Dental Insurance Billing Service

Dental Insurance Billing Service

Your accounts receivable problems will be solved with the nation’s leading dental insurance billing system from eAssist. You will gross and net more revenue.

We offer two services that focuses on accounts receivables; Dental Insurance Billing Service and the Patient Accounts Receivable Management add-on Service. Our primary goal is to assist your office in collecting all insurance money that is rightfully owed to you. This requires us to be involved in aspects of your insurance claims processing. Our achievable goal is to ensure that your over ninety (90) days insurance account balances are minimal.

All Features of the eAssist Dental Billing Service

EOBs Posted Daily


All insurance payments and insurance contract adjustments are posted to the patient ledgers accurately and timely–within 24 business hours after the EOB is scanned by your office. We recommend depositing the checks the next day, ensuring that our daily deposits balance with what is posted daily. Your team of eAssist dental insurance billing specialists will communicate daily with your office manager via email to ensure smooth end-of-day balancing.

Review all Denied Claims


All claims are closed out at the appropriate time. If a claim is denied, we will immediately investigate the cause and appeal the claim if it is appealable. This attention to detail ensures that we collect as quickly as possible the outstanding balances that are rightfully yours.

Verify Procedures that are Not Sent to Insurance


Often we find that insurance claims are not created timely. We help ensure that this oversight is remedied.

Primary & Secondary Claims Submitted Daily


All dental insurance billing claims for primary and secondary claims are sent electronically, daily.  Preauthorizations will be sent to insurance companies when requested.  We utilize your current electronic claims system.  If you are currently sending paper claims, we will assist you in setting up electronic claims at no additional cost to you.  Every claim is reviewed before it is sent to an insurance company to ensure that the claim will not be denied over a clerical error, which typically occurs 3-4 times per week in most dental offices.

Electronic Attachments Used When Available


Electronic attachments will be sent  for all claims when available.  If an insurance company will not accept electronic attachments, we  will process a paper attachment through the mail.  But we will ask you to reimburse us for the cost of the stamps used.  If you are currently not using electronic attachments, we will assist you in setting up the ability to send electronic attachments with your electronic claims at no additional cost to you.

Missing Information is Gathered by Us


Often patient’s family files are incomplete. This will cause a claim to be denied after thirty (30) days, if not caught before the claim is sent. A typical office will usually have two of three issues like this weekly. The eAssist dental insurance billing specialists will proactively contact your patients and ask for any missing information–to complete the patient file–to ensure the most prompt payment possible. We will report these errors in your daily email summary to help you better understand how we are solving your insurance collection issues.

* Medicaid preauthorizations not included

Insurance Aging Report Focus


The Insurance Aging Report is analyzed each month and diligently “worked”. You will receive daily summaries that track how many overdue claims were appealed, how much money was collected, and what your current accounts receivable balances are between 30-60 days overdue, 60-90 days overdue, and past 90 days overdue. If there are any outstanding balances that you prefer we do not pursue, please communicate that to us via email to ensure that all patient communication guidelines meet your expectations

Detailed Accounts Receivables Work Log


All overdue insurance balances that are thirty (30) days old or older are followed up on weekly. Your daily report will include a summary of any accounts receivable followup from that day. A detailed list of who we’ve been working with at the various insurance companies is available upon request. Every two to three weeks, detailed notes gathered by your eAssist dental insurance billing specialists are recorded in the claim status or patient guarantor notes in your dental management software.

Daily, Weekly, & Monthly Accountability Reports


Weekly and monthly reports are emailed to your management staff, with a summary of our insurance collection efforts and any issues we have discovered that will slow down our collection efficiency. Examples of these reports can be sent to you upon request.

Summary of Dental Insurance Billing Service Features

All insurance payments & insurance contract adjustments are posted to the patient ledgers accurately & timely

All paid claims are closed and denied claims immediately investigated

Detailed clinical notes wil be referenced to formulate appeals

All procedures not attached to insurance claims will be reviewed

All primary & secondary claims are sent daily electronically

Electronic attachments are sent for all insurance companies that receive them

Correction of missing information in patient family files that can deny a claim

The insurance aging report is analyzed and worked

Daily (if desired), weekly, and monthly reports are emailed with summaries of all of our collection efforts

Our achievable goal is to ensure that your over 90 days insurance account balances are zero

Our Dental Insurance Billing Service Fees

The amount of work to send claims, post EOBs, appeal denied claims, and keep your over ninety days insurance accounts receivables at a minimum is variable depending on how many patients you service monthly. The fees for this insurance accounts receivables service “as described in the above bullet points” are variable depending on what is collected from insurance. The following payment schedule applies for all offices:

Small

sized dental office

If the office’s insurance collections are under $40k/month

The fee for this service described above is $1250 / month

$1250 / month

Medium

sized dental office

If the office’s insurance collections are between 40k and 100k/month

The fee for this service is 3.5% of the total insurance collections

3.5% / month

Large

sized dental office

If the office’s insurance collections are between $100k and $150k/month

The fee for this service is 3.0% of the total insurance collections

3.0% / month

Enterprise

sized dental office

If the office’s insurance collections are greater than $150k/month

The fee for this service is 2.5% of the total insurance collections

2.5% / month

* Offices with multiple locations or DSO structures, contact for custom quote.

Any technical questions?

You might be wondering if your practice management software is compatible with our service, what if any I.T. requirements are necessary, or whether or not we handle your money. These and other technical questions are answered in our FAQ.

Optional Product: Patient Portion Accounts Receivable Management Add-On Service

In addition to the Dental Insurance Billing Service described above, we also offer a Patient Portion Accounts Receivable Add-On Service.