DENTAL INSURANCE BILLING SERVICES
Dental billing services included with our our packages:
Submission of Primary & Secondary Claims Daily
Verify Procedures That Are Not Sent to Insurance
Detailed Accounts Receivables Work Log
What you can expect from us:
Collect 100% of what’s rightfully owed
Submit clean claims for payment within the next business day
Post all payments to patient ledgers on daily basis
Follow up at least every 14 calendar days on all claims that hit 30+ days in aging
Our achievable goal is to get your over 90 day insurance aging near ZERO (and keep it there)
All Features
Submit Primary &
Secondary Claims Daily
All dental insurance billing claims for primary and secondary claims are sent electronically, daily. If you are currently sending paper claims, we can assist you in setting up electronic claims at an additional cost. Every claim is reviewed before it is sent to an insurance company to ensure that the claim will not be denied over a clerical error, which typically occurs 3-4 times per week in most dental offices.
Electronic Attachments
Used When Available
Electronic attachments will be sent with all claims, when necessary and available. If an insurance company will not accept electronic attachments, we will print the paper claim and attachment at the office.
Verify Procedures That Are
Not Sent to Insurance
Often we find that insurance claims are not created timely. We help ensure this oversight is remedied.
Review All Denied Claims
Some denied claims shouldn't be closed right away. If a claim is denied, it is referred to your hired dental billing specialists to investigate the cause and appeal the claim if it is appealable. This attention to detail is how we work to collect outstanding balances that are rightfully yours as quickly as possible.
Post EOBs Daily
All insurance payments and insurance contract adjustments are posted to the patient ledgers accurately and timely – within 24 business hours after the EOB is received by your office. We recommend depositing the manual checks and VCC payments the next day, ensuring that daily deposits balance
Insurance Aging Reporting
We will analyze and diligently work the Insurance Aging Report each month. You will receive bi-weekly reports that track unpaid or denied claims.
Detailed Accounts Receivables Reporting
All overdue insurance balances that are thirty (30) days old or older are followed up every 14 days.
Monthly
Accountability Reports
As part of our service, we send an end of month report to show where the offfice stands.
Our Dental Insurance Billing Service Fees
The amount of work to send claims, post EOBs, appeal denied claims, and keep your over ninety days insurance accounts receivables at a minimum is variable depending on how many patients you service monthly. The fee for our services is variable depending on what is collected from insurance. The following payment schedule applies for all single-location offices. Custom pricing is given for all multi-site or dental service organizations.
Single-Location Pricing
PLAN
Small
Medium
Large
Enterprise
Multi-location / DSO
PRICING
$1,500/month
per location, per month
3.00%/month
per location, per month
3.50%/month
per location, per month
2.50%/month
per location, per month
Call for custom solution
SUITED FOR
< $40,000
If the office’s insurance collections are under $40,000/month, the fee for this service is $1,500/month.
< $100,000
If the office’s insurance collections are between $40,000 and $100,000/month, the fee for this service is 3.50% of the total insurance collections.
< $150,000
When the office’s insurance collections are between $100–150,000/month, the first $100k is invoiced at 4.00% and the amount over $100k is invoiced at 3.50%.
> $150,000
When the office’s insurance collections are over $150k/month, the first $100k is invoiced at 3.50%, the amount from $100–150k is invoiced at 3.00%, and the amount over $150k is invoiced at 2.50%.
For group dental practices with multiple locations, please call for a custom solution that meets your needs.
