Resources

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How to Drop Networks Successfully

Easy, right? Call the insurance company and tell them you are done. Not too fast… the complexity lies in how to do this without losing revenue. If you are fine losing patients who carry a given insurance company policy, then you likely can just drop and forget about it. However, most dentists and offices do not want to lose that many relationships, which is where planning correctly can make a major difference in your overall success.

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Are You Ready to Drop Networks?

Since 2020, there have been multiple challenges and new trends that have greatly affected dental offices across the country. Trends such as rising wage demands, increasing supply costs, lack of PPO fee schedule increases, and inflation that eats into profitability have dental offices asking the question more than ever: “What if I just drop insurance?”

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FFS vs. PPO: Are You an Apple or an Orange?

FFS and PPO offices can both be highly profitable. However, there is a huge difference in the successful operating model between FFS offices and PPO offices. Trying to be both is where some offices tend to fail. Finding a balance between processes and profitability is key.  It is important to understand what type of office you want to eventually be and then focus your efforts on matching that model.  FFS and PPO offices tend to be like apples and oranges, they are similar in that they both treat patients, but otherwise have some significant differences.  

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Are We Our Own Worst Enemy

Dental insurance is often cited as the number one issue plaguing the industry. Is insurance really the number one issue or is it our in-grained, knee-jerk response to the word “insurance”?

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How to Handle Dental Insurance Refund Demands

Some insurance challenges are shared equally by offices that are in and out of network.  One of the most frustrating challenges is the refund demand. You treat your patient, get paid for treatment by both the patient and insurance company. All is good, right?  Months later, the office receives a letter stating the claim was paid in error and the money needs to be refunded.

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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

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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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.

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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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