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By: Angela Holland If youre a dentist or dental practice owner, youve likely encountered the term “insurance credentialing” at some point. In this blog, we will explain what dentalinsurance credentialing is, why its necessary, and how it impacts your practice. What is DentalInsurance Credentialing?
By: Angela Holland Dentalinsurance is a vital aspect of modern dental care, but for many dental practices, dealing with insurance claims can be complex and time-consuming. Heres a quick guide on how to navigate dentalinsurance in your practice.
By: Angela Holland Negotiating PPO fees is a crucial yet often overlooked step in maximizing your dental practices financial success. Done correctly, PPO fee negotiations can significantly increase insurance collectionswithout requiring more patients, additional treatments, or increased marketing costs.
One strategy that is gaining traction is the use of dentalinsurance waivers and upgraded fee agreements. DentalInsurance Waivers: A Smart Way to Optimize Revenue Dentalinsurance plans often have limitations, such as low reimbursement rates and coverage caps. This approach benefits both parties.
million adults in the United States do not have dentalinsurance, according to new data released recently by CareQuest Institute for Oral Health. million adults without dentalinsurance, an additional 8.9 million adults without dentalinsurance, an additional 8.9 An estimated 68.5
By: Dr. Angela Holland Dentalinsurance claims are a fundamental part of any dental practices revenue cycle. In this blog, we will break down the process of dentalinsurance claims reimbursement , highlighting how it works and why including a proper narrative is essential for prompt and accurate payment.
By: Dawn Patrick , Dental Practice Coach + Director of Operations IgniteDDS Submitting dentalinsurance claims can be a time-consuming and frustrating process if not done correctly. Example Narratives for Common DentalInsurance Procedures Restorative Procedures 1.
The “Global DentalInsurance Market Size, Share & Trends Analysis Report by Coverage (Dental Preferred Provider Organizations, Dental Health Maintenance Organizations), Type (Major, Basic), Demographic, Region, and Segment Forecasts, 2023-2030” report is now available on ResearchAndMarkets.com.
Dentalinsurance billing is one of the most critical operations at a dental office. No matter how efficiently you’re producing and delivering quality patient care, your practice won’t grow unless an ethical dental billing process is in place.
Solutionreach, a leading patient engagement and communication platform, is proud to announce the launch of its advanced dentalinsurance management capabilities, including Insurance Verification.
Two aspects of case acceptance in particular often go ignored because they either seem too obvious or are just not as fun to dive into: offering individualized options and making sure patients understand insurance. Understanding Insurance for Case Acceptance The real role of insurance is a mystery to most patients.
As a dental provider, a significant portion of your revenue comes from insurance reimbursements. Without a steady and sufficient stream of payments from insurance companies, it can be difficult to cover operational costs, invest in new technologies, or even pay your staff. However, these fees are rarely set in stone.
A frequent topic of discussion on social media these days is whether to drop out of dentalinsurance plans. In the most recent Levin Group national dental survey, we found that only 10% of practices stated that they were completely fee-for-service. How many patients are in any of the insurance plans accepted by the practice?
Dental practitioners need support to ensure the treatment plans they recommend will be accepted by patients who want to know how much of the cost their insurer will cover and how much out-of-pocket expense they will incur.
Beginning in July 2025, Medi-Cal beneficiaries in Sacramento and Los Angeles counties will have the choice of three dental managed care plans. These contracts, along with new Medicare Advantage and existing employer-sponsored dentalinsurance programs in California, will bring the total number of Californians served by Sun Life U.S.
DentalInsurance.com , the leader in dentalinsurance comparison shopping, announced that their annual sales of high maximum benefit dental plans rose 122 percent in 2023 compared to 2022. A maximum benefit is the annual limit on insurance company spending toward a consumer’s covered dental care.
The CDA-sponsored bill , now a law, aims to enhance dental plan disclosures for both dentists and patients. This statute is designed to help dental healthcare providers and patients have a clearer understanding of the type of insurance plan before the billing process begins. Rizkallah, DDS. “I
The fiery debate lasted nearly two hours and covered the ADA’s role in advocating for MLRs, the recent article co-authored by Vujicic on value-based dentistry (VBD) in the Journal of the American Dental Association ( JADA ) (June 2023) , as well as a myriad of subjects concerning the dentalinsurance industry.
As we dive deeper into 2021, dentalinsurance expert Teresa Duncan of Odyssey Management is seeing three big issues with dentalinsurance that practices encounter. First , some practices have yet to switch over to the 2019 ADA insurance claim form. Note: Photo of “‘What did you make today?’
What Is a Non-Covered Services State (NCS) in DentalInsurance? Understanding the ADA Guidelines By: Angela Holland Navigating dentalinsurance can often feel like deciphering a complex puzzle. How Does This Affect Dental Patients and Providers? What Is a Non-Covered Services State?
One of the big issues that new dentists face is learning the ins and outs of insurance — it’s a lot of paperwork! 4 Common DentalInsurance Misconceptions. In case this sounds like you, here are four common misconceptions about dentalinsurance to avoid: Misconception 1: Delta doesn’t cover out-of-network care.
KeyCorp (NYSE: KEY) announced a strategic relationship, which includes a minority investment, with Zentist, a leading cloud-based insurance revenue cycle management (RCM) software provider for dental support organizations (DSOs) across the country. dental groups. For more information, visit www.zentist.io.
A Pueblo West, Colorado dentist is raising concerns about the impact of insurance claim denials on patient care after a local elderly man was denied coverage for a critical dental procedure. The post A Dentist Fights for His Patient When Insurance Denies Care appeared first on Dimensions of Dental Hygiene.
23 January 21, 2021 The ADA is offering a free educational webinar in February to assist new and existing dental office managers, staff and dentists who are looking for guidance and insights as they try to navigate the dentalinsurance maze. DentalInsurance 101: A Beginners Course for Office Staff streams Feb.
Through this new partnership, CAA introduced an innovative suite of insurance products and a digital-first customer experience to their more than seven million members across the country, effective January 1, 2024. “We Policies are underwritten by Canadian Premier Life Insurance Company. Together with our U.S.
Processing dentalinsurance claims can be a complex and confusing task. Unfortunately, this can be challenging if … The post 7 Ways to Streamline DentalInsurance Claims Processing appeared first on Oral Health Group.
P earl , the global leader in dental AI solutions, has announced the launch of Precheck, a groundbreaking new artificial intelligence (AI)-powered insurance eligibility and benefits verification tool.
Pearl , the global leader in dental AI solutions, has announced the launch of Precheck, a groundbreaking new artificial intelligence (AI)-powered insurance eligibility and benefits verification tool.
Insurance is an intimidating concept for most patients. Thus, it’s important for dental clinics … The post How is DentalInsurance Verification Helpful in Validating Patient Benefits? appeared first on Oral Health Group.
“Dental office cash flow and profitability depends, to a large extent, on their ability to collect all that is rightfully owed to them by dentalinsurance carriers and/or their patients,” explained James DiMarino , DMD, MSEd, CDC, CEO of Practice Booster.
Notably, there has been a decline in unexpected dental visits among adults, from 41% in 2022 to 36% in 2023. The report also underscores the importance of dentalinsurance in motivating adults to make preventive dental visits. Visit deltadental.com for information on individual and group dentalinsurance plans.
One major area where dental practices can streamline their workflow is through insurance verification. If your front desk team spends countless hours navigating tedious portals or making phone calls to verify patient eligibility, it’s time to explore dentalinsurance verification software.
11, 2022 /PRNewswire/ -- Dentalinsurance continues to support optimal health as highlighted in the recently released 2022 State of America's Oral Health and Wellness Report , a nationwide analysis of consumer opinions and behaviors relating to oral health. Findings from the Delta Dental-commissioned research of U.S.
Dental care spending from government programs has been increasing steadily in recent years while spending from private sources private dentalinsurance and out-of-pocket spending has been declining slightly. From 2022 to 2023, private health insurance spending decreased by 0.4%
With 25% of Minnesotans lacking dentalinsurance, Hope Dental Clinic has been a lifeline for uninsured patients across multiple states. For more than 60 years, Hope Dental Clinic in St. Paul, Minnesota, has provided critical dental care to uninsured and low-income patients. Click here to read more.
The National Council of Insurance Legislators (NCOIL) has approved model legislation aimed at enhancing the value patients receive from dentalinsurance plans. If the set percentage isn’t met, refunds to insured patients are mandated. Click here to read more.
On November 8, Massachusetts voters overwhelmingly voted for the “A Law Relative to Regulation of DentalInsurance,” which requires dentalinsurance companies to spend 83% or more of members’ premiums on dental expenses and improving the quality of plans as opposed to administrative costs. Click here to read more.
Overjet has introduced the next evolution of its Insurance Intelligence Platform. The AI-powered platform now streamlines clinical workflows from end to end—so dentalinsurers can operate more efficiently while providing exceptional care to their members. About Overjet Overjet is the world-leader in dental AI.
16, 2024 /PRNewswire/ -- Solutionreach, a leading patient engagement and communication platform, is proud to announce the launch of its advanced dentalinsurance management capabilities, including Insurance Verification. LEHI, Utah , Jan.
Zentist, the leading cloud-based insurance Revenue Cycle Management (RCM) software for U.S. dental groups, proudly announces the introduction of Cavi AR, an additional innovative solution that is part of their product suite, Remit AI. Cavi AR enhances the operational efficiency of dental support organizations (DSOs).
Healthplex, a dentalinsurance provider based in Uniondale, New York, has reached an agreement with the New York Attorney General’s office to pay $400,000 following a 2021 data breach. The post DentalInsurer Pays Hefty Fine for Data Breach appeared first on Dimensions of Dental Hygiene | Magazine.
Many dentalinsurers don’t cover orthodontics because the therapy is considered cosmetic. While seeing a prosthodontist for a pair of custom-made dentures may be costly, do-it-yourself plastic dentures are not the answer. Here is how one edentulous patient made her own dentures. Rubber bands to fix malocclusion.
Over the last decade, Delta Dental companies and their foundations invested nearly $2 billion to improve the oral and overall health of our communities. Visit deltadental.com for information on individual dentalinsurance plans and group dentalinsurance plans. SOURCE Delta Dental Plans Association
Notably, there has been a decline in unexpected dental visits among adults, from 41% in 2022 to 36% in 2023. The report also underscores the importance of dentalinsurance in motivating adults to make preventive dental visits. Visit deltadental.com for information on individual and group dentalinsurance plans.
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