Your account 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; Dental Insurance Billing Service and the Patient Account Receivables 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 every aspect 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 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 managers will communicate daily with your office manager via email to ensure smooth end-of-day close-out of patient ledgers.
Appeal 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 that same day. This attention to detail ensures that we collect as quickly as possible the outstanding balances that are rightfully yours.
Verify Procedures that are Not Attached to Insurance
All procedures that are not attached to insurance claims are batched daily. Often procedures are not attached by accident can be overlooked for weeks. We ensure that this oversight is remedied whenever necessary.
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. Any current electronic claims system you are using will do. 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 audited 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 not 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 managers will proactively contact your patients and ask for any missing information–to complete the patient file–to ensure the promptest 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.
Proven Narratives are Used Successful
All denied claims are immediately investigated & appealed. Any outstanding claims will be appealed until paid. Often we will use proven narratives that we have found successfully appeal certain types of procedures. On rare occasions, however, the treating provider might be ask to clarify why a procedure was necessary. The eAssist dental insurance billing manager will follow-up and oversee all of these efforts. Your daily report will show how many errors we found and corrected without any interaction from your staff.
Insurance Aging Report Daily Focus
The Insurance Aging Report is analyzed each month and diligently “worked” daily. You will receive daily summaries that track how many overdue claims were appealed, how much money was collected, and what your current account 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. In your daily email summary, you will learn how many of these types of claims were worked 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 managers 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. Please see an example of these daily reports by clicking here (Daily, Weekly, and Monthly Report documents.)
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 appealed
- All narratives used on denied claims are proven to work in most situations
- All procedures not attached to insurance claims are corrected daily
- 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
- 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 zero is variable depending on how many patients you service monthly. Smaller offices are a lot less work, hence the fee is much less than a higher volume office. The fees for this insurance account 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:
sized dental office
- If the office’s insurance collections are under $40k/month
- The fee for this service described above is $1250 / month
sized dental office
- If the office’s insurance collections are between $40k and $100k
- The fee for this service is 3.5% of the total insurance collections
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
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
4 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.Learn more