Resources

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How to Approach an SRP Claim Review with an Insurance Dentist Reviewer

Many of us end up dealing with SRP claims denials at some point. In a recent case I had to talk to a dentist reviewer. This conversation came after an SRP claim was denied for the second time. We’ve submitted over 300 cases of SRP each year, and this is the second perio case that went past submission #2. The reviewer was very pleasant, but it was obvious that he was well trained on how to dispute every possible come back; but he chose the wrong person to disagree with. We got the claim paid when they had already denied it twice.

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How to Handle an Appeal in 3 Steps

Let’s face it, insurance claims get denied. When it happens, it’s important to understand what recourse you have. In most cases, you have the right to appeal the claim and still receive reimbursement for the service.

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Coding Changes for 2023

In this article, we cover the dental code updates for 2023. Most offices will not utilize the majority of these codes, but there are some exciting updates to share with you.

2023 Processing Updates: New and Old Codes

Knowing the new codes is great, but do you understand them? See how to utilize these codes and how insurance carriers are responding to them. This article breaks down all the information needed to be successful with the new coding changes.

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Steps for Greater Success Staying In-Network

In the previous articles, we talked about ways to evaluate what type of office (FFP or PPO) best fits your style/goals, and whether to consider dropping network status as a result. However, there are a variety of reasons 95% of offices across the U.S. are in-network. Whether due to location, personality, desire to help the community, etc. there are many doctors who decide being in-network is the best option for them.

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Insurance Forms

Denture Treatment Plans

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Do Not Bill to Insurance: Patient HIPAA Restriction Request Form

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Insurance Overpayment Letter

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Insurance Letter Deny Refund

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ADA Non-Covered Services Form

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Crown Narrative Form

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Secondary Insurance

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Patient Forms

1) Patient Form - Getting To Know You As Our Patient

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2) Patient Form - Financial and Insurance Form

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3) Patient Form - Medical History

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4) Patient Form - Dental History

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5) Patient Form - Informed Consent for Services

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Consent for Use and Disclosure of Health Information

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Dental History Form

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Update Medical History

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Consent Forms

Indirect Pulp Cap Post Op

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Indirect Pulp Cap Informed Consent

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Consent for Use and Disclosure of Health Information

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In Office Bleaching Consent Form

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Informational Informed Consent: Oral Sedation

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Oral Sedation Informed Consent

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Perio Informed Refusal

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Employment Forms

I-9 Form

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Team Dental Benefits Option 2

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W-4 Form

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Employee Key Agreement Form

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General Team Expectations

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Reference Letter Sample

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Practice Management

Bleaching Syringe Log

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Bleaching Trays Tracking Sheet

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Lab Case Tracking

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Lab Cases

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Limited Exam Checklist

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Limited Warranty

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Medical Consult Request

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Refund - Liability Release

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School/Work Excuse

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X-Ray Protocol

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XRay Training- Anterior PAs

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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.

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.

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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.

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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.

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Old 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.

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