Attachments that go missing
The ADA lists lost claims and lost x-rays among dentists' biggest complaints about claim payment, and attachment rules differ from carrier to carrier.
Source: ADA, Claims Processing Delays
A dental billing company for the insurance side of your practice
Dental billing services for your practice
eDental Billing checks coverage, audits and sends your claims every day, has each scanned EOB posted within 24 hours and files appeals the same day a denial is processed. The fee is 2.75% of the collections we work on.
Sample claim, ready to sendAudit passed
D0120Periodic examD0274Bitewing x-rays, four imagesD2740Porcelain or ceramic crownPre-op x-rayNarrativeD4341Scaling and root planing, four or more teeth per quadrantPerio chart
2.75%of the collections we work on
- $250 monthly minimum
- No setup fee, no separate fees
- 30-day free trial from your contract date
- Month-to-month after that
Collections we don't work on aren't part of the fee.
What we handle
Dental Insurance Billing for Dental Practices
Give your team more time for patients while eDental Billing handles the insurance billing work behind the scenes. Get support with primary and secondary claims, denied claims, payment posting and accounts receivable follow-up.
eDental Billing is a dental billing company that handles insurance billing for dental practices, working in the claims software your practice already uses. Our dental billing services cover:
- Primary and secondary claims: claims are checked for clerical errors and missing patient information before they go to the insurer.
- Denied claims: we review claim denials, appeal them and follow up with the insurer.
- Insurance payment posting: payments and contract adjustments from each explanation of benefits (EOB) are posted to the patient ledger.
- Accounts receivable: overdue insurance balances are followed up, and we work your insurance aging report.
- Reporting: a daily summary of the work done on your claims, and a detailed report each month.
The fee is 2.75% of collections with a $250 monthly minimum, and you can try the service free for 30 days. See what our dental insurance billing services include, or contact us to talk through your practice’s billing.
What dental payers look for
Three things that hold up dental claims
Plenty of delays have nothing to do with the dentistry. They come from paperwork the plan expected and didn't get, or plans billed in the wrong order.
Two plans, one patient
For children covered by both parents, the usual rule is the birthday rule: the parent whose birthday comes first in the calendar year is primary. The secondary plan usually waits for the primary's EOB.
Source: ADA, Coordination of Benefits
Estimates aren't promises
The ADA treats preauthorization and predetermination as different processes. Either one reflects eligibility and remaining benefits on the day it's issued, not a guarantee of payment.
Source: ADA, Pre-Authorizations
Our daily claim audit looks for clerical gaps, like a missing attachment or incomplete patient details, before a claim leaves your office.
How a claim moves with eDental
Five stops, the same every day, with a summary email so your office manager can see each one.
- 1
Check
Insurance verified and patient details reviewed for errors.
- 2
Audit
Each claim checked for clerical problems before it's sent.
- 3
Send
Primary and secondary claims go out daily.
- 4
Post
EOBs on patient ledgers within 24 hours of your scan.
- 5
Follow up
Denials appealed the same day, balances past 30 days worked weekly.
What Sets eDental Billing Apart?
Pricing and Free Trial
eDental Billing charges 2.75% of collections, with a $250 monthly minimum, and offers a 30-day free trial.
We have no startup fees and provide free EHR. We work with the billing software you have, and offer a free Practice Management System if you don’t have software. We also provide free assistance with the software. We don’t require you to enter into a long-term contract; we operate on a month-to-month basis.
If you are not satisfied within the first 30 days, you pay nothing. We will ensure that 95% of your claims will pass the first time.
Daily Claims Work and Reporting
We will handle posting of charges and EOBs within 24 hours of being scanned into the system. Then we follow up with insurers and appeal denied claims. Primary and secondary claims are processed daily, and each one is checked for missing patient information and for eligibility before it goes out, so errors are caught before the insurer sees them.
We also assign you a manager who will provide you with daily, weekly, and monthly reports, so you always know where your claims stand. For insurance balances older than 90 days, our goal is to work each account until it is resolved.
Save Time, Save Money
A 2006 Milliman model estimated that a solo physician practice could save about $42,000 annually by moving six administrative processes from manual to electronic transactions. This historical estimate is not specific to dental practices or outsourcing; your savings depend on your current workflow and costs. Source: HHS discussion of the Milliman study.
Our rate is 2.75% of collections whatever the size of your practice or organization, with a $250 monthly minimum.
Time your team spends on billing can go to patients instead. Outsourcing also means you don’t need to hire and train an in-house biller or set up office space for one.
When the dentist or a front-desk team member handles billing on top of other work, follow-up on unpaid claims and accounts receivable can slip. A billing team that works those accounts on a schedule keeps them moving.
How Our Dental Billing Service Works
First, you’ll send us your billing information, such as day sheets and patient information. This is done via a secure fax line and email in order to maintain privacy. Once we have it, we begin your claims process by entering insurance, patient, and visit information. We verify the insurance, process the claim and handle any claim denials. If you need to correct or change the information, contact us at any time and we will update the claim. We also take care of Medicaid and Medicare claims.
We review authorization processing reports and keep following up on unpaid or denied claims. Our aim is fewer refused claims and faster reimbursement the longer we work together. We know how frustrating it can be to argue with insurance companies over partial payments, so we take on that follow-up for you.
Handing this work to experienced billing specialists lets you and your office staff put your time into patients instead of back-and-forth with insurance companies.
Read our guide to the dental billing process, compare providers with our dental billing company checklist, review why practices outsource dental billing and dental billing benefits, learn how to avoid dental claim denials, or browse our dental billing knowledge base and dental billing resources.
Our services
Everything on the insurance side, handled
Hand eDental the whole insurance workload, or the part your front desk can't get to. Either way, you get a daily email summary and a monthly report on progress.
Read the service details- Primary and secondary claimsAudited and sent every day
- Denied claim appealsFiled the same day the denial is processed
- Payment and EOB postingDone within a day of your scan
- Procedures not attached to claimsBatched daily to keep unbilled procedures to a minimum
- Accounts receivable follow-upWeekly on balances past 30 days
- Insurance aging reportsDaily summaries and a monthly analysis
- Pre-authorizationsSent to insurance companies on request
- Incomplete patient informationFiles checked, errors listed in your daily email
6years with dental practices
Led by Alex Trent, MA, MS
Alex has worked with dental practices on their insurance billing for the past six years. Your office manager can reach our billing managers by email and phone at every step, and the daily summary shows what was worked.
Free resources
Dental billing guides
How dental billing worksThe process, from verification to payment
Is medical billing the same as dental billing?Where the two differ
Dental claim denialsWhat they are and how to avoid them
Top 10 denial reasonsWhy dental claims come back unpaid
50 dental billing tipsSmall fixes for the front desk
Benefits of outsourcingWhat changes when billing leaves the office
Questions dental offices ask us
How much does eDental Billing charge?
2.75% of the collections we work on, with a $250 monthly minimum. There is no setup fee and there are no separate fees, and collections we don't work on aren't included.
When does the free trial start?
On the date of your contract. The trial runs 30 days, and service continues month to month after that.
Do we need new practice software?
No. We work with whatever digital claims system your office runs today.
Will you send pre-authorizations?
Yes, on request. We can send pre-authorizations to insurance companies along with the rest of your claim work.
How fast are insurance payments posted?
Within 24 hours of your office scanning an EOB, the payment and write-offs on it are posted to the patient's ledger.
What happens when a patient has two dental plans?
We bill the primary plan first, then send the secondary claim once the primary's EOB is in. For children covered by both parents, the usual rule is the birthday rule: the parent whose birthday falls earlier in the calendar year has the primary plan.
Get the insurance work off your front desk
Tell us about your practice and the plans your patients carry. We'll walk you through how eDental would handle your claims, then you can try it free for 30 days.
Weekdays, 8 to 5 Pacific · alex@edentalbilling.com