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Searching: insurance denials
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Page 757 of 757
Message Board
Views: 244 | Replies: 1
How much are you guys paying for insurances every year? This year, I'll have paid $4,909 for malpractice insurance, worker's compensation and business liability insurance. This doesn't include disability insurance. I don't own my building. Is the $4,909 in line with what you guys are paying
December 31, 2015
Malpractice Insurance
Message Board
Views: 477 | Replies: 3
Hi everyone, Looking for advice! Which malpractice insurance company do you prefer? Practicing in Maryland, GP, graduated 2015. I am looking into changing my malpractice insurance company (mostly to see if I can get a better rate). Tried reaching out to MedPro and RK Tongue insurance and neither
November 27, 2017
Malpractice Insurance
Message Board
Views: 200 | Replies: 3
I've been in the back office for 14 years. I'm very comfortable with my ability to code procedures. I just became our new office manager and I need help with the insurance side the dental world. I need some resources that will help me to learn all of the tiny details with billing so that we don't
April 24, 2020
Claims Processing
Message Board
Views: 174 | Replies: 4
I just converted to Open Dental and I'm trying to change the color of the appointment blocks based on insurance. For example, I want Insurance patients to show up in one color, Medicaid in another color, and cash patients in yet another color. There must be a way to do this but I'm having trouble
March 19, 2016
Open Dental
Message Board
Views: 34 | Replies: 1
Can someone explain Delta' Health Through Oral Wellness Program? I'm suspicious of anything an insurance company does that benefits anyone but their own bottom line. There is a big push in medicine for outcome based care. This also goes hand in glove with evidence based medicine. What government
April 06, 2021
Delta Dental
Message Board
Views: 231 | Replies: 3
This is a lab/insurance category topic. I keep getting these ads from DDS lab. I am a young dentist and kinda wondering if this is common. Yes, I am in network with some of UC plans. I make a great living being in network so that is not up for debate. Is this a step
March 10, 2016
Laboratories
Message Board
Views: 42 | Replies: 1
Does anyone have a system they follow for handling secondary and tertiary insurances? I am in-network with many PPO and medicaid. It seems a lot of times medicaid doesn't know about the PPO and we end up getting overpaid and have to refund medicaid some of the money. My wife and I handle all
November 17, 2017
Claims Processing
Message Board
Views: 97 | Replies: 0
1. I was talking to an insurance agent to get quotes for our startup in GA. Based on the information in link http://www.gadental.org/propertycasualty.html , I asked him about Dental Waste Disposal Coverage and he said he has not provided that yet to any of his dental clients as most dentists hire
March 03, 2014
Dental Liability Insurance
Message Board
Views: 249 | Replies: 3
for general dentist. Frederick Eichmiller DDS Sheila Stover DDS, MS, MPH Interesting way to do a study. Use of insurance database allows to greatly increase the sample size. The methodology seems legit. In my mind it makes me worry what an insurance company could do with these numbers
August 20, 2016
Endodontics -- The ENDO Files
Message Board
Views: 94 | Replies: 1
be confusing what you CAN do and what ins. will pay. You CAN do any of those combinations, except 4 quads. A prophy is mutually exclusive to an SRP(4341 or 4342) in a quadrant. Insurance may or may not pay for any or all of them, completely dependent on the insurance POLICY that was NEGOTIATED
February 04, 2016
Claims Processing
Message Board
Views: 165 | Replies: 1
purchase agreement there is no such clause. Would this still be valid and so I can use the seller's provider number? Also on the legal aspect, would that be legal if I was the one doing the work but billed under his insurance provider number? My understanding of the insurance contracts is that you
July 21, 2015
Practice Acquisitions
Message Board
Views: 279 | Replies: 5
I am a more of ppo type of dentist. I am looking at this practice that cliams to accepts all insurances and have 10_ 15 %low paying insurance and the rest ppo. How do i find out the accuracy of this statement? Do i make the offer and then verify or do i verify and then make the offer. Verify
December 20, 2017
Practice Acquisitions
Message Board
Views: 74 | Replies: 5
... I've worked with and heard of most plans out there...but this one stumps me....I got nothing,...I had never heard of them til the OP mentioned it. From Bloomberg financial: Fidelio Insurance Company operates as an insurance firm. The Company offers dental insurance services. Fidelio Insurance
August 02, 2018
PPOs and HMOs
Message Board
Views: 153 | Replies: 7
Hello, I am looking for a consultant to help me maximize my insurance reimbursement for a group practice. Currently only the GP's are credentialed and a lot of the insurance companies are telling me that the speciality fee schedules will be the same as the GP's. I need to know if this is standard
November 05, 2020
PPOs and HMOs
Message Board
Views: 203 | Replies: 6
Does anyone have any better alternatives to The Hartford for general liability and property content insurance for your dental office? I use bankers for my building and contents, but they like everything elses has doubled in florida.... Now is 11 grand a year.... with a 13 grand wind deductible
April 03, 2024
Practice Management & Administrative Forum
Message Board
Views: 1105109 | Replies: 63426
life is set up in a way that's reasonable and tolerable, and the money going into the practice keeps us in the dental game a little longer, I think it's money well spent. Sal Perspective changes over time. When I was in my 30's I doubt I ever gave much thought to health insurance, much less
June 05, 2018
Retirement Planning
Message Board
Views: 711 | Replies: 22
Most insurance downgrades posterior composites to amalgams. We never do amalgam in our practice. When pt pays the co pay for composite and claims get submitted pt gets credit due to lower co pay for amalgams. Basically it shows that pt over payed. Two questions. 1) can we charge pt
May 23, 2017
Claims Processing
Message Board
Views: 717 | Replies: 34
adjustments physically? Do I cut back my number of days worked? Do I start to consider disability insurance? By the way, I'm 50 years old and have been practicing for 21 years. Do you have disability insurance? I sure hope so and would absolutely get the ball rolling on using it if so. Working in pain
December 31, 2021
General Health
Message Board
Views: 803 | Replies: 30
the restorative items needed to take the impression for the abutment and crown? Then you are only out the lab bill....I do implant crowns all the time for PPO fees. It's not mega bucks but still profitable. If you are viewing the economics of the case due to insurance constraints, one can only
January 10, 2015
Claims Processing
Message Board
Views: 649 | Replies: 26
with medicine to be free. This attitude is a killer for dentists not wanting to play the insurance game. Not only am I not on the plan, I don't accept assignment. They pay me, we fill out their insurance and let them mail it in and their insurance company pays them. And like you said, I don't need a army
May 15, 2016
April 2016
Message Board
Views: 852 | Replies: 21
My kids liked it ok. But in all the years we went they have NEVER had a cavity and not once were they ever featured on wall or told great job for that! And now at 13&14 my oldest two are charged as adults and our insurance doesn't cover it??? We are switching even the youngest one now. I don't
July 21, 2018
Social Media
Message Board
Views: 585 | Replies: 27
Was on call for local childrens hospital last night and got called in with a 2 year old bumped front teeth.. E fractured and very mobile... We removed it in the ED. As I was leaving the nurses gave me information for billing purposes- to get paid . It had their medical insurance info, address
April 28, 2014
Pediatric Dentistry
Message Board
Views: 289 | Replies: 17
Hi I would like to know our office did 957,000 dollars as production and we collected about 841,500 as collections for 2025. There are about 325,000 dollars that still needs to be collected from the insurance . is it normal for a dental office to collect that much amount from the insurances
January 14, 2026
Practice Management & Administrative Forum
Message Board
Views: 1059 | Replies: 32
i often wonder how delta can get away with sending NOT sending checks to out of network providers while every other insurance does not do that for out of network?? is it because they are the biggest? and have the most might? can this ever be changed? its a real big customer service issue
January 07, 2015
Delta Dental
Message Board
Views: 2378 | Replies: 66
expect to get them to raise their reimbursements? There are several reasons why. One of the bigger ones is that insurance companies will utilize UCR's for a zip code or area as PART of the formula for how they set reimbursement and coverage. If we consistently submit THEIR lower fee, then we
May 08, 2015
Practice Management & Administrative Forum
Message Board
Views: 865 | Replies: 50
and allowance to ensure accurate processing. Contracting providers agree to charge the patient only the amount indicated as Patient Pays. But it doesn't happen to any other insurance. I spend a lot of time doing these fillings and they are indeed multiple surfaces. Am I doing something wrong? I
March 25, 2023
Claims Processing
Message Board
Views: 867 | Replies: 30
patient portions at time of service (NOT full fee at time of service). This is easy enough to do for Delta because I am in network and I have a fee schedule. How do I do this for the dozen other insurance companies I am out of network with? Seems like this is going to create a huge headache trying
June 21, 2023
Practice Management & Administrative Forum
Message Board
Views: 2297 | Replies: 150
fault.. Liberal thinking at it's best.. Maybe, just maybe, the GOP thought Obamacare was a bad idea and are being proven right on a daily basis... Also, selling insurance across state lines has nothing to do with the 10th amendment.. Geeez... It can be done with car insurance, and could
January 04, 2015
Politics - DO NOT Enter if easily offended
Message Board
Views: 1176 | Replies: 44
. PPO insurance reimbursement is stagnant or even blatantly decreasing. My patients are mostly millennials who are healthy and poor. Costs are increasing. ADA isn't very useful in combating insurance pressures or corporate dentistry. What is it a poor dentist to do? 10-15% increase in productivity
February 22, 2020
Practice Management & Administrative Forum
Message Board
Views: 978 | Replies: 35
In your poll you'll get most of responses that will conform to what the insurance companies will tell you and what insurance contracts stipulate. But beware - realityprovider manual. I would recommend billing for 2 separate fillings and letting the insurance company combine it for you
May 06, 2022
Claims Processing
Message Board
Views: 191 | Replies: 1
We are acquiring a practice and the seller has been providing health insurance benefits to two of his existing employees. As part of the agreement, we will honor continuation of these two employee's health benefits. When we hire on a new employee, do we have to offer her health insurance since we
February 19, 2016
Practice Acquisitions
Message Board
Views: 95 | Replies: 1
When we are working as an associate on base/ day , do we have to get credentialing done with each of the insurances or Medicaid that the office accepts. Also if we are working in more than one office and are on collections but if the billing is entirely done on the owner dentists name, do we have
March 31, 2016
Associates Corner
Message Board
Views: 106 | Replies: 1
Nineteen additions, 12 revisions and eight deletions. Does anyone have a list of the additions, revisions and deletions they could share? There are 39 substantive changes. My suggestion to every office is to subscribe to the Insurance Solutions Newsletter for your insurance biller
November 17, 2015
Coding Q&A
Message Board
Views: 3027 | Replies: 87
Just gonna putthis here Really frustrates me that so many are sowilling to be insurance pawns. Wow, pretty interesting. So all you do is have the patient sign a paper requesting the service and not to send a claim? But patients can be unpredictable. You could have a clause where
February 09, 2018
Fixed Prosthodontics
Message Board
Views: 1101 | Replies: 35
about to produce 60k this month. produced/collected Feb 55/43 Jan 49/46 Dec 58/49 Nov 41/49 Oct 54/49 From Eaglesoft My current AR stands at: 38k current 30 days 4.3k 60 days 976$ 90 days 2k Insurance 33k Due Now 12.1k Total is 45k. We collect the insurance estimate at time of service. But off
March 30, 2017
Practice Management & Administrative Forum
Message Board
Views: 5268 | Replies: 441
crave a Big Mac. Yeah..because 75 year olds are going to be able to pay for insurance in the free market...got an extra 80K a year grandma? The reason Medicare exists is because the inscos didn't want those people. Get the kids on Medicaid..the seniors on Medicare..and the inscos get to milk
June 08, 2017
Alternatives to Dental Insurance
Message Board
Views: 982 | Replies: 54
confusing things to happen to dentistry in my career. I highly recommend unlock the PPO if you are a solo practice owner. The strategy has to be very specific to your office. If you blindly sign up with a TPA, you might end up finding yourself in network with a bunch of insurances you never wanted
November 02, 2022
PPOs and HMOs
Message Board
Views: 226 | Replies: 5
to anyone from the state insurance plans or determine which plan they have as I am not in network. They have done all the prior authorizations for all of my cases with private insurance and my state's medicaid plan. NormallyWe have to do the medical PAs for GA cases at the surg center. But when we do
April 15, 2016
Pediatric Dentistry
Message Board
Views: 298 | Replies: 8
. This is Betty from Bill's House of Dentistry. Good news. We investigated/researched/looked into the procedure (night guard, crown, implant, etc.) recommended by Dr. Bill and you have EXCELLENT/Great/Good/partial insurance coverage. Do you have time for me to review this with you? The night guard will be two
October 10, 2016
Practice Management & Administrative Forum
Message Board
Views: 798 | Replies: 17
1. How many dentists separate their lab fee from their fee to the pt.? In other words, how many bill the pt your fee, say $1000, and then add a separate fee for the lab, say $250? 2. I know of some dentists that do this but they may be completely outside of any insurance. Can we do this with any
October 19, 2015
Coding Q&A
Message Board
Views: 308 | Replies: 8
Hello All. I am wondering what the legality of billing insurance on unseated crowns. I realize you are supposed to wait until after the crown is seated to bill insurance, but I don't believe all offices do this. We have a patient that we saw after hours for on an emergency basis. We went out
July 22, 2016
Claims Processing
Message Board
Views: 300 | Replies: 7
One area I have always been fuzzy is when it comes to how to fill insurance for this. 29 y.o female BC/BS PPO in network 2 years since last cleaning no flossing pockets 3-5 Generalized BOP how would you treat/bill insurance. sounds perfect for the new gingivitis code. 4346
January 18, 2017
Hygiene Discussions
Message Board
Views: 266 | Replies: 1
Matthew Smith Executive Director at Coalition Against Insurance Frau 1012 14th St., NW, Suite 1105,Washington, D.C. 20005 (202) 393-7330 The Coalition Against Insurance Fraud is Americas only anti-fraud alliance speaking for consumers, insurance companies, government agencies and others. Through its
November 11, 2020
Medicaid and Welfare Issues
Message Board
Views: 291 | Replies: 6
For various reasons, I've had to take closer look at our FD processes, and I am wondering if what we are doing is efficient and useful. For instance, when an EOB comes in, we enter the payment, scan the EOB into the patient's OpenDental Chart, and enter the check number when creating an insurance
April 08, 2015
Front Office Discussion
Message Board
Views: 117 | Replies: 4
My partner at my practice had gotten a temporary secretary/office manager for one week. During this time, I had a new patient who I had diagnosed as needing a deep cleaning. I asked her to check insurance benefits and she said that he was fully covered for a deep cleaning. I did the deep cleaning
May 19, 2020
Claims Processing
Message Board
Views: 84 | Replies: 1
: (These are fictitious names/dollar amounts, for the privacy of the patients) The Smith family comes to our office for treatment. Amy Smith is 23, is verified to have insurance through her mother, and has $1,500 worth of services performed. Betty Smith is 19, is verified to have insurance through
January 12, 2017
Practice Management & Administrative Forum
Message Board
Views: 432 | Replies: 15
I am contracted with Metlife. I have a pt that has one of their plans, but is only covered for non major stuff. my question is, if they have a major procedure done, do i have to recognize the insurance fee, or can i charge my FFS fee as its not a covered code per their policy? I think it depends
August 27, 2015
Claims Processing
Message Board
Views: 2458 | Replies: 76
they must have) dental insurance. I have seen people walk out and go elsewhere over me being OON versus In network...and many times the difference is under $100 bucks...FFS would be awesome. For me its not realistic...however, its funny that most of my ortho patients don't have ortho insurance so
October 31, 2018
Ask a Dental Consultant
Message Board
Views: 799 | Replies: 39
the patient's investment for the treatment with forced sing-song transparency in the amount of time I could tell them their co-pay and have numbed ready to go. It was painful. If working with insurance I let them know the portion insurance will charge as their responsibility. +1 DR. Alanrw
January 03, 2017
Practice Management & Administrative Forum
Message Board
Views: 4678 | Replies: 244
planning and a part timer to deal with insurance. This way I can stay hands off and focus on other items. Right now we are limping along as one of my FT's is on maternity leave and I do feel the pinch of that missing person even though my part time person is working 40+ hrs. We process around 300-400
February 28, 2017
PPOs and HMOs
Displaying 37801-37849 of 37849
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