Boost Cash Flow and Patient Satisfaction with Dental Insurance Verification

by | Last updated Dec 6, 2023 | Published on May 2, 2017 | Specialty Billing

Dental Insurance
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Success with dental billing depends on the dental practice’s ability to verify insurance benefits before services are provided. Dental insurance verification, when performed correctly, reduces claim denials, boosts practice collections and saves patients time and money. Surveys show that about 75 percent of dental insurance claims denials due to inadequate or absence of insurance verification. Patient registration and insurance eligibility verification are the first steps in health care revenue cycle management.

The process of dental claims submission is greatly simplified if you know the insurance company’s rules, patient eligibility and predetermination status, and other vital claims details. Before dental services are provided, practices need to:

  • Register the patient
  • Verify whether the patient has valid insurance
  • If prior approvals are required by the beneficiary’s insurance plan
  • Perform pre-authorization or pre-certification, if necessary

Today, busy dental practitioners outsource the task on insurance eligibility verification. Timely verification of dental insurance benefits by an insurance verification specialist saves practices hours that would go into fixing claims and calling insurance companies to find out the reason for claim denial. The process of verification involves the following steps:

  • Receiving the patient schedule
  • Verifying insurance eligibility and coverage
  • Contacting patients, if necessary, to update records/check demographic data
  • Updating the billing system

Comprehensive verification will minimize denials and delayed payments and lost revenue due to incorrect patient insurance information. Reliable dental insurance authorization and verification companies verify insurance benefits by calling up the insurance company. They check critical information such as effective dates, specific codes, plan exclusions, type of plan, maximum and deductibles, coverage by category, pre-authorizations, and more. There are many reasons why such services are beneficial:

  • Payers may change existing policies, update or make amendments to health plans and insurance verification specialists keep track the rules of all major insurance companies
  • If any patient information is missing, dental insurance verification service providers do what’s necessary to get the details right away
  • Verification of coverage improves awareness of both providers and patients
  • Co-payments can be collected at the time of services are rendered
  • Claims are approved and reimbursed quickly because all the information is correct and verification process was done correctly
  • It frees up dental practice resources and staff for other productive work
  • Error-free dental insurance verification saves time and enhances practice cash flow

By verifying dental insurance coverage before treatment, providers can inform patients about their benefits. This prior verification will help

  • Avoid billing errors
  • Reduce patients’ apprehensions about their coverage
  • Inform patients about their payment responsibility such as copays and deductibles
  • Minimize increased wait times

By improving the billing experience, dental insurance verification services can boost patient satisfaction, and also motivate patients to pay in full.

Natalie Tornese

Holding a CPC certification from the American Academy of Professional Coders (AAPC), Natalie is a seasoned professional actively managing medical billing, medical coding, verification, and authorization services at OSI.

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