Resources
Responding to Insurance Requests that Do Not Make Sense
Sometimes the questions requested by an insurance company are system-generated and as a result are very generic. The way to think about a relatively vague question is not to focus on the exact words they use (which could be incorrect), but instead focus on the type of information they are looking to receive.
Included with membership. Join today or login to register.
Part 2 - The Inlay/Onlay Dilemma - How to Get Insurance Coverage
The initial segment (Part 1) of this series explores the complexities surrounding inlays and onlays when seeking reimbursement through dental insurance. To summarize, both procedures often get "downgraded" by insurance providers to the level of fillings, leading to increased costs for your patients. The subsequent sections of this article are dedicated to exploring potential remedies for this issue.
Included with membership. Join today or login to register.
Part 1 - The Inlay/Onlay Dilemma - Challenges
Some dentists will recommend or offer the option of either an inlay or onlay for patients in an effort to stay more conservative when treating teeth. This approach effectively aims to preserve teeth that have incurred partial damage. However, a common hurdle arises when submitting an insurance claim, only to encounter denials or service downgrades from the insurance company.
Read MoreShould You Outsource Your Dental Insurance Billing?
Outsourcing aspects of your business to an outside provider has been a common tactic of many businesses for years. It’s becoming much more prevalent in dentistry post-covid, due to challenges many offices are experiencing challenges finding and retaining enough team members to stay functional.
Read MoreWhy You Should Think Twice Before Criticizing Fellow Dentists
The majority of dentists are compassionate individuals who have chosen their profession with the genuine intention of aiding others. Nevertheless, perhaps due to our extensive educational backgrounds and inherent attention to detail, we may occasionally find ourselves excessively critical of our peers.
Read MoreInsurance Forms
Denture Treatment Plans
Included with paid membership. Join today or login to view.
Do Not Bill to Insurance: Patient HIPAA Restriction Request Form
Included with paid membership. Join today or login to view.
Insurance Overpayment Letter
Included with membership. Join today or login to register.
Insurance Letter Deny Refund
Included with membership. Join today or login to register.
ADA Non-Covered Services Form
Included with paid membership. Join today or login to view.
Crown Narrative Form
Included with paid membership. Join today or login to view.
Secondary Insurance
Included with membership. Join today or login to register.
Patient Forms
1) Patient Form - Getting To Know You As Our Patient
Included with paid membership. Join today or login to view.
2) Patient Form - Financial and Insurance Form
Included with paid membership. Join today or login to view.
3) Patient Form - Medical History
Included with paid membership. Join today or login to view.
4) Patient Form - Dental History
Included with paid membership. Join today or login to view.
5) Patient Form - Informed Consent for Services
Included with paid membership. Join today or login to view.
Consent for Use and Disclosure of Health Information
Included with paid membership. Join today or login to view.
Dental History Form
Included with paid membership. Join today or login to view.
Update Medical History
Included with paid membership. Join today or login to view.
Consent Forms
Indirect Pulp Cap Post Op
Included with paid membership. Join today or login to view.
Indirect Pulp Cap Informed Consent
Included with paid membership. Join today or login to view.
Consent for Use and Disclosure of Health Information
Included with paid membership. Join today or login to view.
In Office Bleaching Consent Form
Included with paid membership. Join today or login to view.
Informational Informed Consent: Oral Sedation
Included with paid membership. Join today or login to view.
Oral Sedation Informed Consent
Included with paid membership. Join today or login to view.
Perio Informed Refusal
Included with paid membership. Join today or login to view.
Employment Forms
I-9 Form
Included with paid membership. Join today or login to view.
Team Dental Benefits Option 2
Included with paid membership. Join today or login to view.
W-4 Form
Included with paid membership. Join today or login to view.
Employee Key Agreement Form
Included with paid membership. Join today or login to view.
General Team Expectations
Included with paid membership. Join today or login to view.
Reference Letter Sample
Included with paid membership. Join today or login to view.
Practice Management
Bleaching Syringe Log
Included with paid membership. Join today or login to view.
Bleaching Trays Tracking Sheet
Included with paid membership. Join today or login to view.
Lab Case Tracking
Included with paid membership. Join today or login to view.
Lab Cases
Included with paid membership. Join today or login to view.
Limited Exam Checklist
Included with paid membership. Join today or login to view.
Limited Warranty
Included with paid membership. Join today or login to view.
Medical Consult Request
Included with paid membership. Join today or login to view.
Refund - Liability Release
Included with paid membership. Join today or login to view.
School/Work Excuse
Included with paid membership. Join today or login to view.
X-Ray Protocol
Included with paid membership. Join today or login to view.
XRay Training- Anterior PAs
Included with paid membership. Join today or login to view.
If you would like more information on how to implement these laws within your state,
join today or login to view.
States not
included do not have
state legislation at this time.
- ALABAMA
- ALASKA
- ARIZONA
- ARKANSAS
- CALIFORNIA
- COLORADO
- CONNECTICUT
- FLORIDA
- GEORGIA
- IDAHO
- ILLINOIS
- INDIANA
- IOWA
- KANSAS
- KENTUCKY
- LOUISIANA
- MARYLAND
- MINNESOTA
- MISSISSIPPI
- MISSOURI
- MONTANA
- NEBRASKA
- NEVADA
- NEW HAMPSHIRE
- NEW JERSEY
- NEW MEXICO
- NORTH CAROLINA
- NORTH DAKOTA
- OKLAHOMA
- OREGON
- PENNSYLVANIA
- RHODE ISLAND
- SOUTH DAKOTA
- TENNESSEE
- TEXAS
- UTAH
- VERMONT
- VIRGINIA
- WASHINGTON
- WISCONSIN
- WYOMING
Internal Coding Examples
Many procedures and visits are not covered by ADA codes, hence the need for offices to create a good set of internal codes for both tracking and patient billing purposes. Here is a basic list to help you think about what codes you may need to create for your office's function.
Examples access is included with paid membership. Join today or login to view.
How to Handle an Appeal Chart
Let´s face it, insurance claims get denied. When it happens, it´s important to understand what recourse you have. This chart lists the most common EOB denial language, whether an appeal can potentially change the outcome, and what specific action is recommended.
Chart access is included with paid membership. Join today or login to view.
Secondary Insurance Calculator
This calculator is designed to assist teams with correctly inputting reimbursements from multiple insurance companies. It will help you determine the correct input and write offs for accounts and claims that involve secondary insurance.
Calculator access is included with paid membership. Join today or login to view.
Buy the Book! Understanding Dental Insurance: A Guide For Dentists and Their Teams
This book, written by Dr. Travis Campbell, serves as an additional training tool offering in-depth information for the more experienced, as well as a quick “look up” to have in your office for anyone with questions about dental insurance. Packed with information, illustrations, examples, tips and case studies, this guide covers every aspect of dental insurance from claims for simple fillings to complex hybrid denture and implant cases in real life situations.
Read MoreOld habits die hard. If your current dental insurance claims process hasn’t been updated, it’s likely outdated.
Up-to-date, ongoing billing education isn’t just helpful, it’s essential for your practice to thrive.
JOIN TODAY