Dental Billing is one among the complex and comprehensive specialties not only in providing patient care and treatment but also in handling Medical Billing and Revenue Cycle Management Services. Billing and Coding for Dental Billing vary greatly in terms of Billing protocols and regulations. Moreover, Insurance policies for Dental Coverage and Benefits cannot be predicted as they may differ from one insurance to another. Therefore Dental Insurance Verification is crucial to understand the patient’s liabilities and coverage benefits.
Medical Billing companies need to strive towards establishing trained and experienced specialty-specific billers and coders to handle Dental Claims and Verifications. Read through this article below for a complete guide on Dental Verification.
Importance of Dental Verification
Keeping on top of your Dental Patients’ Insurance Coverage and Benefit details is the key to successful Dental Billing and Collection. There are various reasons why Dental Verification becomes the fundamental requirement to sustain your financial status in Dental Billing:
- Dental Verification helps to understand Patient Benefits and avoid unwanted hassles during claims processing and patient collection
- Insurance Policies can be varying and vulnerable to changes and updates. Timely verification can help understand the policy-related clauses and changes to bill accordingly
- Dental Verification helps understand coverage benefits to plan the procedures accordingly and also communicate the patient responsibility to avoid payment issues
- Dental Verification is also important to understand the patients’ copay, deductibles, Co-insurance and Out of Pocket expenses. So the patients are not ignorant about these end of the procedure.
Guide to Dental Verification Process
Dental Insurance Verification can be done by various methods. The key is to ensure the patient and insurance data available in the EMR or EHR is current and updated. Listed below are the different types of Dental Verification Processes:
- Dental Verification requests can be sent via Fax.
- Online Portals from the Health Insurance Providers web portal
- By calling the Insurance Company
Requirements to handle Dental Verifications
Prior to approaching an Insurance Company for Dental Verification, ensure the following details are handy:
- Physician Office Tax ID
- Policy Holder/ Beneficiary Name and Details
- SSN of the Policy Holder
Checklist for Dental Insurance Verification
- Patient Name, DOB, Contact Number
- Insurance Contact Details
- Appointment date and Details of Procedure planned
- Insurance Coverage Details
- Insurance Benefit Plans, Benefits Exhausted etc.
- Deductibles, Copay and Co-insurance details
Having a standard Checklist for details to be verified during the call or any method of approach will help avoid to and fro follow up.
Dental Verification Experts
The best solution for Dental Verification can come from experts in the field who have experience handling Dental Verification for various claims from different payers. Such expertise is viable only from a Medical Billing Company specializing in Dental as one of their top specialty. Outsourcing to such an established and experienced Medical Billing Partner can help process your Dental Verifications quicker resulting in greater reimbursement and Patient collections.
About ecare
Ecare is one of the top pioneers in Medical Billing Companies in India. Started in the year 2000, We have expertise in handling multi-specialty services including Dental. With a team of professional Billers and certified coders, we promise maximum reimbursement on your Dental claims. With more than 2 decades of expertise handling Dental Verification to our top clients. To know more about ecare and its services call 813 -666-0028 or log on to www.ecareindia.com