Services
Insurance Aging
- Claim follow-up every 14 days that hit 30+ days in aging
- All denials and appeals handled
- Contact patients for updated insurance information (i.e. after insurance terminations, personal information updates, etc.)
- All claim status notes put directly in your dental software: claim status, action taken, representative name, reference # initials
CLAIM SUBMISSION
- Daily Claim Submission
• All primary and secondary claims
• Electronic attachments and narratives for all necessary procedure codes
• Use the “Clean Claim” guideline - Insurance reports to find any missing claims run weekly
• Procedures not attached to insurance
Payment Posting
- Insurance checks or EFTs posted for you
- Checks posted within 24 hours of being scanned into the system
- End of the day matching deposits for accuracy
- Accurate posting EOBs including write-offs and adjustments as guided by your office’s protocols
- Opt out of insurance credit card payments for you
Insurance Aging
- Reviewed multiple times a week
• Diligently worked starting at 30 days past due
• All claims followed up on every 14 days - Contact patients for updated insurance information (i.e. after insurance terminations, personal information updates, etc.)
- All denials and appeals handled
- All claim status notes put directly in your dental software
• Claim Status, Action Taken, Representative Name, Reference #, Initials
Patient A/R
- Electronic patient statements
• Sent weekly or monthly depending on your preference
• Submitted electronically through your software - Custom patient letters
• Three custom letters will be sent to patients once they hit 60 days, 90 days, and a final 90 days (postage not included) - Patient phone calls
• Three patient phone calls will be made in-between our custom letters - Collections
• When an account is deemed uncollectible, the office will be made aware and have the choice for us to send the patient to final collections to the agency of your choice - Account Aging Report
• Diligently worked after 30 days past due or when the office directs us
Payment Posting
- Insurance checks or EFTs posted for you
- Checks posted within 24 hours of being scanned into the system
• End of the day matching deposits for accuracy
• Accurate posting EOBs including write-offs & adjustments as guided by your office’s protocols - Opt out of insurance credit card payments for you
- Review all denied claims
• Automatically resubmit and/or call on denied claims with the necessary information
• Appeal as needed with
PATIENT A/R
Electronic patient statements
- Confirm accuracy of balance: patient ledgers are reviewed for origin of balance
- First statement to patient: After accuracy of balance is reviewed we will send statements at regular intervals through your software
- Patients with current balances due who have ignored statements will receive a series of two contact attempts using their preferred method of contact: phone call, email, or text message
- After regular statements and contact attempts, patients who still have an outstanding balance will receive two customized letters requesting payment. The letter, will be mailed to the patient with your letterhead, prompts the patient to call for clarification on the balance or send in payment.
- Keeping your account receivable clean. When an account is deemed uncollectible after receiving statements and communication attempts. Your office can then send those patients to a collection agency of your choice or adjust off as a bad debit.
Insurance Billing
Small
Ideal for dental offices with insurance collections under $40,000 permonth.
$
1250.00
/Month
Medium
% Ideal for dental offices with insurance collections between $40,000 and $100,000 per month
3.2%
/Month
Large
% Ideal for dental offices with insurance collections between $100,000 and $200,000 per month
3.0%
/Per Month
Enterprise
Ideal for enterprise dental offices with insurance collections over $200,000 per month.
Custom Pricing
/Per Month
Price
Insurance Billing
Add-On Services
Fees are based on the total office collections for the month. The more you are collecting, the larger the office and the greater the necessary support and workload. Patient billing benefits are included with each of the tiered pricing levels. The following schedule applies:
