{"id":4267,"date":"2021-02-03T14:51:49","date_gmt":"2021-02-03T19:51:49","guid":{"rendered":"https:\/\/www.opencare.com\/blog\/?p=4267"},"modified":"2024-06-28T14:34:59","modified_gmt":"2024-06-28T18:34:59","slug":"dental-insurance-verification","status":"publish","type":"post","link":"https:\/\/www.opencare.com\/blog\/dental-insurance-verification\/","title":{"rendered":"Dental insurance verification: how to verify your patients are covered"},"content":{"rendered":"Reading Time: <\/span> 5<\/span> minutes<\/span><\/span>\t\t
\n\t\t\t\t\t
\n\t\t\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t

Looking for insurance verification services?<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t
\n\t\t\t\t

Learn more about how Opencare can help your practice reach its full potential.<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

\n\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\tLearn more<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n

When it comes to running your dental practice smoothly, it\u2019s important to verify and keep on top of your patients\u2019 dental insurance. It can feel monumental sometimes, but general maintenance in verifying your patients\u2019 insurance will help you avoid bigger headaches later.\u00a0<\/span><\/p>\n

Too many patients, insurance plans can be confusing; lots don’t even know the specifics of their insurance plans.\u00a0<\/span><\/p>\n\n

Because many patients are unaware of their insurance benefits and can’t answer questions about them, it becomes essential to understand how to verify dental insurance before their appointment.<\/span><\/p>\n

One advantage of dental insurance verification is that you\u2019ll better understand the patient’s benefits and you\u2019ll be able to educate them about their coverage during their <\/span>dentist appointment<\/span><\/a>. Also, knowing patients’ eligibility information helps you to inform them of their eligibility for a dental procedure.\u00a0<\/span><\/p>\n

Let\u2019s discuss the benefits of verifying dental insurance.\u00a0<\/span><\/p>\n

The importance of verifying dental insurance benefits<\/b><\/h2>\n

Insurance verification is essential when it comes to dental care. If you fail to verify patients’ insurance benefits, you won’t know if a deductible applies to a new patient’s first visit \u2014 and the practice may lose money later. You\u2019ll also prevent getting less than expected payment from insurance.\u00a0<\/span><\/p>\n

Often, we find many patients are ignorant about the four insurance payment concepts. They include:<\/span><\/p>\n

    \n
  • Deductible<\/span><\/li>\n
  • Co-insurance<\/span><\/li>\n
  • Co-pay<\/span><\/li>\n
  • Out-of-pocket maximum<\/span><\/li>\n<\/ul>\n

    However, you can only explain these payment concepts to your patients if you know their insurance benefits. Here are some things you stand to gain from patients’ insurance verification:<\/span><\/p>\n

      \n
    • Prevention of a denial of payment from patients’ insurance providers for root planing and scaling<\/span><\/li>\n
    • Prevention of a denial of payment for an emergency appointment and limited exam for existing patients<\/span><\/li>\n
    • Prevention of reduced payment for cleaning and examination visit<\/span><\/li>\n
    • Prevention of a denial of payment from insurance for a new patient\u2019s preventive visit<\/span><\/li>\n<\/ul>\n

      How do I verify dental insurance benefits?<\/b><\/h2>\n

      You can use fax, in-house, automated services, or an online portal. Furthermore, consistently ask your patients if there are any changes in their information. Also, verify their insurance plan by getting in touch with the insurance company. Here are some ways to verify patients’ insurance benefits:<\/span><\/p>\n

      Automated services<\/b><\/h3>\n

      You can use automated services like DentalXChange.com for insurance verification. All you have to do is log in to your account and check your patients’ eligibility. However, automated services don’t provide stipulations and aren’t detailed enough.\u00a0<\/span><\/p>\n\t\t

      \n\t\t\t\t\t
      \n\t\t\t\t\t\t\t\t
      \n\t\t\t\t\t\t
      \n\t\t\t\t\t\t\t
      \n\t\t\t\t\t
      \n\t\t\t
      \n\t\t\t\t\t\t\t
      \n\t\t\t\t\t\t
      \n\t\t\t\t
      \n\t\t\t

      Sign up for our newsletter.<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
      \n\t\t\t\t
      \n\t\t\t

      Just let us know a bit about yourself.<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
      \n\t\t\t
      \n\t\t\t\t\t\t\t
      \n\t\t\t\t\t\t
      \n\t\t\t\t
      \n\t\t\t\t\t\t\t\t
      \n\t\t\t\t