Dental Claims & Dental Billing Developments & Insights Blog

The open enrollment period for health and dental coverage offered through Covered California, California's benefit marketplace created by the federal Affordable Care Act continues through Jan. 31. Since open enrollment began on Nov.1, more than 60,000 enrollees have selected dental coverage through Covered California's Family...

9/22/2015-From the CDA United Concordia changed how periapical X-rays would be paid this summer and CDA Practice Support, after receiving calls from members about the changes, reached out to the company on behalf of dentists to get additional information. In its June 23 letter to dentists, United...

United Concordia Companies, Inc. will begin denying claims for any periapical radiograph taken routinely on a patient who does not have complaints or symptoms.  This statement is from the ADA News August 17, 2015. At eAssist, we know that we must do everything in our power...

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...