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Message Board
Views: 324 | Replies: 3
service than would a unilateral RPD. Implants might be a better approach. Also, I would be very cautious about allowing patients to dictate treatment, unless you believe it is a viable option.Thank you, Dean. That is much better than anything I could have wrote.You will need to assume insurance
May 28, 2014
Claims Processing
Message Board
Views: 101 | Replies: 1
I have a question about how a FQHC would use primary insurance while also offering a sliding fee scale. I know it is considered insurance fraud for a dentist to charge insurance full fee while also giving a discount to the patient for the remaining portion. So for sliding scale patients that also
March 02, 2016
Public Health Dentistry
Message Board
Views: 476 | Replies: 10
the questions we all need for most patients wanting tx........... effective date and waiting periods, Missing tooth clause, implant coverage, ortho coverage and age max, frequency on fixed and removable, night guard coverage.... some of this is on print out from insurance, and I have found this can
April 11, 2019
Ask a Dental Consultant
Message Board
Views: 227 | Replies: 9
We started a new office and are getting TONS of claims not received by the insurance companies that have been sent through e-claims. Has anyone had this happen at their office? There are just so many that we check on that insurance claims they never received that we are thinking there must
August 27, 2015
Claims Processing
Blog
Here are some thoughts for dentists who treat child patients, and who accept insurance payments. It seems obvious, but there are HUGE differences between this kind of insurance-based practice and a typical dental practice that simply tolerates child patients.
February 20, 2020
by drchrisbaker
Message Board
Views: 57 | Replies: 1
No,Rollisn't misspelled. It's a play on words for how we misunderstand marketing, insurance, and consumers. Below comes from the Harvard Business Review: You're probably familiar with the purchase funnel... that consumers go from awareness to interest to desire to action, gradually reducing
October 15, 2016
Marketing
Blog
Time for more helpful nuggets from Kiera! This time, she's talking insurance verification. Hold your moans and groans, folks. These quick tips will change your life with better case acceptance, improved VIP patient experience, and less stress in your practice. (If you haven't already, check out
June 11, 2020
by The Dental A Team
Message Board
Views: 187 | Replies: 8
I have a disability insurance policy through Mass Mutual that I started right before entering the military (active duty) in 2014. It currently provides $1150/month in coverage at a cost of $35.78.I got this Automatic Benefit Increase notice that wants to increase the coverage and the monthly
April 03, 2019
Disability Insurance
Message Board
Views: 151 | Replies: 4
How do you respond to a patient asking Which dental insurance should I get? Forgive me if this is already in the DT archives, but we have received a string of questions lately from patients about which insurance is the best insurance that they should buy. It's the season of open enrollment
November 20, 2017
Front Office Discussion
Message Board
Views: 261 | Replies: 4
Just came across an interesting discussion about dental insurance on Reddit. It is in response to an old article from 2011. Posting here for those who do not frequent Reddit. ? Just saw the post too and went to check DT if anyone was talking about it. Always interesting to see public opinions
December 30, 2016
Dental Insurance for Dentists
Message Board
Views: 455 | Replies: 20
Looking for general guidelines for life insurance for my situation: 36 yo Married 2 girls, 6yo and 10yo Solo practice owner with about $350k of practice debt (I've heard the creditors can only come after monies from the practice) $400k owed on primary residence worth $475k. Wish to keep house
August 30, 2017
Life Insurance
Message Board
Views: 97 | Replies: 3
The insurance guy keeps emailing and coming by to renew and discuss my property and casualty insurance, do I need... Are you in a leased space? If yes then you do. Do you have a practice loan? If yes then you do. Can you afford to pay for the complete rebuild of your practice with cash on hand
January 30, 2014
Dental Insurance for Dentists
Message Board
Views: 3683 | Replies: 139
outpatient surgery was just under $20k on paper :/ Have lost track of how many different groups have billed me so far for that day! Have you tried Kelsey Seibold? Hang in there. KimForget what you know about dental insurance because it's completely different. The physicians cannot tell you how much
November 15, 2017
Medical / Health Insurance
Message Board
Views: 501 | Replies: 8
Health insurance cost is skyrocketing and currently it would cost $2260 a month for a family with children to insure them with the best plan with no deductibles and $1969 a month for a plan with acceptable deductible ($500 / 1000). Of course there are cheaper plans but the deductible
January 15, 2018
Practice Management & Administrative Forum
Message Board
Views: 165 | Replies: 3
Hi, Currently I am running a 4 days a week operation at 8.5 hours per day. Office manager front desk girl gets about 30 dollars per hour and assistant gets 25 dollars per hour. We don't have a hygienist. Haven't been able to find one. In any case secretary asked me about health insurance weather I
September 21, 2020
Staff Management Issues
Message Board
Views: 1120 | Replies: 30
Our current office procedure when people have multiple insurances (primary, secondary...) is to file first with primary, and then to follow with secondary after primary claim is returned, regardless of what is or isn't paid by the primary. We have a patient who is VERY upset that we filed with her
March 19, 2018
Claims Processing
Message Board
Views: 269 | Replies: 9
to commit myself to what will no doubt be ever rising premiums ! THANKS Here is how I handle it in my office. I don't offer health insurance at all, and never will. The ACA has only made it that much more costly going forward, it has in essence sealed the deal, I will never offer it...pay
May 22, 2015
Practice Management & Administrative Forum
Message Board
Views: 135 | Replies: 7
as long as one is not a Medicaid plan or some federal plans. When in doubt call both insurance companies and give them his effective dates and see if you get the same answer as to who is primary and who is secondary from both insurance carriers.You should call both plan and ask them their coordination
February 17, 2014
Claims Processing
Message Board
Views: 73 | Replies: 2
Hi, townies. I have patient with one root tip left in mouth and want to have implant restoration. I sent pre-authorization to insurance. pre-authorziation come back and showed insurance does cover implant and bone graft for implant, but not cover implant crown and abutment. How could this happen
October 04, 2018
Claims Processing
Message Board
Views: 423 | Replies: 13
implants. He had been with me for 2 years, I thought we had established a good relationship... He's disappeared and I can't bill the patient, can't bill the insurance company because I'm holding the denture at my office. Yes, it's my fault for participating with the insurance, but how does
November 30, 2016
Claims Processing
Message Board
Views: 65 | Replies: 1
Creating our own insurance plan. Sell it to local corporate campuses (a grocery market here has 25k employees), thereby capturing a large patient base. I assume this has been brought up before and didnt work. What are the roadblocks? If it were easy I am positive all of the large chains would
December 14, 2017
PPOs and HMOs
Message Board
Views: 112 | Replies: 4
A potential new patient walked in the door. Says he's tired of driving to larger town and wants dental care locally. He told the front desk the VA pays well for dental treatment. He should have coverage but provided no other info than his contact info. I have no knowledge of what type of...
August 14, 2017
PPOs and HMOs
Message Board
Views: 95 | Replies: 1
of a patient before paying. Never had that before. Anyone else? Can you elaborate a bit...
August 18, 2017
Orthodontics
Message Board
Views: 53 | Replies: 1
every 2 months if I have to. I know insurances typically allow perio maintenance once every three months. What do you do to have insurances to cover more frequent perio tx. Do I need to submit clinical photos with narratives? Any suggestions will be appreciated. Also, some insurances covers perio main
December 26, 2016
Periodontics
Message Board
Views: 6602 | Replies: 86
years later I postulate this change. just got a letter here in Arizona from BCBS informing me of the good news. dental care will now be an integral part of their medical insurance. Dentistry will be covered with no yearly maximum! too good to be true? Well, the medical deductible must be met before
February 25, 2014
Practice Management & Administrative Forum
Message Board
Views: 87 | Replies: 3
Can someone pleaseadvise me as to what the protocol is when your want to pretreat, say a crown, and the patient has both a primary and secondary carrier? Any help with this is appreciated! Anytime we do a Pre-D in a circumstance as you described we only send itto thefirst insurance
September 21, 2018
PPOs and HMOs
Message Board
Views: 398 | Replies: 12
Would it be considered discrimination to lower an employee's salary if they decide to join our health insurance plan? I don't believe it should because it adds to the overall cost of employment but I wouldn't put anything past the government in regard to regulations. Thanks If others made
November 02, 2015
Legal Issues
Message Board
Views: 33 | Replies: 0
I am improving the Use it or Lose it email which takes into account more info than just sending a generic email at the end of the year to all patients. That way it only goes out to patients that actually have insurance, and if a plan renews in October, they can get the reminder in August instead
April 06, 2018
Patient Communication / Education
Message Board
Views: 194 | Replies: 2
We participate with United Healthcare Community Plan in NJ (NJ medicaid)and have for several years. Now the insurance company is claiming that we were not participating providers between a month and a half time period during which we were providing service to patients. They are denying every claim
October 19, 2017
Legal Issues
Podcast
169: Who is Policing Dental Insurance Companies? Is our perpetual struggle with dental insurance companies a fair fight? Most would agree it’s not. Simply put, as physicians of the oral cavity, we are held
July 21, 2017
by DrMarkCostes
Message Board
Views: 172 | Replies: 6
Patient has hyperactive thyroid and takes medication. Needs two quadrants of osseous surgery. Can medical insurance be used to pay for procedures? Can the case that periodontal diseae is connected to many systemic problems be used here for... I have found this to be a no. It is hard and takes
January 07, 2016
Claims Processing
Message Board
Views: 500 | Replies: 7
I would appreciate an opinion on my present disability insurance policy. I've had it for about 9 years but it seems astronomically expensive and I'd like to look for a cheaper alternative. This policy is through Guardian (Berkshire). I pay 647 each month and I think it pays about 120K a year
January 04, 2017
Disability Insurance
Message Board
Views: 89 | Replies: 3
. Original idea was to call patients to the location of Practice A which RE is renovated (where practice B). However, the RE has 2 suits, while suite 1 is renovated, I could occupy suite2 and continue to see patients from Practice B. In this case, how to bill insurance? Would I continue to use Practice A's
June 13, 2018
Ask a Dental Consultant
Message Board
Views: 349 | Replies: 10
I can't say I've seen a discussion here about the need for Long Term Health Care Insurance. Just watched Doug Carlsons Youtube video on LTHC and he is recommending it. As I push towards the big 60 I had a discussion with my CFP regarding MY need for this type of insurance. No spouse, no kids
September 08, 2020
Personal Finance
Message Board
Views: 83 | Replies: 2
. I cannot change SF, nor patients, so there is not much I can do here. ( a separate thread!) But I noticed that many times, the stress level for the front office comes from estimating insurance/ answering insurance related question. I am a specialist and am already pretty detached from insurance
November 14, 2019
Front Office Discussion
Message Board
Views: 2027 | Replies: 73
to the hospital and complain about fees after the surgery This why Dentistry sucks. The advice given should be NO negotiations after the Tx is completed unless the service was substandard. We dont have to feel guilty about insurance patients paying less than cash patients. Insurance company promotes us
November 10, 2017
PPOs and HMOs
Message Board
Views: 687 | Replies: 22
I am very interested in slowly phasing out and not accepting new patients that have a certain type of Dental Insurance, because frankly our office is financially getting killed by the influx of new patients with this type of insurance. My office manager and I are having a frank discussion
October 20, 2014
Ask a Dental Consultant
Message Board
Views: 2321 | Replies: 52
OK, this is BY FAR the most valuable DT post I've ever made. You call an insurance company to verify benefits or check on a claim, and spend 30 minutes on hold. How it works First we'll connect you to the company. If you get put on hold, press * * and we will wait in your spot for you. When
July 16, 2015
Practice Management & Administrative Forum
Message Board
Views: 216 | Replies: 5
practice management software. Some of the companies that do it domestically tend to fall short with this. As such, my advice when you begin interviewing these companies is to ask all of the questions up front (what happens when the patient gave health insurance info accidentally, what happens when
January 30, 2021
Front Office Discussion
Message Board
Views: 1304 | Replies: 42
I'm wondering if I'm living in a world where taking insurance is a standard? Those of you who can elaborate on your experience ina ffspractice will be a great help. :) You must have missed the thread recently where he is 1 of 3 doctors in town and his front desk is getting flooded.. he only takes
April 26, 2018
Practice Management & Administrative Forum
Message Board
Views: 224 | Replies: 12
I have a one location practice in Texas. One of my patients has two insurance policies that are not coordinating benefits, so they are paying like two primary policies. So now she has more than an $800 credit. When there is treatment, my office manager submits to one policy first and then submits
January 30, 2022
Claims Processing
Message Board
Views: 355 | Replies: 8
an active date of 11/03/2021 and I am just waiting to see what insurance companies acknowledge the request to add me in network, but there is no way to know for sure until you submit a claim?? Very confusing. Thanks for the help. If you pick up those insurances (or any insurances that are part of Zelis
January 19, 2022
Alternatives to Dental Insurance
Message Board
Views: 283 | Replies: 6
I don't know who would know this, but I was wondering if I drop Met, but get picked up by Careington TPA, will I still show up as a preferred provider when a Metlife insured is searching for a Metlife Dentist? If Met comes in through Careington, they pick up the PDP+ and FedVIP plans, they do...
August 28, 2022
Going Out of Network
Message Board
Views: 122 | Replies: 5
I have a new medical plan through my office and in the plan is children's dental insurance. I was told by my broker that I cannot bill out through my office for any work done to my daughter because I am her father. I've never heard of that rule before....is it true? I'm talking about billing
March 08, 2023
Pediatric Dentistry
Message Board
Views: 347 | Replies: 18
I'm not sure if this particular topic has been covered, but I'm sure someone has pondered this question before. I'm wondering what procedures are covered first before the insurance is maxed out and pt is responsible for the full fee/UCRs. A couple of examples I have is, 1. If 3 crowns were done
March 30, 2023
Coding Q&A
Message Board
Views: 222 | Replies: 13
My first year as an associate I worked in a somewhat corporate office and was credentialed with every insurance under the sun. I worked there for one year and then moved to another city around 2 years ago where I am now a partner in a completely OON office. Well now it has been around 2 years since
November 10, 2022
PPOs and HMOs
Podcast
Cost of Dental Insurance Guzzardo
June 06, 2023
by Shelly VanEpps
Message Board
Views: 1794 | Replies: 116
So I know going out of network is all the rage on Dentaltown, but I'd like to know when is it beneficial to go in network? For example, if an insurance company reimburses more than other current in network companies, would it be good to join that one and drop others? What about to fill up
March 01, 2023
Going Out of Network
Message Board
Views: 271 | Replies: 1
) - if you are disabled and receiving benefits, this will allow the benefit to increase over time close to inflation. If I'm working with a dentist that has an insurance need, I'm sending them tomost of the time. They work only with dentists on every kind of insurance you might need.
May 23, 2023
Disability Insurance
Message Board
Views: 108 | Replies: 3
and he fell off a skateboard and fractured many teeth. The oral surgeon is placing the implants but I am trying to get him some coverage for the abutments and crowns if we can. The actual insurance company has been worthless on what they need from me to process the claim.
June 19, 2023
Dental Insurance for Dentists
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