Search Results

Searching: insurance denials
Results: 40,839
Displaying 101-150 of 40839
1 2 3 4 5
Page 3 of 817
Message Board (37849)
Dentaltown Magazine (455)
Podcasts (815)
Blogs (1565)
Message Board
Views: 216 | Replies: 0
they said we should pursue medical insurance first. Medical insurance denied the claim because they wanted a more detailed operative report. Both insurance companies kept referring back to the other. We finally received a final denial from our insurance company but now Delta Dental is saying
July 15, 2014
Delta Dental
Message Board
Views: 1331 | Replies: 103
Thank you message (From a happy patient) Tip out bins . . . and pediatric dentists! Refer to pedo. :) Insurance Actually Pays No More Denials Increasing Fee Schedules Smarter Not Harder Love my staff Love My Profession! 4 day weekends! Whatever is best. It didn't hurt. Love my smile
September 14, 2016
Leisure
Message Board
Views: 61 | Replies: 0
So many of the dental offices I speak to have problems with claims because there is confusion over a denial versus a rejection. Many times claims are rejected when they reach the clearinghouse because the information does not reflect what the insurance company has on file for the patient
December 12, 2016
Claims Processing
Message Board
Views: 1555 | Replies: 34
when costs skyrocket. Some insurances have moved from keeping fees stagnant to lowering reimbursement. If you have a low fee, high volume office then you need more supplies, more staff, more phone calls to the insurance and you end up with more insurance denials, more headaches, more paperwork, more
August 22, 2023
Pediatric Dentistry
Message Board
Views: 119 | Replies: 3
I am a dental provider for CSEA Insurance for many years. CSEA in the past has covered Fixed Bridgework replacement for missing teeth for many years. CSEA is now down coding any 3 unit bridge I to replace a missing tooth when the abutment teeth have no issues such as any decay or when they have
March 18, 2015
Ask a Dental Consultant
Message Board
Views: 8891 | Replies: 289
the insurance agreement. Im all for charging insurance, but the conversation with the patient that follows the insurance denial will be uncomfortable. But Im a small town small rural practice and a people pleaser to boot - not a good combination.Am interested in seeing how this mess all unfolds. Why charge
May 06, 2020
Coronavirus (Covid-19, SARS-CoV-2)
Message Board
Views: 431 | Replies: 2
claims to be created through their programs. PM me if you want more info!Send a claim to the insurance company. We rarely need a.medical denial. I almost never do full boney, but do my share of pbi We usually include a panoramic and/or digital photo with the claims
September 19, 2015
Medical / Health Insurance
Message Board
Views: 245 | Replies: 7
that many times when we get denials from insurance companies, many of these are automated denials and many of these claims will get paid if appealed. You don't have to write a term paper. There are only so many situations that require a crown - I have templates for every single one of these situations
April 28, 2016
Coding Q&A
Message Board
Views: 101 | Replies: 3
I am stuck with a wisdom tooth situation. Wisdom teeth were extracted and 2 patients have Guardian. They are the ONLY insurance that we've encountered that require denial of medical FIRST, then dental will pay. We historically have used our dental forms to file to medical and it's worked as we have
February 25, 2021
Claims Processing
Message Board
Views: 778 | Replies: 31
collections, more timely insurance payment, and less insurance denials. He can't afford not to have his AR in order. It also makes embezzlement more difficult because there are extra sets of eyes looking at your accounts. Haha that's funny! Sounds like you definitely need help up there! Where can we find someone with your dedication?!??? Where do you live?
December 11, 2017
Claims Processing
Message Board
Views: 1056 | Replies: 40
in their mouth was done. It may come up with an insurance denial discussion though. If it does, then deal with it however you feel best. I would NOT let this be a deal breaker!! none that i'm aware of...pretty standard to have them in the APA.... Redo did you say???Here is the best answer youre gonna
June 29, 2019
Practice Acquisitions
Message Board
Views: 2249 | Replies: 57
, Alternate Treatment, Insurance denial- Frequency, Insurance denial- Unbillable to Pt, etc., If you have been posting UCR, this change will affect your numbers MTD, YTD etc., So say starting Jan 1st or starting on a landmark 'X' date, we started posting PPO instead of UCR.. Drs and management can
January 16, 2017
Front Office Discussion
Message Board
Views: 398 | Replies: 1
What is the best option when you disagree with the insurance company on benifits or denial of... Here’s what I tell anyone who comes to my firm when their disability insurance benefits have been denied: If your disability insurance benefits have been denied or terminated, the company has
May 06, 2015
Disability Insurance
Message Board
Views: 128 | Replies: 5
take to the state insurance commissioner if denied in the appeal? Depends on how the policy is written. Appeal the denial to the insurance company first. Ask for a dentist consultant to review the denial.submitt a corrected claim with the following partial with #20 and 29 replacement and add tooth to partial code for #19 add tooth to the partial code for #30 make sure its a cirrected claim not an apeal at this point
April 22, 2016
Coding Q&A
Message Board
Views: 280 | Replies: 3
told them its not covered. almost as if the fee is going to be different once the insurance sends a denial letter. The fee that will be owed by the patient portion might be less than what we submitted. Some people want to see this claim even though they know they will pay out of pocked. I guess what
March 26, 2019
PPOs and HMOs
Message Board
Views: 415 | Replies: 11
That is... Congrats! Good decision. Did the same 1 year ago. Don't regret it one bit. It's like breaking up with an abusive girlfriend that wasn't really even that good in bed.What scares me, is we see a very large number of the teachers in our area. Guess what insurance they have
February 04, 2015
Claims Processing
Message Board
Views: 889 | Replies: 35
to pay, because it's not free. Tell her you'll gladly refund her money once the insurance company pays for it. Sorry, I will respectfully disagree with this (and I never disagree with what you say, :) ). Explaining insurance issues, payments, EOB's, denials, balances, etc. are not the doctor's job
January 12, 2026
Claims Processing
Message Board
Views: 171 | Replies: 7
this for years. It will be a battle of the AIs. OP , this is a common denial pattern for Cigna. We get duplicate denials after claim payment, denials for missing tooth numbers when their letter has the tooth number in it, and denials for missing attachments. We call; all attachments were there. The list goes
April 08, 2026
Claims Processing
Message Board
Views: 1272 | Replies: 33
this? Now the patient is stuck with the bill. Did I mention that UC is a...prophy or full mouth debridement first. then bring back for... Prophy before the SRP is pointless in many ways. You will have more insurance denials, less patients show up, and hygienists will have a harder time doing the SRP
May 10, 2016
Coding Q&A
Message Board
Views: 72 | Replies: 0
population in my practice by current contracts Percent of fee-for-service patients Average percent of claim denials broken down by insurance company or some type of ranking on ease of working with a particular carrier/network/umbrella(any place to get these numbers?) Average expected percentage
February 25, 2021
Dental Insurance for Dentists
Message Board
Views: 2716 | Replies: 111
the door without paying their copay and without letting insurance denials rot in a folder while AR grow and grow. They'll self manage the problems to a large degree, only bringing the really tough ones to your attention. If they're just paid hourly, they'll happily clock out for a nice stress
December 07, 2014
Ask a Dental Consultant
Message Board
Views: 334 | Replies: 7
will be reviewed by individuals who were not initially involved in the adverse benefit determination. Level 2 will be reviewed by a panel that includes a health care provider. If you still receive a denial, the insurance will advise you on the next step of the appeals process for your claim. It may be another
March 20, 2019
Claims Processing
Message Board
Views: 3175 | Replies: 91
not for an endo but this one slipped by us. But I still feel its obvious. I have been getting a lot more denials from insurance on cases that I feel are very clear. Insurance denied this because it was not clinically necessary We resubmitted with a narrative and were denied again. I had
November 22, 2013
Claims Processing
Message Board
Views: 1023 | Replies: 25
Hello Townies, I am not sure how to proceed with this matter because I have never seen a consultant be so blatantly incompetent, unethical and have such poor judgment. I rarely get insurance denials because we document very well at my office, and the few denials I have received, when I have
May 15, 2014
Claims Processing
Message Board
Views: 774 | Replies: 45
really think they will pay a periodontist ? I dont think so! You're fighting a battle you can't win. You're dealing with the insurance denial machine and apathetic patients with enough smelly crap on the teeth that could knock a buzzard off a shit wagon. Run some reports, I think you'll find you're
September 15, 2022
Periodontics
Message Board
Views: 261 | Replies: 4
when an insurance company would start sending denials. Both companies are smart. They won't change the fee schedule they will get a payment for contracting with the insurance company so the Dr's don't get a cut. Monarch was doing capitation at an office I interviewed at. They had a fee of $15
February 22, 2023
PPOs and HMOs
Message Board
Views: 154 | Replies: 3
, it doesn't cost them anything to deny it and they know 9/10 dentists will likely never fight it.. so 90% of the time they win. -jrStandard operating procedure for insurance these days. I've had to call my personal medical insurance three times this year for denial of non-covered services and every
April 20, 2016
Pediatric Dentistry
Message Board
Views: 240 | Replies: 8
the retainer code. Does it make a difference with each situation? Thanks. I was asking b/c we did retainers on a pt recently with an insurance company we are contracted with but has a very low fee. So we thought maybe that was a per arch fee. We sent the code twice to the insurance and they paid
June 23, 2022
Coding Q&A
Blog
with your consultant. You do not need to ask a lot of questions at this stage, but you do want to make sure to record whatever information the consultant gives you. The Denial/Termination Letter. Following the phone call, you should receive a letter from the insurance company stating that it has
October 30, 2015
by Karla Thompson
Blog
Medicare, Medicaid, or managed care plans where certain types of services may require advance approval-or preauthorization. This preauthorization for specified managed care plan services can be very important as failure to obtain it may-depending on the patient's insurance plan-result in denial
February 02, 2018
by Sheri Jolly
Message Board
Views: 296 | Replies: 11
here that are much better resources than me in that area and because we don't work hands-on with insurance claims or denials I'd hate to give inaccurate feedback. We hire an insurance billing expert for all of our start up clients to have access to which is Teresa Duncan with Odyssey Management
March 14, 2017
Townie Meeting
Message Board
Views: 437 | Replies: 33
this. Is my understanding correct? I pay mine on adjusted production. Flat daily rate or %, whichever is higher. Calculated every two weeks. Insurance denials factor into adjustments, but are rare if your FD knows how to verify and quote correctly. Don't make it harder than it needs to be...just
August 28, 2024
Practice Management & Administrative Forum
Message Board
Views: 18 | Replies: 0
and coverages, denials, waiting periods, etc. Can also add pre-tax money to HSA. Advantage to Dental Office: Payment in full at full office fee at the time of service through a debit card. No more dealing with insurance issues. He would also provide to the HR department a list of providers, for employees
March 14, 2017
Practice Management & Administrative Forum
Message Board
Views: 58 | Replies: 4
We have a dilemma with a patient under Anthem Blue Cross, we tried to submit a claim for an extraction done by OS and the Dental insurance is denying because we do not have paperwork of the denial from primary medical insurance. We have tried to get some form of paperwork from Anthem Blue Cross
November 22, 2017
Claims Processing
Message Board
Views: 223 | Replies: 5
I recently performed an extraction of a hopelessly decayed #30. Insurance claim submitted with supporting documentation. A denial letter comes back stating that the extraction needs to be processed under medical. Huh? Anyone know how on earth they can deny a claim like this with that rationale
February 01, 2016
Claims Processing
Message Board
Views: 6743 | Replies: 240
glad I don't have to deal with this anymore. Interesting case. My summary of this thread is 1 delta contract supersedes private doc patient agreement 2 billing DD in this case was the error. But can patient force doc to file? 3 pre determine case as cosmetic (not covered) get insurance denial
February 18, 2021
Delta Dental
Blog
insurance coverage and obtaining necessary authorizations. Medical Coding and Charge Entry: Translating medical services into standardized codes for billing. Claim Submission and Processing: Submitting claims to insurance providers for reimbursement. Denial Management: Addressing and appealing
February 19, 2025
by lockiesans
Message Board
Views: 2049 | Replies: 46
downgrade? Sure. But downgrade is differentthan insurance denial. Im not saying I have never done a preauthorization. Military tricare dental requires preauthorization for all work except preventative. Workers compensation cases have to be preauthorized. Outside of that I have preauthorized only
April 24, 2018
Associates Corner
Message Board
Views: 377 | Replies: 19
a 2 or 3% processing fee for check payments too. So its moot if i get paper check or VCC. It's highway robbery. First you pray the patient comes. Then you accept negotiated fees, then have some a-holes still not pay co-pays on time, then fight insurance insurance claims n denials - pour hours at times (pick up pennies by throwing away dollars), then when you get a check they still want another 3% off that. Total BS.
July 26, 2020
Practice Management & Administrative Forum
Message Board
Views: 550 | Replies: 22
that PMS like Open Dental would have an option to produce a report for Associate collections. Also collections are so variable. There are insurance delays, denials , patient's slow to pay etc. Then there are the claims you need to fight that can take six months. Throw in FD errors. Ask the front desk gal
February 29, 2024
Practice Management & Administrative Forum
Message Board
Views: 725 | Replies: 30
. You cannot garnish wages or place a lien on the person's primary residence. Interest is capped at the 1 year U. S. Treasury (1.5 - 4 %) and they consider late fees to be part of interest. I have a patient who when we started treatment, had insurance through Delta Denial. By the time we were done
December 23, 2025
Billing
Message Board
Views: 55 | Replies: 1
all think? Thanks. - Leo " but to me it seems insurance will deny that claim?" - First want to address this. If insurance denies something, the patient pays. We ALL need to get out of the mentality that a denial means we should not do something. Now a disallow, that is different. You are correct
March 26, 2026
Coding Q&A
Message Board
Views: 2707 | Replies: 79
as much as I can at the front desk- insurance verification, posting payments, A/R, collections, appealing insurance denials, and anything else I can. Then hiring someone with less experience to be more of a greeter, answer phones, in charge of keeping schedules full and working recall, making
September 19, 2019
Front Office Discussion
Message Board
Views: 2355 | Replies: 122
of us. I will say I almost never get an insurance denial. Almost never......and virtually every time I agree that with the info sent in it does look like over treatment. The two x-rays were sent for payment of two endos and 3 crowns. There is only the Union Trust no flex plan.I can only review
February 14, 2008
Ethical Issues
Message Board
Views: 143 | Replies: 0
I respect all opposing opinions below. Hunter Smith Shocking. Someone blaming something/someone else for their own shortcomings. Let's blame the DSOs, the insurance companies, student loan debt, taxes etc etc endlessly so we can justify and pass off accountability. v0g3L TLDR of it is I think
November 19, 2023
Associates Corner
Message Board
Views: 395 | Replies: 10
. Calcified or not, it's still treatable by someone with experience in the future, should the need arise. I agree with all of the above. One caveat, if they have insurance, be prepared for a denial of service. I am seeing it more and more. crown denied because tooth has poor prognosis . Wait what do you
November 09, 2021
Endodontics
Message Board
Views: 17741 | Replies: 1414
DR. W you accept insurance? So as soon as the denial comes through, the patient is killed by the denial? Or is the patient still alive. Then the Dr. has a decision, be driven by profits, or do your job and save someone's life regardless of making money, which they didn't do. So why are you against
December 12, 2024
Dental Insurance for Dentists
Message Board
Views: 243 | Replies: 6
I did a crown for a patient in May of 2023. We had a pre-determination from her insurance plan but after the treatment was done, the insurance plan denied paying for the crown. We have send all the appeals we could and the patient has been in contact with the insurance. Last month the insurance
July 16, 2024
Billing
Message Board
Views: 1374825 | Replies: 39855
symptom in the books. Transillumination showed cracks clearly. Photos taken. Explained everything. Onlay done. Symptoms gone. Insurance denial. Appeal letter written. Denied again. Appeal letter #2 send. Denied again. DD of RI- apparently thought that I should have just filled the tooth. It is like
August 18, 2015
Just Plain Bitching and Moaning
Message Board
Views: 220 | Replies: 12
it, they were free to pay out of pocket for whatever treatment they preferred (i.e. ins pays for RPD and pt wants implants). As long as you set patient expectations at that first consult appt that it will take a couple weeks for insurance approval and that any acceptance/denial is completely out
July 02, 2019
Patient Finance Plans
Displaying 101-150 of 40839
1 2 3 4 5
Page 3 of 817
Dentaltown Magazine
May 2026
Dentaltown Magazine May 2026 Read Current Issue Read Archived Issues
Sponsors
Townie Perks
Townie® Poll
What’s actually driving most of your new patient flow right now?
  
Site Menu
Message Boards Magazine Continuing Education Podcasts Pods & Blogs Classifieds Dental News Events Townie® Poll Ebooks Townie Choice Awards
Company Info
Contact Us Advertise With Us Howard Farran DDS, MBA Policies and Agreements
Site Help
The Dentaltown Team, Farran Media Support
Phone: +1-480-445-9710
Email: support@dentaltown.com
©2026 Dentaltown, a division of Farran Media • All Rights Reserved
9633 S. 48th Street Suite 200 • Phoenix, AZ 85044 • Phone:+1-480-598-0001 • Fax:+1-480-598-3450