Dental Claims

Before you blame the payers for denied claims check your offices processing systems for errors and omissions.Rejected claims are different from denied claims.  Rejected claims were never adjudicated by the insurance company because they were rejected before they were received. They were rejected because something...

Often, when the tooth isn’t broken down enough to warrant the coverage under a dental insurance policy the search goes for the magic wand of words to get the procedure covered. Indirect restorations such as inlays and onlays are often not covered because the alternate...

NPI or National Provider Identifier numbers are important for claim payment.NPI or National Provider Identifier numbers must be properly reported on your claims or there will be denials and possibly hold-ups on the processing of many claims submitted by your practice.  Basically there are two...

      Obtain the patient’s medical insurance information when you obtain the dental insurance information.  Your current updated software system may have this on the patient registration form.  Take a copy of the cards front and back.  Emphasize in writing that while some procedures may be...

Are your accounts receivables aging past the date of remembering who the patient was and why this happened?Where is the money?  Why haven’t they paid?  What are you doing about it ?  Questions asked to the Office Manager.The monthly bills ever present to remind you...

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