Dental Medical Billing Blog

If beneficiaries do not succeed with their internal appeals for their medical claims, they could go through an external review process in which another company reviews their denied claims (Berger 2017). They can go through the external review process for cases related to disagreements on...

Dental insurance companies require CDT (Current Dental Terminology) codes on claims, while medical insurance companies require CPT (Current Procedural Terminology) codes, which “[describes] medical treatment,” on their claims (“Billing medical plans for dental treatment” 2016). Medical insurance companies also need an additional code: the ICD...

As dental offices bill higher levels of restorative treatment it is becoming increasingly necessary to utilize appeals opportunities and peer to peer options to overturn unfavorable coverage decisions by medical carriers. A popular recommendation from consultants is to use Wilson & Wickline letters when appealing...