Our Commitment to You
We specialize in providing comprehensive dental billing solutions designed specifically for practices like yours. Our team of dental billing experts brings decades of combined experience in insurance coordination, claims management, and revenue cycle optimization for dental offices. We work as an extension of your practice, handling everything from insurance verification and claims submission to denial management and insurance billing support. By understanding your unique practice workflow and goals, we create customized insurance billing strategies that maximize your collections while minimizing your administrative burden and stress. We handle the insurance complexities of your practice so that you can focus on delivering exceptional clinical care while enjoying improved profitability and reduced stress.
Services Offered
Insurance Verification Management
We offer two levels of dental insurance verification to match your practice's specific needs:
- Standard Verification: Confirmation of active coverage, status of maximum/deductible remaining, and plan frequency limitations for scheduled visit.
- Extensive/Yearly Verification: Comprehensive benefits breakdown including everything in the Standard Service along with - network status, plan type, coverage percentages by category, frequency limitations, waiting periods, and detailed exclusions & clauses.
- ASAP/Simple Verification: Quick eligibility check focusing on active status and standard coverage parameters for scheduled visit.
All verification levels include service history checks to ensure patients are eligible for scheduled procedures, helping you avoid unexpected denials and patient billing conflicts. Our verification reports are delivered 3 to 5 days before appointments, allowing your team to discuss financial obligations with patients confidently.
Dental Claim Submissions Management
Our comprehensive dental claims submission service ensures maximum reimbursement through meticulous attention to detail. We perform audits of your daily claims to verify all treatment information matches clinical documentation before submission. Our team expertly attaches all necessary supporting materials—including radiographs, intra oral pictures, clinical narratives, periodontal charts, and other documentation—formatted specifically for each insurance carrier's requirements. We process claims within one business day of treatment, allowing your clinical team adequate time to complete thorough chart notes. This strategic timing and thorough preparation significantly reduces claim rejections, speeds up payment processing, and minimizes the need for time-consuming resubmissions.
Insurance Aging Management
Our comprehensive Insurance Accounts Receivable management service actively reduces your outstanding balances through systematic tracking and resolution of insurance aging. We implement a structured follow-up protocol for 30, 60, 90 + days outstanding claims with targeted interventions at 15, 30 and 45+ day intervals, identifying claim issues before they become problematic. We strategically escalate unpaid claims and document all communications to maximize collections. Our tactful, strategic communication notes help to address outstanding balances while helping your dental practice maintain positive patient relationships. Our approach to Insurance A/R management significantly reduces days that your profits are in accounts receivable reports, improving cash flow predictability, and recovering revenue that might otherwise be lost. All while allowing your team to focus on patient care rather than insurance collection activities.
Insurance Claim Denials & Appeal Management
Our specialized denial and appeals management service transforms rejected claims into collected revenue through strategic intervention and expertise. When denials occur, we conduct thorough root cause analysis to identify specific issues—whether related to eligibility, coding, documentation, or payer policy interpretation. For each denied claim, we prepare comprehensive appeals with supporting documentation, precise reference to insurance policy language, and relevant clinical justification tailored to each carrier's specific requirements. We track all appeals systematically, following a persistent escalation protocol when necessary to reach resolution. Beyond handling individual rejections, we analyze denial patterns to implement preventive measures, reducing future denial rates through targeted improvements to your submission process. This proactive approach recovers significant revenue while preventing similar denials from recurring, maximizing your practice's insurance collections without requiring additional effort from your team.
Payment Posting Services
Our efficient payment posting service ensures your practice management system accurately reflects all incoming payments within 48 hours of receipt in our office. We meticulously process all payment types—including insurance EFTs, paper checks, credit card payments, and patient payments—with precise allocation to the appropriate procedures and accounts. Each EOB and remittance advice is carefully reconciled against submitted claims, with special attention to identifying underpayments, incorrect adjustments, and bundling issues that could affect your bottom line. Our team flags discrepancies between expected and actual reimbursements, creating opportunities to challenge improper payments while maintaining clean, up-to-date financial records. This prompt and accurate posting service gives you real-time visibility into your practice's financial position, simplifies month-end reconciliation, and ensures all collections are properly documented for both accounting and future reference purposes.
