Jackie Koontz, AE, Kaizen Coach Appeal letter for crown and build-up: To Whom It May Concern: I am writing to you to today to express my deep concerns over the gross mishandling of Dewayne's claim for #31 crown and buildup and wrongful denial. On 4/18/18 our...
A Patient came in with tooth #8 fractured at the MIL cusp after he got into a drunken fist fight. The doctor proceeded with restoring the tooth with a full porcelain crown. He had no other existing restorations. The insurance denied the claim for no...
By Cindi Lignell, Account Executive It is intolerable when we have sent all the info to insurance, had a claim denied. Sent their requested additional info . . . multiple times. The claim shows as not on file after you have received a denial on...
Sometimes even seemingly straightforward billing problems take months to resolve. When Jane Smith was hospitalized in central Virginia following a diagnosis of cancer a few years ago, she received a $1,600 bill from the hospital because she had stayed in a private room, which their...
From Jackie Koontz, Kaizen Coach and Account Executive In January of 2015, one of my offices had a patient present for a routine crown and buildup replacement. I went ahead and billed the patient's insurance through Cigna for the services. On March 2nd of 2015 I...
By Belle DuCharme, CDPMA, Dental Training Consultant Unpaid Implant Supported Crown “The claim has been paid and the check was sent to the provider on (date)”, replied the insurance agent in a terse tone. This particular agent was not going to give up any information that she...
A personal account of why we do what we do. By: Mindy Pruim Davis I went to a Dr.(physician) appointment today at a new office (new insurance). The person verifying insurance told me she would try to call to get my insurance verified, as long as she...
By Natalie Lucken, Account Manager Here is another claim story for you about a claim that I kept submitting to a smaller insurance company, over and over again, and it was never getting where it needed to go. I verified the mailing addresses, payer ID, fax...
By Alyssa Hermes, Account Manager I was working on the aging claims report for my office and noticed we had a few payments from UHC saying they had been paid but we had not received the checks yet. It had been about a month since the...
By Cindi Lignell, Account Executive To someone looking at the website, eAssist is a dental insurance billing entity that helps practices with the big job of ensuring claims are paid at the maximum allowable in the shortest amount of time. But really what does that mean...
