Outsourced Dental Insurance Billing Services
2.75% rate and a 30-day free trial
eDental Billing offers a 2.75% rate ($250 monthly minimum) and a 30-day free trial. Explore our dental insurance billing services below, including claims submission, denial follow-up, payment posting and accounts receivable support.
Discuss pricing and the free trial, including how the fee is calculated, the scope for your practice and the applicable trial terms. Comparing providers? Read our guide to choosing a dental billing company. Weighing whether to outsource? Read our overview of outsourced dental billing services.
Primary and Secondary Claims
Before sent to the insurance company, every claim will be audited on a daily basis in order to certify that the claim will not be denied because of a clerical error. We will work with any digital claims system that you are currently using, and if you are using paper claims, we will set up a digital claims system for you at no charge. If you so request, pre-authorizations will also be sent to insurance companies.
Preauthorization and predetermination are distinct processes, not interchangeable terms. Check the patient’s plan requirements and the payer’s response for the requested treatment. The American Dental Association explains the distinction between preauthorization and predetermination.
When a patient has more than one dental plan, coordination of benefits determines how the plans work together. A secondary plan may require the primary plan’s explanation of benefits (EOB) before processing its claim. Check the plans’ coordination requirements rather than assuming both claims follow the same process. Read the ADA’s explanation of coordination of dental benefits.
Denied Claims Appeals
We will examine all claims denials, and appeal them the same day they are processed. We follow up on outstanding insurance balances owed to your practice and report on the balances that remain open.
Insurance Payment Posting and EOBs
Within 24 hours after your office scans EOBs, all insurance payments and insurance contract adjustments will be posted to the patient ledgers accurately and timely. Your office manager will have constant access to communication every step of the way with our team of billing managers via email and phone to resolve any issues that may arise.
An explanation of benefits (EOB) distinguishes the amount paid by the dental plan from the patient responsibility shown on the statement. The American Dental Association’s EOB guide explains these fields. For more detail, read our guide to payment details when outsourcing dental billing.
Procedures Not Attached to Claims
We will batch procedures unattached to insurance claims on a daily basis, and we will also take great care to keep this issue to a minimum.
Accounts Receivable
Insurance balances that are overdue past 30 days will be followed up on weekly. You will also be provided with a daily email summary of how many of the claims were worked on that day, and optionally a comprehensive list of who at the insurance companies we are in contact with.
Insurance Aging Reports
We will work tirelessly at your insurance aging reports and provide you with summaries daily that monitor your account receivable balance, how many overdue claims are appealed, and how much money is collected that day. Every month we will also provide a detailed analysis of your insurance aging report.
Incomplete Patient Information
Many claims are denied due to incomplete or missing information. Our team will examine each patient’s files for errors before claims go out, so fewer claims are delayed or denied for missing information. All errors will be included in your daily email summary in order to maximize your collection process.
Accountability Reports
We will email your management team a summary of our insurance collection work every day, including any issues arising that may slow down efforts. You will also receive a detailed monthly report of our progress. Let eDental Billing handle your billing related matters.
To discuss which billing tasks your practice would like support with, contact eDental Billing.
For background, see how dental billing works, dental billing benefits, why dental claims are denied, how to avoid dental claim denials, and medical vs. dental billing differences. Comparing providers? Our dental billing company checklist and dental billing knowledge base cover what to ask.
Dental Insurance Billing Services: Common Questions
What do eDental Billing’s dental insurance billing services include?
The service covers primary and secondary claim submission, appeals of denied claims, posting of insurance payments and contract adjustments from EOBs, batching of procedures not attached to claims, weekly follow-up on insurance balances overdue past 30 days, work on insurance aging reports, checks for incomplete patient information, and daily and monthly reporting. Each task is described in its own section above.
How much do dental insurance billing services cost?
eDental Billing offers a 2.75% rate with a $250 monthly minimum, and a 30-day free trial. Contact us to go over how the fee is calculated for your practice and the trial terms before you decide. For questions to raise about any billing company’s fees, see what to ask about the cost of outsourcing dental billing.
Do we have to change our claims system to use the service?
No. We work with the digital claims system your practice already uses. If your practice files paper claims, we set up a digital claims system for you at no charge.
How will we know what work is being done on our claims?
Your management team receives a daily email summary of the insurance collection work, including any issues that may slow it down, and a detailed monthly report. Your office manager can reach our billing managers by email and phone.
What happens to denied and overdue insurance claims?
We examine claim denials and appeal them. Insurance balances overdue past 30 days are followed up on weekly, and the daily summary reports how many overdue claims were appealed. For background, read why dental claims are denied.