Dental Insurance Billing Service

No, the offices are responsible for coding procedures since they have firsthand knowledge of the treatments performed each day. However, before submitting claims, we review the codes for accuracy, ensure they align with a logical treatment plan, and verify major procedures against the doctor’s notes.

We verify major procedures against the doctor’s notes, x rays and laboratory stubs

We understand that submitting false, incomplete, or misleading information may be considered a criminal act and could jeopardize the dentist’s license. Therefore, based on the doctor’s notes, we recommend the most appropriate code that accurately reflects the service provided. However, we do not re-code any procedure without the provider dentist’s approval.

Once the office enters the completed codes, Dental Billing Innovative handles the claim submissions and necessary supporting attachments. Depending on the office’s workflow, we can submit claims on the same day, within 24 hours, or within 48 hours. We adapt to the office’s processes to ensure a seamless billing experience.approval.

Yes, the office can submit the claims; however, we prefer to handle them since we have in-depth knowledge of each insurance provider’s requirements and the necessary supporting attachments.

If a claim cannot be submitted due to missing information, we email the office to request the necessary details and submit the claim once all information is received. However, if the timely filing deadline is approaching, we take a different approach to ensure the claim is processed on time.

Depending on the office’s workflow, we can submit claims on the same day, within 24 hours, or within 48 hours. We adapt to the office’s processes to ensure a seamless billing experience.

We utilize all available methods to submit claims, including the client’s clearinghouse, fax, mail, or directly entering the information into the insurance provider’s online platform when available.

Once the insurance confirms that a claim has been paid and the payment has been processed, we verify with the client that the funds have been deposited into their bank account. If the payment was made via paper check, we request proof from the insurance that the check was cashed. We do not enter any payments into the dental software until the client confirms that the funds have been received.

We handle payment entry and ensure a smooth transition by reviewing the office’s current process during the intake phase. We adapt to existing workflows to prevent disruptions and maintain efficiency.

We handle all outstanding claims, including those over 90 days old, to maximize reimbursements and reduce aged accounts receivable.

During the intake phase, we review the office’s current process and collaborate with the team to adapt to existing workflows, ensuring minimal disruption and maximum efficiency. Depending on the client’s protocols, patient contact can be handled either by the office or by us.

We handle the appeals process on behalf of the client, ensuring that all necessary documentation and follow-up are provided to support the claim.  If additional information is needed for an appeal, we work with the office to gather the required documentation and ensure that everything is submitted in a timely manner to support the appeal.

Yes, we provide detailed reports and analytics on accounts receivable and collections, helping you track outstanding balances, identify trends, and monitor the financial health of the practice.

Yes, we can service dental clients throughout the country.