Dental Billing Services
Streamline your dental practice's financial operations with our comprehensive billing service. From efficient claims submissions to meticulous insurance payment posting and dedicated follow-up on outstanding accounts receivable, we ensure maximum reimbursement while you focus on providing excellent patient care.
Daily Claims Submission
All primary and secondary claim are sent daily electronically or mailed as needed. Every claim is reviewed for proper documentation, attachments and proper coding to ensure it will not be denied. Our team stays up-to-date on the latest coding requirements, changes and CDT additions. Oftentimes, denials can be avoided by submitting "clean claims" the first time.
Next-Day Payment Entries
Your office will still receive all payments from insurance carriers. All paper checks and Electronic Funds Transfers (EFT's) are posted in your practice management system the following business day. We post all necessary write-offs or adjustments according to the Explanation of Benefits (EOB). Any payment discrepancies will be immediately appealed with the insurance carrier. Your office will receive daily deposit reports to reconcile with your bank deposits.
Immediate Appeal of Insurance Denials
All denials from the insurance company will be reviewed in detail, prior to closing a claim. If possible an appeal will be filed with the insurance carrier on your behalf. We work a 3-step appeal process and file appeals with the insurance commissioner if necessary. All appeals are filed within 48 hours of receipt to ensure timely resolution.
Audit & Work Aging Claims
All overdue insurance claims that are 30 days old or older are worked every 14 days. We investigate, appeal, and track every claim diligently to obtain timely payment for your office. Every claim reviewed will have detailed notes entered into your practice management systems claim status notes for your review.
Patient Billing Services
Increase your collection ratio and reduce your overall A/R with our patient billing add-on service, only available with our dental insurance billing service.
Confirmation of Balance & Account Audit
Our team will first confirm the accuracy of each account balance by completing a detailed audit of recent claims, payments and adjustments. Findings will be noted in each account and an immediate statement sent.
Statements
After ledger audits, statements will be sent at regular intervals, with easy payment options. Minimize cost and time with electronic statements vs. paper, in your current practice management system.
Custom Letters Requesting Payment
After regular statement and contact attempts, patients who still have an outstanding balance with receive a customized and personalized 3 letter series requesting payments to suit individual needs.
Audit & Work Aging Claims
When an account is deemed uncollectible after thorough patient billing cycle attempts, the office will be advised. Your office can then send those patients to a collection agency of your choice or adjust off as a bad debt. We will keep clear communication of their efforts along the way so you will not be surprised.
Insurance Verification Services
Know your patients benefits ahead of time and increase collections by reducing insurance surprises. Insurance verification is offered as a standalone service for office looking to outsource this part of their admin system.
Most Up To Date Insurance Benefits
We update your patient records at least three business days before the patient’s appointment.
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Bring Peace of Mind to Staff & Patients
Reduce the amount of time your office staff spends on the phone consumed with benefits verifications. Increase your patients trust by accurately estimating patient portion and insurance expected portion.
Accurately Present Treatment Plans
We provide a detailed breakdown for every patient on your schedule that can be customized to your practices' coding usage.
Works with Most Practice Management Software
Including Dentrix, Eaglesoft, and Open Dental
Standard verification includes plan frequencies, history, and benefit maximums and is intended to be a basic type of verification of benefits. This option is ideal for verifying additional family members sharing an insurance plan and/or confirming the benefits of an existing patient that already has a full breakdown on record within the last 6 months.
Have a Question?
Not sure what services would be helpful to your practice or where to start? Contact us and we can help guide you in the right direction!