Importance of Insurance Verification to Understand Different Dental Coverages

by | Last updated Feb 25, 2023 | Published on Jun 16, 2022 | Podcasts, Dental Insurance Verification (P) | 0 comments

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Outsource Strategies International has years of experience providing dental insurance verification services for diverse specialties. We understand that, in the field of dentistry, verifying eligibility benefits for every patient before providing services is the key to maintaining a smooth cash flow.

In today’s podcast, Amber Darst, one of our Solutions Managers, discusses the importance of Insurance verification to understand different dental coverages.

Podcast Highlights

00:29 Insurers don’t always provide standard coverage

01:21 Significance of dental insurance verification

Read Transcript

Hi this is Amber Darst, Solutions Manager for Managed Outsourced Solutions and I will be discussing the differences and dental insurance coverages and how important it is to complete insurance verifications for each of your patients prior to their appointment date.

Along with the rapid changes occurring in dentistry treatments, dental insurance reimbursement rates and rules and regulations are also changing.

00:29 Insurers don’t always provide standard coverage

A few examples of how insurance plans don’t always provide standard coverage across the board is some plans have deductibles that are actually applied toward preventative service in addition to basic and major services, or there are some plans that do not count codes for cleanings and exams toward the plan’s annual maximum. And another big one that can affect reimbursement rates from plan to plan is some insurances won’t pay at the prep day, instead they reimburse based on the seat date or the completion date.

01:21 Significance of dental insurance verification

While such insurance challenges are just a part of the industry, dental providers should always strive to do all they can to ensure that the plan benefits are understood by both the patients and the staff. The best way to do this is to perform a thorough insurance verification on each patient before their date of service. By doing so, you will have a clear understanding of the patient’s coverages and you can then relay this information on to the patients, so that they know what to expect financially for any treatment that would be provided. Hiring an experienced dental insurance verification specialist will help keep this very important but time consuming task off your desk, leaving you to focus on what’s most important – patient care.

And that’s all. Thanks for listening in.

Amber Darst

Amber Darst is our Solutions Manager in the Healthcare Division, Practice and RCM. With a rich background in dental services, her expertise ranges from insurance coordination to office management.

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