We all know what we think about this stuff. The author is a far
March 31, 2014
Dentistry In The News
Message Board
Views: 207 | Replies: 4
Higher Dental Fee Schedule Negotiation with Insurance ...Is it Possible? Should we do it on our own or hire a Professional similar to what Unlock PPO offers If so how much this service can run you? Thanks. Do yourself a favor and call Sandy at Unlock the PPO. Shes knows more about insurance than
June 13, 2018
Practice Management & Administrative Forum
Message Board
Views: 594 | Replies: 25
I am a dentist and am seriously interested in learning whether or not I can become and Insurance Executive. Do i need an MBA? An MFA? you mean you want to go to the other side and be a traitor to your brothers and sisters? how could you live with yourself after that?DarthVader?? I'm sure
June 01, 2016
PPOs and HMOs
Blog
Are You Worried About The Future of Private Practice? ________________________________________ 5-Key Strategies to Maximize Your Practice Success! Presented by: Wes Jankowski / President, CEODentist ________________________________________ Invest 3 hours and CEODentist will teach you how to: ...
October 15, 2015
by wmjankowski
Message Board
Views: 65 | Replies: 4
Have had a couple of patients today we weren't able to verify insurance benefits on because the call centers in Atlanta are closed. Don't they have other call centers? And this is Delta, not like it's a small company. Stupid question but do you ability to verify online? We can usually get most
February 11, 2014
Practice Management & Administrative Forum
Message Board
Views: 55 | Replies: 4
Hi Townies, I am in due diligence for a practice in Texas, The practice is a mix of FFS and PPOs and possibly some Delta premier (Seller does not know) and I am trying to know which report to pull (and how to pull it on Dentrix) So I can have a list of insurances they are in network
August 02, 2018
Dental Insurance for Dentists
Message Board
Views: 103 | Replies: 0
Hi there! I was wondering if anyone could tell me of a good reasonably priced carrier for Malpractice insurance in Northern California for Claims based with prior acts? Thank you
December 28, 2018
Malpractice Insurance
Message Board
Views: 208 | Replies: 2
Pre-auth for Invisalign done for patient. Coverage at 50%. Start treatment , insurance starts paying. Halfway through they now claim patient had no coverage and wants refund. They have admitted their mistake in approving it originally but still say they want the money back. Patient is pretty mad
October 11, 2016
Claims Processing
Message Board
Views: 359 | Replies: 10
Esteemed Peers, I am writing to you for some advice on how to deal with low-paying insurances. I originally opened a thread of this issue on a different forum, but could use additional input. I am evaluating a practice that accepts the full spectrum of dental insurances. From what I've gathered
October 09, 2017
Practice Management & Administrative Forum
Message Board
Views: 159 | Replies: 2
We recently had some problems with missing insurance checks, missing patient payments, missing EOBs. Of-course while trying to rectify the many accounts with incorrect payments and adjustments posted, we have had to call the insurance companies to ask for copies of EOBs and cancelled checks (front
September 01, 2014
Ask a Dental Consultant
Message Board
Views: 342 | Replies: 18
I have provided Medical Insurance for one of our Hygienists. His wife is employed at a large company and he has the option of being placed on her Medical Insurance through her employer. He asked to receive higher pay as a result of opting out of the Insurance I have been paying for. I'm inclined
December 19, 2017
Staff Management Issues
Message Board
Views: 380 | Replies: 6
wonder who she got access to care from. That might be more important that apparent. That is an insurance cry, and a DHA cry. Access to care problem in NYC? If she is already mentioning that, why? Do we really need another thread bitching and moaning about the stupidity that is flossbar? All
February 15, 2018
Dental Insurance for Dentists
Message Board
Views: 91 | Replies: 2
So we are looking at buying an office about an hour away in a rural area. He is in network with 5 or so insurances as his fees arent much different than the in network fees. We are only in network with Delta and Blue cross. If we buy this other practice and go in network there do we have to go
July 07, 2016
Practice Acquisitions
Message Board
Views: 225 | Replies: 3
Lets talk what everyone believes are the rules and guidelines for this. As we know most medicaid programs pay 100% of fee their fee schedule. Now, for non-covered treatments such as denied pre-authorizations or cosmetics. What is the way to charge these patients. Veneers, Composite Veneers...
April 23, 2018
Medicaid and Welfare Issues
Message Board
Views: 149 | Replies: 2
deleted Sch...thank you very...
February 08, 2018
Taxes
Message Board
Views: 83 | Replies: 0
I'm trying to figure out if it's a better idea to hire an associate or phase out insurance companies. I have already gotten rid of Aetna and quotes from all the PPO management solutions. I'm a single-doctor practice and I don't do extractions or endo so I think it might be better to add hours in order to expand patient servies (80-120NP/per month) op booked out etc. It's really difficult to find an associate but I haven't pulled the trigger yet.
March 26, 2017
Ideas To Make Your Practice Grow
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