1. Module 1:

This module covers the types of dental insurance and their key differences to help you navigate patient inquiries and manage claims effectively. Traditional insurance, like indemnity plans, offers reimbursement for services, while alternatives such as table-of-allowance plans, PPOs, EPOs, and HMOs operate with varying structures, payment methods, and restrictions. Additionally, the module explains self-funded vs. fully insured plans, federal options like Medicaid and Medicare, COBRA, and private insurance, emphasizing the importance of understanding legal distinctions, network participation, and patient financial responsibilities to optimize practice operations.

2. Module 2:

Mastering the claims process is vital for efficient insurance management in dental practices. This module provides a comprehensive, step-by-step guide covering everything from capturing accurate patient data and verifying insurance benefits to submitting claims, handling EOBs, and managing denials or disputes. Learn to navigate procedure categories, frequency limitations, deductibles, fee schedules, waiting periods, and more. Whether you’re new to the process or refining your approach, this course equips your admin team with the tools to minimize errors, optimize workflows, and ensure financial clarity for patients and the practice.

3. Quiz for CE