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Page 86 of 817
Message Board (37852)
Dentaltown Magazine (455)
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Message Board
Views: 383 | Replies: 1
Do you need both malpractice and professional liability insurance? I am leasing the building but own the practice. I know I definitely need prof liability insurance but not sure how much per employee/pt incidence I would need to cover. Malpractice and Professional Liability insurance are the same
June 25, 2015
Malpractice Insurance
Message Board
Views: 590 | Replies: 13
never want that code paid for because it will not pay enough ever! Sorry bout ya bad...EOB back from whom? You can bill the patient for the difference in anything unless you are referring to Medicaid, Chips, or unless you were crazy enough to sign up with an insurance company.I just ran EOB for SSC vs
April 24, 2015
Pediatric Dentistry
Message Board
Views: 1690 | Replies: 91
OMG! WTF is wrong with this industry! The title of this thread could be patient upset because they maxed out their credit card A patients personal insurance is no different than their personal checking account or credit card. A way to have them understand is by making sure that they leave a credit
December 15, 2024
Billing
Message Board
Views: 2566 | Replies: 67
or even know about) further prohibit co-pay forgiveness. In addition, the ADA Code of Ethics prohibits co-pay forgiveness. So, the deck is very stacked against this practice, either in or out of network. A quick call to any insurance company or state board should result in a definite no-no. Otherwise
April 07, 2018
Claims Processing
Message Board
Views: 360 | Replies: 12
this was an oversight on Metlife's end and payment would be issued in 10-15 business days, never got payment so called to follow up. I note every conversation I have with insurance, patients etc so I provided this rep with the ref#. She brought up the notes and said Metlife reassessed the claim and denied it, I
September 30, 2021
Claims Processing
Message Board
Views: 486 | Replies: 7
put when claiming? Thanks. From my understanding the special is for cash patients. Insurance gets charged the UCR regardless, the cash patients get the special with the condition that they pay upfront. Your office feesshouldn't be lower than the contracted PPO fees. I alwayssubmit my office fees
March 11, 2015
Claims Processing
Message Board
Views: 836 | Replies: 41
Hello, What is the most elegant way of saying that you are not in network with a potential patient's insurance but do everything to maximize their benefits? Thanks! I'm training my staff to focus on the positive. I'm toying with this concept. If they called you in the first place
June 28, 2019
Ask a Dental Consultant
Message Board
Views: 699 | Replies: 18
I was wondering how offices handle treating their staff and immediate family members i.e. free or any charge... Any difference in how you would handle the staff member vs their spouse or children. How would you handle it if one staff member has insurance through her spouse.ThanksDave staff members
December 22, 2014
Staff Management Issues
Message Board
Views: 94 | Replies: 3
I am an orthodontist and some insurance companies are billed monthly. I would like to generate a report that would show me every patient that had a visit for a specific month and whether the insurance company was billed for that visit. I've tried different things and the best I could do was use
June 15, 2015
Dentrix
Podcast
the advances in technology within the dental industry. Jordon and Ben explain how insurance should not and cannot prevent you from obtaining fees for using technology that allows you to provide treatment that is above and beyond standard insurance coverage. They discuss the HITECH act and how this law
May 03, 2019
by Jordon Comstock
Message Board
Views: 90 | Replies: 2
A solo DDS private practice. The DDS is a provider with most insurance plans. is being a provider restricted to the location, or can he go to any location and still be a provider based on his NPI number? If it is by location how can we expand his locations, do we need to have him contracted
May 10, 2017
Claims Processing
Message Board
Views: 174 | Replies: 2
I am having an issue with a in network dental insurance. I own my practice and it is an LLC( techinally PLLC), and I am a employee of that corporation. I have a tax ID and NPI number for my corporation and a Tax ID( SS) and NPI for me as an individual. We bill insurance with both numbers
January 14, 2023
Claims Processing
Message Board
Views: 182 | Replies: 7
i feel our current systems(acct receive/ acct aging /insurance aging etc) are leaking! i truly am struggling to establish a more airtight protocol for all things patient but i am at a loss! extremely frustrated!!! we have added staff through the usual turnover and i feel they recipes for success
January 11, 2016
Ask a Dental Consultant
Message Board
Views: 320 | Replies: 11
ago ( even though was not covered expense) Says patient not eligible for new restoration for five years. If you place implants be careful not to file for temporary restoration lest you fall into this trap It's not a trap. It's an insurance contract. There is no such thing as a temporary
April 15, 2015
Claims Processing
Message Board
Views: 491 | Replies: 14
So my husband has Flex spending this year through his job but if you don't use it you loose it. He was thinking about using it for the rest of the fee that the insurance does not pay for the services.. it's not much but he put all this money he is not getting back, Is this too far fetch
November 22, 2014
Personal Finance
Message Board
Views: 531 | Replies: 10
Thanks for sharing! They are the best. Are you specifically asking about Verification of Benefits (what their actual coverages are), or are you asking about Eligibility? We use Vyne for Eligibility (lets us know if the pts insurance is Active or not). I may not be aware of their Verification
December 06, 2024
Practice Management & Administrative Forum
Message Board
Views: 958 | Replies: 26
are lower? No, you can't. If you're insurance independent and have a successful practice, are you sure you want to change that? You may get more patients, but you'll need the staff to process the claims, etc.not if you go...that is a wolf at the door grandma...not your grand daughter. don't be a fool
July 26, 2016
PPOs and HMOs
Message Board
Views: 108 | Replies: 4
Administration Act of 2026, and suddenly your feed is full of hope. Finally, someone is going to fix dental insurance. Finally, the chaos ends. Finally, fairness. Slow down. Let's talk about what this actually is, what it is not, and why your front desk is still going to need coffee tomorrow morning
April 22, 2026
Claims Processing
Message Board
Views: 359 | Replies: 28
We get new patients that sometimes don't have time to give insurance info over the phone even though we call and text to remind them then they show up and now its a verification issue since were running out of time. worse , the patient has HMO or such then they leave the appointment because
November 12, 2019
Hygiene Discussions
Message Board
Views: 305 | Replies: 0
as a philosophical foundation for the FD and puts down on paper how I want the office to run. We'll have 2 forms... one general office policy that applies to everyone.... and another add-on specifically for those with insurance. We'll have a separate clinical form with medical history
October 27, 2015
Practice Management & Administrative Forum
Message Board
Views: 399 | Replies: 20
I realize it depends on how much insurance your office does, but about how many man hours/wk does dealing with insurance require? My office processes about $300k/yr. Asking because I am contemplating outsourcing my insurance for 5 percent of insurance collections and laying someone off who does my
May 03, 2017
Practice Management & Administrative Forum
Message Board
Views: 1612 | Replies: 34
Hello DT, Maybe I can get some clarification on here. Pt presents back to the office after RCT by an endodontist with cavit. Quoted patient fee for a buildup...the usual. The insurance ended up denying the buildup and said it wasn't a covered service, even though they said it was when we verify
January 20, 2016
Restorative Dentistry
Message Board
Views: 568 | Replies: 22
Hello,I dismissed a patient family three months ago due to no-shows and an outstanding $1300 bill. Two family members no showed that week, and they ignored our multiple efforts to collect on the bill. Essentially the dad patient had a tooth break - they had dental insurance. They paid
January 04, 2024
Patient Communication / Education
Message Board
Views: 572 | Replies: 21
I saw a NP who needs SRP 1-3 teeth on the lowers. However, the rest of the mouth needs a 4346. What is the proper way to code this? i am asking both for what insurance companies say we should do, as well as the best and proper way to charge private pay patients. thanks! What is more productive
April 24, 2026
Coding Q&A
Message Board
Views: 362 | Replies: 5
for ADA code 02740 then they don't really care what materials you use, you have to charge the allowable fee. However, there are two things that comeinplay here. Every state has a non-covered benefit clause. Meaning, that if the insurance does not cover an ADA code some states allow you to charge
March 28, 2019
Dental Insurance for Dentists
Message Board
Views: 321 | Replies: 4
Reality check on disability insurance.... Read! Thank you Edward O. Comitz, Esq., and Derek R. Funk, Esq. for writing this outstanding article. Derek R. Funk, Esq. Edward O. Comitz, Esq., Dentaltown Learning Online presents, Disability Insurance Roulette: Why is it So Hard to Collect on My
October 24, 2019
March 2019
Message Board
Views: 197 | Replies: 6
this. Not cool but not sure how to get around it... Why stress out out about it? Charge the patient what you know, the rest charge at 50/80 or whatever percent off your office fees... life's to short to stress out about insurance. I would like to be consistent with my patients. Patients don't take it very
February 27, 2015
Claims Processing
Message Board
Views: 284 | Replies: 9
Our practice is in network with only one insurance, Delta. . Im one of those old timers thats a premier provider and a fair number of the school teachers in our area are on Delta so we never got out of network.Today we had something happen that Im not exactly sure how to handle. We had a patient
November 12, 2023
Delta Dental
Message Board
Views: 1420 | Replies: 41
will forgive the copay! I don't even know how to go about since some day it is illegal to waive the copay! I don't own the practice . I just felt bad that the mother was crying in front of her kids. And the daughter was self conscious!I did the two front teeth. Iwill submit to the insurance
June 10, 2017
Pediatric Dentistry
Message Board
Views: 279 | Replies: 8
I do the insurance at our office. I am soooooo sick of Delta downgrading composite fillings to amalgam fees. Is there ANY recourse we can take? Patients do not want amalgam fillings!!!! If we did this they would scream fraud!! It is BS, I agree. But it's in THE PATIENT'S insurance, and what
December 14, 2018
Delta Dental
Message Board
Views: 385 | Replies: 6
as far as the business side goes? Liability insurance? Workman's comp? and so on. Sorry for the noob questions. You've got the right start 1) business liability, and 2) workman's comp. Also, you'll need your malpractice coverage. In addition, be sure you form an entity for additional
June 09, 2015
Ask a Dental Consultant
Message Board
Views: 239 | Replies: 6
. - Medicare Part A or B - Medicare Part C - Medicaid/Childrens Health Insurance Program (CHIP) - Commercial Insurance - Self-Pay (No Insurance) - Other I will be reaching out to Dentrix to try and get some help running the reports needed to pull this information. Please post how you have went about
January 25, 2022
All Things Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 136 | Replies: 2
(several years as office manager at a good dental office) and seemed to be a responsible, competent person. Due to personality issues (she seemed a little too aggressive and Type A to suit my staff) we ended up not hiring her. She made a point of it to try putting in an insurance claim (to make sure
December 08, 2022
Claims Processing
Message Board
Views: 122 | Replies: 4
We take core/build up I/O photos for the patients insurance to be able to approve and pay the BU for them. In the last couple years I have forgotten to take an I/O 2-3 times and have not been successful in having the insurance cover the BU. In the medical world, they charge for everything
January 30, 2024
Restorative Dentistry
Message Board
Views: 153 | Replies: 3
What are offices doing out there when it comes to giving discounts, and giving discounts to insurance companies? Do you all give a discount for staff's co pays if they have insurance? Do you always give that same staff discount to the insurance company? giving discounts to insurance companies
June 20, 2016
Ask a Dental Consultant
Message Board
Views: 94 | Replies: 2
I recently heard that a patient can opt out of insurance coverage for one or more procedures even though s/he is normally covered and the dentist in in-network. Examples would be a comprehensive treatment plan with a global case fee, or a procedure that is much more complicated than usual
January 05, 2020
Claims Processing
Message Board
Views: 93 | Replies: 2
Hi,Quick questionPt got RCT completed at Endo specialist yesterday.Now we dont have accurate benefits left over for the patient to give estimate for crown and build up. How do you all handle this?1. Giving call to insurance get the numbers??2. Or collecting upfront from patient? If so, do you
June 07, 2024
Delta Dental
Message Board
Views: 4269 | Replies: 242
to blame is lack of any concerted effort to counter the insurance message. But then again, money talks and b.s. walks? Great, everyone 19 and under just got a dental... Hey, Mike -- you should post that analysis of the dental insco scam that your buddy posted on FB. It's a pretty strong argument
September 26, 2013
Politics - DO NOT Enter if easily offended
Message Board
Views: 4630 | Replies: 51
we are planted for the sake of this thread and skip opinions related to in/out of network- simply share tips of the trade. Take these for what you will but they have saved us from multiple additional info requests and mad patients: Dental INSURANCE is not insurance. It is a coupon redeemable
April 16, 2015
Claims Processing
Message Board
Views: 2008 | Replies: 79
Just received this email from the ADA. Please contact your representatives!!! With your help, we can end the free ride that the health insurance industry has enjoyed for over 70 years, and hold these insurers accountable to the principles of fair competition. Repeal of the McCarran-Ferguson
March 20, 2017
Practice Management & Administrative Forum
Message Board
Views: 662 | Replies: 11
. So far, I've not been able to find out if Texas insurance authorities are beginning to clamp down on in house dental plans. This is my dilemma: I am very interested in developing an in-house dental plan. We are currently a practice that takes mostly PPO insurance and a handful of select
July 02, 2017
Marketing
Message Board
Views: 759 | Replies: 17
Hi Townies, I need some advice for an overall extremely shitty situation. Had a claim made against me in 2017 for a situation that occurred in 2016 that was settled in Sept 2019 and my insurance company paid out money on my behalf. This amount was determined by the attorney representing my
August 06, 2020
Malpractice Insurance
Message Board
Views: 127 | Replies: 9
fee schedule. WTF? I am not in network with them, why am I on the hook for lower fees? Seems like there was a law passed regarding this. Does this apply to dental also or just medical? Bump. Anyone? I am in NJ and this is odd. Are you saying the insurance is paying for it? Every time a patient says
August 14, 2020
Ask a Dental Consultant
Message Board
Views: 120 | Replies: 5
Our office need better protocals at the frontdesk such as verifying insurances, calculating more accurate copays, and better front office protocals. We use open dental. Does anyone use any software with open dental that automatically verifys insurances? Any good consultants out
August 09, 2025
Ask a Dental Consultant
Message Board
Views: 273 | Replies: 14
for insurance fees for 2 MIFL resins. How is everyone billing out diastema closures? If you accept insurance....you are the fool who agrees to those fees. I bill for the 4 surface fills, but I am oon with most insurances. You should bill for what you do, which is a 4 surface composite filling. Maybe don't
December 08, 2025
Cosmetic Dentistry
Message Board
Views: 428 | Replies: 6
I am a dentist and here are a few things that I believe: I believe there is an ideal oral health care for each person in the world I believe that dental insurances do not necessarily strive to cover that ideal standard I believe that the customers of most dental insurance companies
February 11, 2015
General Health
Blog
What Every Dentist Needs to Know About Filing a Disability Insurance Claim by Ed Comitz, Esq One-third of Americans will become disabled long enough to qualify for disability insurance benefits, and this rate is even higher for dentists. Three in four dentists suffer from musculoskeletal
May 23, 2024
by nareg
Message Board
Views: 455 | Replies: 9
What are some of the companies you use to verify patient's insurance? I am familiar with claims connect and insurances answers plus. Although we can verify eligibility through of PMS it rarely shows all of the information that we need to know or doesn't even work at all. Currently we are using
October 21, 2024
PPOs and HMOs
Message Board
Views: 598 | Replies: 19
Hi all, Here is a situation I was recently made aware of and need some guidance on how to proceed. I left my previous associate position about 3 months ago. The employer (dentist) hired another associate dentist to replace me who is not credentialed with any insurance company. Since, the employer
October 30, 2018
Ethical Issues
Message Board
Views: 370 | Replies: 11
Hey guys. I'm currently in my first year of practicing. While I'm learning a ton on clinical dentistry, one aspect that I'm trying to get an understanding of is dealing with Insurance Companies. I hope to get into ownership within the next 3 years, and I think a lot about the impact of insurance
January 27, 2017
Delta Dental
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