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Message Board (37852)
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Message Board
Views: 1274 | Replies: 52
I am hoping for some solid advice about handling a patient who is upset about his $77 balance. This balance was left after insurance paid their portion of his claim for a crown. He feels we should adjust off the balance because our estimate was inaccurate. He is also so upset that he and his wife
November 03, 2016
Ask a Dental Consultant
Message Board
Views: 1178 | Replies: 52
My wife and I feel like it might be time to drop my life insurance. All of our kids are out on their own and the premiums are getting crazy expensive. Not sure it's worth it anymore. Has anyone got any advice on when it makes good financial sense to drop it? When you don't need it anymore. I
December 06, 2021
Personal Finance
Message Board
Views: 260 | Replies: 9
Just wondering how other people would handle this. We are going out of network with one particularly crappy third party insurance company. I could not find anywhere in the contract about how to terminate the contract, so I called and was told to fax a letter in saying we wished to go out
February 01, 2018
PPOs and HMOs
Message Board
Views: 1182 | Replies: 37
frustrating!!!!!!!I've heard of this before I've just never heard of it implemented before. It's just another way for an insurance company to avoid paying benefits paid for already by someone or their employer. If the claim submission was valid and documented it should not matter imo.I've
March 30, 2018
Claims Processing
Message Board
Views: 157 | Replies: 1
I have always worked in a FFS office, just recently signed up with a few insurance companies. I have seen tx plans from office I know that are heavily insurance based-they have all these additional fees to certain procedures. ex- adding indirect pulp cap to a filling, irrigation code to SRP's
October 01, 2014
Coding Q&A
Message Board
Views: 107 | Replies: 1
So I have a PITA pt on my hands. Bat shit crazy. One that I regret having. Anyways, so 3 weeks ago she says she wants a partial but her insurance will run out at the end of May. Her insurance pays on seat date and she wants me to submit is on impression day. I said absolutely NOT. she wants
June 02, 2016
Claims Processing
Message Board
Views: 5127 | Replies: 218
So much for affordable care...........just got a 32% premium increase notice for my health insurance......since 2009, my health ins. premium has gone from $900/month to $2400+/month.......wtf.......it is better to be... Damn! That's almost my monthly student loan payment. That is ridiculous Hope
October 27, 2015
Politics - DO NOT Enter if easily offended
Message Board
Views: 551 | Replies: 25
I work in an office where there is only one front office, one hygienist, and one assistant. We've always let the front office handle all of the appointments for the doctor and anything else that a front office manager would do. The hygienist will talk to patient's about insurance and doctor
May 19, 2016
Front Office Discussion
Message Board
Views: 276 | Replies: 3
Does anyone have a sample letter to send to a patient w/ their billing statement in situations where insurance mistakenly submitted payment to patient and not to provider. The patient is still responsible for their balance, and I wanted to send a letter of some sort to the patient rather than just
November 06, 2015
Claims Processing
Message Board
Views: 419 | Replies: 10
and charge all these shady fees. Pretty successful business plan unfortunately.I have never done it but I suppose you could charge an upcharge fee for finer materials. patient pays out of pocket for that.It's done as an exception or extenuating circumstance usually and a narrative is sent to the insurance
August 08, 2019
Practice Management & Administrative Forum
Message Board
Views: 85 | Replies: 9
So we are in-network with patient's secondary insurance. Out-of-network with primary insurance. Started comprehensive ortho.1: we billed full cash price because we understood that we don't have to follow secondary fee schedule since we were out of network with the primary. Does this sound correct?2
May 02, 2019
Claims Processing
Message Board
Views: 411 | Replies: 14
was OON and didn't file insurance for their patients. They gave their Tax ID to everyone so they could file their own claims. I dunno... Wow. This patient is in network and her procedures were fully covered. She wants to submit the same claim to her company for extra cash for herself :) Say No --, my
October 18, 2022
Patient Communication / Education
Message Board
Views: 170 | Replies: 7
Walmart plan allows AOB? If you know the answer let me please. I've become good in filling Insurance commissioner complaints, so I can do it real fast now. Why wouldn't you want to collect your fee up front from all DD patients in the first place. I had one sign on my front desk, one sign only
January 10, 2025
Delta Dental
Message Board
Views: 136 | Replies: 6
specifically your Delta patients. Delta patients are generally known to be the most insurance conscience and the "I only want what my insurance covers" type Gotta explain to them they have perio and need 4 perio maintenance appts per year, which is not a 'preventive treatment' it is treatment
March 24, 2026
Periodontics
Message Board
Views: 1523 | Replies: 26
about 3rd molar removal having to be proven as a medical necessity and insurance companies dictating which ones are getting paid and which ones have to wait until they cause trouble. This would be pretty harmful to OMFS... And I think it is coming down the pipe... How long, who knows... No.There aren't
December 30, 2016
Oral & Maxillofacial Surgery
Message Board
Views: 661 | Replies: 24
Hello guys, So my front desk staff who handles insurances brought up something interesting today and I wanted to get your opinions to see how you handle this: Assuming a patient who had FMX done 2 years ago walk in as a new patient, insurance allows a FMX every 3 years so this new patient
June 01, 2016
Claims Processing
Message Board
Views: 32 | Replies: 0
How U.S. Seniors on Medicare Can Bridge the Gap in Dental Insurance.
November 16, 2018
Medicaid and Welfare Issues
Message Board
Views: 4269 | Replies: 242
and right for silly reasons? In a sense, the insurance industry brought this on themselves although I have no doubt they will figure out how to game the system and make a bonanza off of this. Payroll tax went up. That is a tax, and it is federal. I did not say hyperinflation. I don't know
September 26, 2013
Politics - DO NOT Enter if easily offended
Message Board
Views: 1818 | Replies: 101
So a pretty common procedure i do is pull a tooth and add a tooth to an existing partial. Just noticed one of the insurance reimbursement for this code is lower than my lab fee by about 10 bucks. And of course that doesn't include materials, the time for the delivery visit. Yes it's paired
October 15, 2014
Practice Management & Administrative Forum
Message Board
Views: 107 | Replies: 1
Delta Dental's roots go back to 1954 with the formation of dental service corporations in. WDS underwent a rebranding campaign in 2013 and now goes by the name Delta Dental of Washington from WIKIPEDIA EDIC a dentist owned insurance company in the Northeast that provides malpractice insurance
January 19, 2017
Delta Dental
Message Board
Views: 540 | Replies: 19
see 60np/month my A/R needs some work, I was thinking of hiring a second frontdesk to check in pts and handle secondary and unpaid claims. But I found out about eAssist that handle insurance billing. What has worked for you in the past? Part of me does not want to handle dealing with another
May 15, 2018
Front Office Discussion
Message Board
Views: 613 | Replies: 19
I have two daughters, a 2.5-year-old and an 11-month-old; they are covered under my wife's medical insurance that she receives through her employer; I believe it is a BCBS plan; I'm not sure if it was purchased through an exchange or not. She was informed by their insurance broker that she
December 05, 2014
Medical / Health Insurance
Message Board
Views: 31 | Replies: 0
We submit Medical and Dental claims in our office. I am looking for a tutorial, How to, class, course, etc. that provides information on how to effectively and efficiently work with Medical and Dental insurance companies. This would include preparing estimates based on a treatment plan, submitting
April 21, 2017
Claims Processing
Blog
Podcast Episode #93: Taking on Corporate Competition and Managed Care Insurance with Dr. Scott Leune Episode #93: Dentist Freedom Blueprint Podcast Taking on Corporate Competition and Managed Care Insurance
November 30, 2016
by drdavidphelps
Message Board
Views: 158 | Replies: 2
dentist. As a side note, she had the nerve to send us instructions via email as to how to become a UCare provider- as if we didn't know how to do that already! We thought all was well, but she brought in a reimbursement sheet for us to fill out so she could get a check from the insurance company
March 27, 2015
Claims Processing
Message Board
Views: 87 | Replies: 1
to start my practice. During my associate gigs, I have participated in numerous insurance plans required by my job including a medicare. Once I move to another state, am I still enrolled in those insurance programs unless I opt out? or is it a more of a state specific type of thing where I am
November 30, 2017
Dental Insurance for Dentists
Message Board
Views: 361 | Replies: 13
So, this is beyond aggravating to me, I'm getting fed up with the insurance game, and I'm too young for that I'm afraid. We have a patient who was TERRIFIED of the dentist, and it's been over 15 years since he'd been able to have any work done because he goes into panic attack mode when you lean
June 09, 2016
Claims Processing
Message Board
Views: 84 | Replies: 1
asking back what they paid for her cleaning appointment. Is this standard across all insurances? Yup. ACA mandates I pay for pediatric dental coverage for my kids and I can't even use it.
September 11, 2017
PPOs and HMOs
Blog
Show Notes Welcome to another episode of the Shared Practices Podcast! We invited dental consultant Marie Chatterley onto the show to talk with us about all things insurance. “Who wants to listen to people talking about insurance?” we can hear you thinking, but trust us - you don
August 28, 2017
by GHariri
Message Board
Views: 846 | Replies: 12
Please let me know if this is a fair quote for disability insurance from principal. I am 28, no medical conditions, non smoker, excellent health. Total monthly premium = $198.56 ($2267 annually) Total monthly benefit = $8025 Total annual benefit to age 65 = $96,300 Potential Cumulative benefit
July 10, 2015
Disability Insurance
Blog
Dentaltown is pleased to present....Should I Be Insurance Free? By Steve Anderson.. This CE course can be found here... Continued drops in dental insurance companies' reimbursement fees and rule changes make the business of dentistry a constantly changing landscape. This course will show you
March 27, 2019
by Howard Goldstein
Message Board
Views: 56 | Replies: 0
Delta has denied insurance payments for D9310 (professional consultation) to a periodontist (not an employee) who works in our GP office a few times per month due to, Consultation in conjunction with treatment/evaluation within the same dental office is disallowed; denied due to his address
September 16, 2017
Claims Processing
Message Board
Views: 113 | Replies: 5
integrating the medical insurance administration into this new office. The insurance person is very eager to learn but is overwhelmed with the demands in administering the other 3 dentists dental insurance. My question is this: What do you know regarding using a 'remote 3rd party to handle all of the medical
November 12, 2017
Sleep Apnea / Snoring
Message Board
Views: 98 | Replies: 2
GM reinstates health, dental and vision insurance for striking UAW workers That means they won't be on strike any more? I have had so much fun honking every morning when I drove by the strike for the whole week. They are such nice people, always thanked me when I honked for them.
September 28, 2019
Dental Insurance for Dentists
Message Board
Views: 74 | Replies: 1
Guest Speakers include faculty from Indiana University School of Dentistry (Dr Juan Yepes) and Director of Dental of Avesis Insurance (Dr Lynn Mouden) Anyone going??? Im sure there will be some wonderful insight on how/why/when insurance companies interfere with the doctor-patient relationship! -M mark...
May 25, 2018
Claims Processing
Message Board
Views: 147 | Replies: 6
I never sold a practice before and I am getting ready to sell mine. I have little info about the process and I have some questions please. I appreciate the feedback on the following questions: 1- If you sell your practice and you have insurance payments deposited directly to your business account
August 31, 2021
Practice Sales
Message Board
Views: 39 | Replies: 1
Just curious as to the trends observed.... a) Tight labor market b) Tough insurance processing / follow-up c) Verification of benefits Lots of external companies / solutions appearing - lots of existing tech (present in many offices) not being used-know how to use - thoughts? What if any
October 19, 2021
Practice Management & Administrative Forum
Message Board
Views: 40 | Replies: 0
Not sure if this is the right forum........but curious posted this on insurance forum as well A colleague working at a multi group office was explaining how lab fees for gold have gone up significantly and how the last two months they have been passing those lab fees onto their patients. This has
November 02, 2021
Restorative Dentistry
Blog
September 29, 2021
by TMD Warrior
Message Board
Views: 58 | Replies: 2
Can my wife sign up for dental insurance through her employer for herself, and our kids, and maybe me and use the benefits at my office? No policies have provisions against this.If you want to know for sure contact the insurance company. She can sign up but make sure you look at your policy documents. Many instances deny payments if treatment done by family members
November 22, 2020
Dental Insurance for Dentists
Message Board
Views: 228 | Replies: 6
A bill is pending in CA, in which the CDA has been actively supporting that would bring greater accountability and transparency to how insurance companies balance premiums and payouts. Needless to say, the insurance companies are complaining about any such intrusion upon their profit mills. Below
April 24, 2014
Delta Dental
Message Board
Views: 25 | Replies: 0
I am now an independent contractor and looking to purchase my individual plan for the first time. What company do you recommend/use? Thank...
January 19, 2018
General Health
Podcast
302: No Dental Insurance? No Problem . This episode of The Dental Experience Podcast is sponsored by Trident Lab. Dental Experience podcast listeners - that's you - you can write the code Dental Experience on your first case, and you can save up to $50. Simply visitfor more details. The Dental Experience Podcast is hosted by.
December 11, 2020
by Ryan Vet of The Dental Podcast
Message Board
Views: 19 | Replies: 1
think this is a good way to bring in more talent I am just worried a out liability. Since they are not an employee they won't be covered by workers comp. Do I need to sign an agreement with them? Or do I need to purchase a particular type of insurance? I would check if the school has liability coverage for the externs. I think they are covered by their school, but would verify.
January 20, 2021
Practice Management & Administrative Forum
Message Board
Views: 1193 | Replies: 30
... Yes, some crooks can find out sneaky ways to get your money. I just sent you a PM. TickSorry Tick, But I never received your PM. Petesorry, check...Why not just make your pm so we all can see and avoid...Sure...just watch out for the insurance write offs The banks who deposit these check
May 22, 2017
Legal Issues
Message Board
Views: 4269 | Replies: 242
to Blog there. Thanks....HoGoSorry, didn't know.....Where is the blog section - I am not seeing...Dentist’s Family and Employees’ Insurance Plan of 7 Years Canceled because of ObamaCare I disagree that there will be problems with insurance based practices. There is absolutely no reason why
February 05, 2014
Politics - DO NOT Enter if easily offended
Message Board
Views: 90 | Replies: 4
away from the FD a few hours a week. I am now working on claims from May 2017. In ES, you cannot change the insurance for a patient unless you go back and close any open claims. I am trying to figure out how to handle it come January when many people will have new insurance, and there are still open
December 11, 2017
Claims Processing
Message Board
Views: 1409 | Replies: 39
but they find nothing wrong 6) No xrays or imaging has been done I tell her: 1) its of concern 2) going to a pediatrician is a good idea 3) going to an ENT is a good idea (and I recommend one) 4) Please keep me informed What insurance company do I contact about this type of potential claim? Its
November 14, 2016
Pediatric Dentistry
Message Board
Views: 48 | Replies: 1
for 4-5 years, and they squeeze everything they can from you ASAP. Then, when the warranty is really needed, they dump you. My question is if anybody is aware of third party insurance carriers that can be used successfully to continue buying coverage. Similar to covering your household equipment
November 21, 2021
Digital Radiography
Message Board
Views: 222 | Replies: 6
With the staff shortage and getting expensive, we are falling behind on PPO insurance claims collections and have no one to work old outstanding claims. Even verifying insurance is tough until we hire another front desk. I'm considering outsourcing this services.. Who's doing this and can you
November 21, 2021
Ideas To Make Your Practice Grow
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