Dental Insurance Billing
We send your claims, post the insurance payments, and follow up with the carrier on what isn't paid.
Each claim goes out with the narrative and documentation the carrier needs, so it can be paid the first time and your cash flow isn't waiting on a request for more information.
What any billing service does
- Sends your claims to the carrier, each with the attachments it needs
- Posts the insurance payments to your patient accounts as they come in
- Follows up with the carrier on the claims that still haven't been paid
- Appeals the claims a carrier denies and sends the information it asks for
What's different here
- Your biller writes the narrative from the X-rays and your clinical notes, so your office doesn't have to
- Every biller is our own W-2 employee and started in insurance verification
- A new biller's work is audited every day for the first month, and periodically after that
- You get an Insurance Payments Report every day that is balanced to your PMS
What billing costs, and why it is more than 3.5%
Billing is one monthly fee set by your insurance collections. Between $40,000 and $150,000 a month it works out to about 4.1% to 5.0% of collections, which is more than the 3.5% many billing companies quote.
The difference pays for W-2 employees in one office, two weeks of training in verification and about two more before a first billing account, daily audits in the first month, and managers in the same room.
What happens to every claim
Next business day
Yesterday's claims go out with a narrative your biller wrote and the documentation the procedure calls for. A crown goes with the pre-op PA and the diagnosis, and SRP with the current perio chart and an FMX or pano.
As payments arrive
EFTs are posted daily and checks as your office sends them, along with virtual credit cards. Each payment is posted from the EOB with its write-off.
Every day
You get an Insurance Payments Report that is balanced to your PMS.
At 30 days
A claim still unpaid 30 days after the date of service gets worked with the carrier.
If it's denied
We appeal denials for clinical necessity.
Also part of billing
- The Claims Not Sent report worked
- Primary and secondary posted for dual coverage, so the patient's balance comes out right
- Pre-determinations tracked weekly
Patient statements and patient A/R stay with your office.
Getting started with verification or billing
Price it
Use the Pricing calculators to see your monthly fee.
Talk to us
Book a call to tell us what you're looking for and what's giving your office trouble. We'll figure out whether we're a good fit and answer any pricing questions.
Onboarding
You sign the agreement and fill out one onboarding document with your practice information, carrier portal logins, network status and fee schedules.
Setup and go-live
We set up encrypted remote access to a computer in your office and hold a kickoff call with your front office team. After that, your account manager starts on your account.
Typically live within a week if you have a computer we can use Monday through Friday, and within two weeks if we send one. A mini-PC from us is a one-time $300 plus shipping.
See your monthly fee
If you'd rather talk it through first, book a 30-minute call with Wyatt Broxson, our co-founder and COO, or call 469-256-7114.
Book a call