Tag Archives: Dental

The Preferred Practice Bundle – Gold Level at CDA Presents San Francisco and AADOM 13th Annual Conference

CDA Presents San Francisco 2017 Aug 24th – 26th at Booth 1331

The Golden State. The Golden Gate Bridge. California is synonymous with gold! To help our clients experience the gold standard, we are introducing the Preferred Practice Bundle – Gold Level at this years CDA Presents San Francisco next week!

The new bundle will provide all the services you need to run your practice for one, low monthly fee. It will help you increase productivity, improve claims processing and save you time, paper and money. To learn more about the Preferred Practice Bundle – Gold Level, visit booth #1331. Or visit www.dentalxchange.com/provider/PreferredPracticeBundle

Snapper with Gold CoinsCome visit our booth this year to get cool giveaways like Gold Coin Chocolates, Snapper plush dolls, DentalXChange pens and Post-it notes. If you are a current client, come by, meet our staff and get a Snapper pin to show how much you love our services!

We look forward to this convention every year because we love showing everyone attending why DentalXChange is the gold standard for the dental industry.

 

 

AADOM 13th Annual Office Manager Conference in Scottsdale, AZ, September 7th – 9th

If you are a dental office manager heading to Scottsdale for AADOM 13th Annual Office Managers Conference we’ll be there too! We’ll also have some cool things to hand out and we want to tell everyone one about our Gold Level bundle, so stop by booth #319 and say hi!

 

Whichever conference you may be attending, be sure to come by to see how all our innovative products and services help dentists run their practice in a more efficient and cost effective way. We’ll help you cut down on paper usage, save time and most importantly, save money!

We look forward to seeing all of you soon!

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Filed under AADOM, California Dental Association, CDA Presents, Uncategorized

Why Are My Dental Insurance Claims Rejected?

The hours wasted into investigating why an insurance claim gets rejected can drive a person crazy and waste many quality hours that could be spent with patients.rejected dental claims

To help alleviate the aggravation, we talked to Lindsey Schurman, Manager of Client Services at DentalXChange, to find out how you can avoid being placed in a straightjacket and get those important claims paid quickly.

What are the top reasons claims are rejected? 

The three issues we see most often are:

  1. The provider’s information does not match what is on file with the payer
  2. The patient info does not match what is on file with the payer
  3. The patient is no longer covered under policy

How can these be avoided? 

The best way to avoid a rejected claim is to check the patient’s eligibility when they first make an appointment. This is easily done through ClaimConnect’s Real Time Eligibility. After eligibility is checked, make sure the patient’s ID card matches what is in their chart. This will help avoid discrepancies between information on file and what the payer has on record. After a client receives rejection, the advice we share is to verify that all the information matches what is on file with the payer.

When DentalXChange investigates a rejected claim we ask the following questions:

May I please confirm the patient info to make sure we have matching claims info?

Asked the payer to confirm:

  1. The Patient and Subscriber Name
  2. Dates of Birth
  3. Member IDs
  4. Addresses
  5. Genders
  6. Group/Plan numbers
  7. Plan Effective Date

May I also confirm that the correct Provider information listed on the claim is on file?

Ask them to confirm:

  1. Rendering and Billing
  2. Name
  3. NPI
  4. TIN
  5. Address
  6. License number
  7. Any applicable provider ID or Taxonomy code

One of these issues is usually the reason a claim gets rejected.

How does a product like ClaimConnect help?

When submitting a claim through ClaimConnect, the program focuses on minimizing rejections by checking claims for the preventable errors. We call these validation errors. Validation errors prevent claims from being sent when the information does not match what the payer requires. They can range from incorrect procedural codes to incomplete provider information. These errors are flagged and allow you to fix any discrepancies before the claim is submitted to the payer.

This saves a ton of time dealing with rejected claims. Of course, if anyone is having an issue with claims rejections, they can always give us a call. Our customer service representatives will be happy to help resolve any issues you might be having.

Thanks for taking the time to help us, Lindsey!

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Filed under ClaimConnect, dentalxchange, EDI Claims