Dental Insurance Verification Services
We start our insurance verification services by collecting documents and details such as:
- A copy of the patient’s dental insurance card
- The date the patient is scheduled to receive dental treatment
- Basic medical information about the patient
After receiving the documents
- Manually verify insurance coverage with the insurer either by calling up or by checking online
- Verify critical details, like effective dates, plan exclusions, type of plan, pre-authorizations, etc
- Cross-check the gathered details with the billing system and updates it if required
A Comprehensive Dental Insurance Verification Services Includes
a. A verification form customized to your office’s specific needs
- Multiple Verification options:
- Less than 48-hour Emergency requests Specialist Verification Follow up – Eligibility check/remaining maximums and deductibles Full Breakdown – New Patient, Plan or Year
b.Complete flexibility to opt for service on a daily or “As Needed” basis
Our Insurance verification specialists verify
- Effective Dates
- Individual Deductibles and Family Deductibles
- Yearly Maximums
- Deductible Met
- Waiting Periods
- Specific Codes (D0140, D0220, 4355, 4341, 4342, 4910, 2950/D2954, 2750, 9940, 9230 and so on)
- Type of Plan/Fee Schedules
- Coverage percentage by Category
- Downgrades/Limitations
- Necessary Documentation
- Claim Submission Information
- Phone number
- Address
- Fax number
- Payor ID
- Last Date of Service
When you outsource insurance verification services to RCM Gateway, you’ll partner with an expert patient insurance verification company that is extremely skilled in ensuring that you have all the required information regarding the patient’s coverage, insurance eligibility and patient’s out of pocket costs before the point of service.
Additional Dental Billing Services
- Eligibility verification service
- All appointments on your schedule will be monitored and noted with the amount of the estimated portion based on eligibility, breakdown of benefits, and available funds from patient insurance.
- Sending electronic claims daily for primary and secondary insurances
- Dental Credentialing and Fee Negotiation
- Entering Fee Schedules into Your Dental Software
- Correcting missing patient information
- Deposit detail match and reconciliations
- Payments from insurance companies posted daily
- Appeal all denied claims
- Verify procedures that are not attached to insurance claims
- Electronic attachments
- Missing information for a claim will be gathered by us
- Insurance aging and report
- All patients’ ledgers will be analyzed, outstanding claims that are over thirty days old will be checked with insurance company; all outstanding balances from the patient’s account will be displayed in patient’s appointment box two days prior to the scheduled appointment
- Patient’s account receivable. We will send statements to your patients for the balances that are due. Once a month we will run a report for outstanding balances which are over thirty days
- Sending of Electronic Statements
- Sending of Custom Letters Requesting Payment