Tag Archives: online dental claims

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

Bundling Makes More Cents!

DentalXChange is proud to announce the Bundling Makes More Cents campaign!

For a limited time only, clients who sign up for the Preferred Practice Bundle will receive up to a $50 credit towards their billing statement!*

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“The Preferred Practice Bundle will make a huge difference in the management of the dental practice,” said Scott Wellwood, President of DentalXChange. “The powerful tools offered in this bundle will speed up reimbursements, improve your marketability, increase patient satisfaction and help create a more efficient practice. You get all this value on just one low, monthly bill.”

The Preferred Practice Bundle includes the best of DentalXChange’s EDI services at a budget friendly price. A comprehensive selection of practice solutions, all on one low bill!

The Preferred Practice Bundle features:

  • ClaimConnect – Electronic claims submission using your practice management software or Direct Online Entry
  • Real-Time Services – Check patient eligibility, plan benefits details and claim status
  • DDS WebStudio Advantage – Create a fully functional, professional website for your practice featuring Web Portal capabilities.
  • Web Portal Access – Allow patients to view and pay their statements and give office staff access to your DentalXChange dashboard, directly through your practice’s website
  • Patient Education – Online Patient Education access on your website helps your patients to visually understand their treatment options
  • DentistUSA – Market your practice and increase your visibility with free inclusion in our nationwide online dental provider community
  • DDS TimeManager – Securely manage your staff hours and calculate your payroll with ease

 

Bundling Makes More Cents!

  • Sign up for The Preferred Practice Bundle and receive up to a $50 credit towards your billing statement!* 
  • Current bundle subscribers can receive a $25 Starbucks gift card when they refer a new client!*

  

Bundling Makes More Cents Details

The Bundling Makes More Cents campaign starts now and runs through February 28th.  Please call 1800-576-6412 Ext 455 for more details.

“We are proud of the value DentalXChange is offering with the Preferred Practice Bundle,” noted Wellwood. “We hope everyone sees, bundling really does make cents!”

 

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Keep current with our promotions and special offers. Follow us on Facebook and Twitter.

*Restrictions apply, please call for more details.

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Filed under ClaimConnect, Claims, Dental Office, dentalxchange, DentistUSA, E-Patient Statements, EDI Claims, Electronic Claims, Patient Education, Patient Statements, PayConnect, Uncategorized