How do you handle claims that require additional documentation?
Crowns and implants, like dental treatments, require additional documentation that can support the claim and help prevent avoidable delays. We collect all necessary details and submit them in an accurate and understandable format. It ensures your every single claim is processed, even on the first attempt.
Do you work with practices that use multiple software systems?
We know that dental practices usually use multiple separate systems to keep scheduling and billing separate. We learn both your tools and workflow, and work accordingly. Rather than replacing, we prefer a smooth integration with your existing system. We do our best to prevent disruptions.
Do you help with claims for implants and other high‑value procedures?
These procedures are supported by clear clinical justification and detailed documentation requirements. Their specific CPT codes also make the procedure challenging. We submit the claim only after confirming the patient's detailed treatment plan and imaging with any additional notes. It helps your practice get speedy payments while protecting revenue on such heavy services.
Can you work with orthodontic billing and payment schedules?
We understand the payment complexities of orthodontic billing, where payments are not released all at once. We monitor every installment and track the payer schedule. It ensures that each claim has been submitted correctly at each phase of treatment.
Do you manage pre‑authorizations for major procedures?
It is determined after the proper X-ray collection and perio charts. We also have to analyse the narratives and clinical notes to identify pre-determination conditions. We submit everything to the payer in advance to avoid unexpected out-of-pocket costs.
How do you handle downgrades from insurance companies?
We analyse the EOB to identify when a downgrade occurred. We also calculate the correct patient responsibility and ensure your team understands the impact of the adjustment on the final balance. It reduces confusion at the checkout and ensures you collect the proper amount.
Can you help with medical billing for dental procedures?
We determine when the medical insurance is appropriate for dental procedures and work accordingly. Some procedures involving sleep apnea appliances, trauma, and surgical intervention qualify for medical billing. We apply the correct CPT and ICD-10 codes and then prepare claims. All our claims meet medical payer requirements and help the practices capture additional reimbursements.
Do you verify dental benefits before appointments?
We check patients' eligibility and remaining benefits, including frequency limits, before they arrive. We also review their waiting periods and any exclusions tied to their policies, so your team can present an accurate estimate. It helps you avoid unexpected and frequent denials. It also keeps the patients satisfied because they will not be expected to pay for services they are assumed to have taken.