Getting Dental Claims Paid Within 30 Days
Getting dental claims paid within 30 days is always my goal! Accurate data entry is the first step. One wrong key stroke, and it’s a claim denial. If I hear anything back at all. Because sometimes insurance carriers don’t even let us know there’s a problem. And I also know the patient’s eligibility. As well as their benefit information.
Greater Success With Verification of Benefits
Benefit verification and patient history is a must. And we have the technology to speed this process. Fabulous! Although a phone call is sometimes necessary. But will be less time consuming. Because we have the basics. And might have just a question or two.
Include Supporting Documentation
Then, of course, let’s discuss supporting documentation. X-rays, photos, narratives, and even history are helpful. And keep in mind, it must be supportive. Or what’s the point? Explain in concise, descriptive language. Imagine the insurance processor knows nothing about this tooth or treatment. Because in reality, they do not. Only what we share is known.
Sometimes Claims Are Denied Without Notification
There is no guarantee of payment. That’s the tough pill to swallow with dental benefits. Some insurance claims are easy to see process. Such as an adult or child prophy. But that’s the only truly easy one. And every insurance plan and policy is different. Yet, there’s one more thing I can offer you to consider.
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Enlist Your Patient's Help
For every claim over 30 days, bring your patient into the mix. Of course, call on that unpaid claim first. Be sure the insurance company has the claim. And that the office has done everything correctly. But then, bring the patient into the journey. Let them know the insurance company didn’t receive the first claim submission. And the claim has been resubmitted.
Getting Dental Claims Paid Sometimes Takes Two
If there is an issue, advise the patient right away. Especially if the claim is under review for some reason. Or if payment is denied because the insurance decided treatment wasn’t necessary. Or that a less costly treatment option was ignored. Encourage your patient to call and to bring their human resource person on board too.
