Dental Insurance Verification Outsourcing 101

All of the moving parts of insurance verification necessitate a steady, consistent hand. Your front office staff must ensure that each patient walking in through the door has the correct coverage amounts for treatment, each and every time. Without this, surprise bills can keep patients from ever coming back, all the while carrying a balance that can balloon to the thousands. What’s the best way to prevent this without incurring additional workload and staffing? Dental insurance verification outsourcing. Let’s look at the role of insurance verification in your practice and ways to remedy this crucial preappointment step.

How does dental insurance verification work?

Put simply, insurance verification is the positive confirmation of benefits for each patient, whether that includes full or partial coverage as well as in or out of network status. This allows dentists to better implement long term treatments that will fit into the coverage plan and patient’s budget. Without this crucial step, patients and staff are left wondering “Who’s going to pay for that?”

Ideally, insurance is always verification prior to the appointment, at least a week to a day before. This helps in a number of ways:

• Confirm accurate coverage period during the appointment time
• Understand copay breakdown to collect at time of service
• Save up to an hour of time during a patient appointment figuring out coverage details

Of course, without this crucial step in preappointment readiness, your staff are left breaking the (potentially) bad news to patients that their copay is higher than expected, or worse, that they’re responsible for the entire treatment amount. Dental insurance verification outsourcing works to iron out these details long before they become a problem for your patients.

What is dental insurance verification outsourcing?

When you outsource, you’re putting the time and energy required for accurate insurance verification into the hands of a professional service provider or platform. Instead of having to spend hours on the phone for each patient, that time can be better spent on other in-office duties. Not having to worry about patient coverage before and after the treatment planning stage is essential to keeping your calendar full of covered, consistent patient appointments.

The benefits of dental insurance verification outsourcing

No longer do your staff have to put other duties to the side in order to verify coverage. With dental insurance verification outsourcing in your practice toolkit, you’re on the way to peace of mind and positive growth:

• Estimate insurance and patient portions
• Up to date to the day benefit confirmation
• Accurately estimate long term treatment planning

Streamlining dental insurance verification

The typical dental office suffers from one crucial problem in their revenue cycle management (RCM) process: needing more time. There’s almost always a need for the hours on the clock to increase in order to get everything done. Booking patients, following up on dental billing claims, and even the insurance verification process all eat into valuable patient time.

eAssist Dental Solutions works to provide your practice with dental RCM processes that work. Created by dentists for dentists, we have the experience required to create sustainable, scalable profit for your practice, with a proven track record.

What can I expect with eAssist’s dental insurance verification outsourcing process? 

When it comes to dental insurance verification outsourcing, the biggest goal is to ensure that coverage benefits are cleared and ready to go by the time your patient walks in through the door. eAssist offers flexible pricing tiers that scale with your practice, and this includes do-it-yourself or done-for-you pricing packages that allow you to choose your level of involvement with the process. Then you can choose between standard or extensive verifications:

Standard:

• Plan frequencies
• History
• Benefit maximums
• Ideal for verifying multiple family members on the same plan(s)

Extensive:

• Code-specific coverage
• Plan-specific coverage
• Extension of standard verification practices
• Leads into Premium verifications that allow for further code customization and practice-specific treatment necessities

No matter which tier you choose, eAssist is your practice’s ticket to streamlined dental RCM. There’s no more need to worry whether a patient is covered or not, in or out of network, or not knowing exactly what they need to pay. Schedule a no-obligation consultation with us today, and tell us where you’d like to see your practice in the coming months.