Our Services
Our Services
Services That We Provide
Dental Insurance Billing
Our core service is Dental Insurance Billing. This service includes the following:
- Filing Insurance Claims: We will file completed procedures to insurance that were scanned attaching any necessary documents.
- Posting Insurance Payments: All the scanned documents and explanation of benefits received for the day will be entered in your dental software. We will enter the payments, adjustments, and explanations to the patient accounts. A dedicated scanner can be supplied if needed (see pricing for more details).
- Filing Appeals: We will file necessary appeals as needed for claims that were denied or for those requesting additional information.
- Managing Insurance Aging Reports: It is important to keep up with claims that have been backlogged or have been out for too long. We will check the aging of the claims that are pending payment and follow up as necessary to ensure you get paid for the services you provide.
- Customization: If you have a certain workflow or request, please communicate it to us if we can accommodate it.
Patient Billing
Patient Billing is an add-on service. The service includes:
- Sending Monthly Statements: We will create statements that will address each level of delinquency (30, 60, 90, 120, 150 days). Maximum of 5 statement per patient.
- Follow up phone calls: After the first two statements have been sent, we will give follow-up calls for the remaining 3 statements. Maximum of 3 phone calls per patient.
- Account Receivable: Work on bad debt from aging accounts receivable.
- Reporting: All attempts will be documented by our team. Reports can be generated upon your preference on a daily, weekly, monthly timeframe.
- Customization: If you have a certain workflow or request, please communicate it to us if we can accommodate it.
Insurance Verification
Our insurance verification can be customized to your scope of practice for specific services. The following are standard checklist:
- Active coverage
- In or Out of Network
- Effective Date for the Plan
- Coordination of benefits when applicable
- Co-insurance percentages per category
- Waiting Period
- Missing tooth Clause
- Age Limit
- Frequency Limitations
- Alternative benefits/Dowgrades
- History of prior services when applicable
Interested? Need more info?
Contact us here or send an email at contact@edentalbillingsolutions.com