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Third Party Dental Insurance Verification

Third Party Dental Insurance Verification

Are you looking for third party dental insurance verification? We have the best solution for you!

For dental teams, locating a reliable Third Party Dental Insurance Verification service might be challenging. For many people, it’s the least enjoyable step in the process because it sometimes seems monotonous and repetitious. As a result, finding an efficient procedure for insurance verification presents a challenge for many dental practices.

The process of dental billing for a patient begins with insurance verification. It establishes the groundwork for how quickly the patient and insurance company will pay you. At Dental Claim Support, we observe how offices enhance every aspect of their billing procedure by mastering this initial phase. If an office is having trouble with it, our billers will usually notice it as one of the first things.

Correctly handling this procedure can lead to increased insurance claim payments. Additionally, keeping your patients informed about their insurance benefits will keep them satisfied. The five ideas in this article will assist your dental staff in making the process of third party dental insurance verification more efficient.

You may master this procedure to have fewer claim denials and happier patients by knowing when to start the process and how to receive a detailed breakdown of each patient’s benefits

Time is one of the main aspects that influence  third party dental insurance verification.

Third Party Dental Insurance Verification

You must wait at least a few days between setting up the patient’s appointment and spending the time to research their insurance benefits. Ideally, you’d be able to accomplish this as soon as you have all of their information from their phone call when they first called to make an appointment.

Life and work, alas, happen. The third party dental insurance verification process can be delayed if you receive another call or if a patient has a question for you. Therefore, be sure to complete this step at least two days before to the scheduled visit.

This will give you enough time to read and comprehend their entire breakdown and determine whether the patient needs to provide any further information before your appointment. Remember that the patient might not pick up the phone the first time you call if you do need more information. Therefore, you must give them a window of time to check their voicemail and contact you back.

What occurs if you don’t give yourself enough time to check the benefits of your dental insurance?

They run the danger of showing up for their appointment and learning they will be charged more than they anticipated if these queries or worries aren’t addressed beforehand. Alternatively, they might require more information from personal documents they didn’t provide.

The patient will be upset as a result. Clarifying any insurance information before to their appointment will help you avoid this.

Utilize a form or procedure to hasten the collection of patient data.

When you do make that initial phone call, the data you need from patients must be simple to gather. There are various numbers in it, including:

  • -Name of the insurance company
  • -Group ID number
  • -Member ID number
  • -Member DOB
  •    -Patient DOB, if different from Member Name of employer
  • -Contact information for insurance (if you do not have a login for the web portal)

It’s simple to make mistakes because so much of this is focused on numbers. The ideal method for managing this patient data is probably not to write these statistics down. A suitable web form or another solution that works for your team must be available for information entry. Excel spreadsheets are used in some offices.

Why is entering patient data into an online form the best option for dental patients?

If necessary, you can readily update patient information when you have an online form. You can quickly update their chart in your dental programme if their address or insurance provider changes. This brings up the second justification for why an online form is a better method for collecting patient data.

It’s simple to scan or upload online patient forms to your dental software. We are aware that you shouldn’t always choose the “simpler” route, but let’s be honest. You should use any option that increases your productivity if it is available.

Obtain a complete benefits breakdown as needed.

Third Party Dental Insurance Verification

You must have access to each patient’s complete breakdown of insurance benefits, as we outlined in a previous tip. This indicates that you have a thorough overview of the patient’s insurance policy.

Full breakdowns include information on all dental operations, including which ones are covered, how much is covered, whether the patient has utilized benefits elsewhere, the patient’s plan limit, and many other things.

Knowing the patient’s exact benefit breakdown will enable you to explain to them what their out-of-pocket costs will be and what you hope to recoup through the insurance claim you will submit on their behalf following their session.

Regular patients don’t require a complete breakdown every time they see, but it’s a good idea to constantly ask them if any of their records have changed since their last appointment. For instance, my dentist would constantly ask me whether my address has changed when I visit the dentist. Do you still have dental insurance via Guardian?

You should not just gather third party dental insurance verification information; you should also maintain track of it and confirm that everything has not changed since the prior visit.

Check the patient’s minimum dental coverage.

Save time by verifying that returning patients have the same coverage, are still qualified, and that their annual maximum is current for those with no insurance changes that year.

Most of your patients will let their insurance money go to waste. You need to make sure they take care of their dental issues while the insurance is still active. Sadly, insurance benefits do not carry over to the following year. You lose it if you don’t use it.

Are you prepared to raise extra money with a simple dental insurance verification procedure?

Third Party Dental Insurance Verification sounds easy. Over the phone, you collect information from patients and then confirm its accuracy with the insurance provider. However, due to how repetitive it might feel, dental teams often find it difficult. This step is undervalued and is taken strategically as a result.

These actions will assist your team in adhering to best practices, facilitating an easy and seamless procedure that will improve patient communication and result in fewer insurance company claim denials.

 Dental  Verification

In order to prevent revenue loss for the provider after providing the service, it is crucial to manage third party dental insurance verification to make sure the patient’s insurance plan covers dental services, particularly expensive procedures.

After verification,  a summary sheet is given, and it would be highly beneficial for the front desk employees to collect co-pays, deductibles, and non-covered services upfront, even before providing the treatment, as this will reduce patient AR.

 

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About James

James works with DentalRevu as a specialist in dental billing and marketing. Having worked in the dental billing sector for many years,

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