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MEDICAL BILLING CODING FOR DENTAL
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OUR DENTAL & MEDICAL INSURANCE BILLING SERVICE FEES

The amount of work to send claims, post EOBs, appeal denied claims, and keep your over ninety days insurance accounts receivables at a minimum is variable depending on how many patients you service monthly. The fees for this insurance accounts receivables service “as described in the above bullet points” are variable depending on what is collected from insurance. The following payment schedule applies for all offices:

Complete Medical
Billing Service
15.0%
service fee of Payable amount
  • Staff Medical Billing Support Service & Training - 2 Hours
  • Setup Fee to clearane house, ERA, EFT, EDI
  • Unlimited Insurance verification
  • Treatment Benefit Breakdown
    No Hidden Costs
  • E-Claim submission
    (Includes fee pay to clearance house to delivery claim submissin & ERA)
  • Claim Follow up
  • Claim Collection
  • Manage Claims submission
  • Provide EOB Statement
    (EOB will not be posted to your practice ledger)
  • Monthly Report
    (1st of each Month)
Complete Dental
Billing Service
8.0%
service fee of Payable amount
  • Staff Medical Billing Support Service & Training - 10 Hours
  • Setup Fee to clearane house, ERA, EFT, EDI
  • Unlimited Insurance verification
  • Treatment Benefit Breakdown
    No Hidden Costs
  • Prior Authorization
    $150/Month if required
  • E-Claim submission
    (Includes fee pay to clearance house to delivery claim submissin & ERA)
  • Claim Follow up
  • Manage Claims submission
  • Claim Denial & Appeal
  • Provide EOB Statement
    (EOB will not be posted to your practice ledger)
  • Monthly Report
    (1st of each Month)
Additional Service
  • Basic Medical Billing Training
    for Doctors & Staffs
  • Free 2 Hours Training
    for new Provider Register
    (Webinar or Seminar Location)
  • Prior Authorization (if required)
    Includes Letter of Medical Necessity $25/LMN
15%
Small sized Medical Claims
  • If the office’s Medical insurance Claim submittion are under 25 claims/month
  • The fee for this service described above is 15% of Insurance Collection
13%
Medium sized Medical Claims
  • If the office’s Medical insurance Claim submittion are 25-50 claims/month
  • The fee for this service described above is 13% of Insurance Collection
10%
Large sized Medical Claims
  • If the office’s Medical insurance Claim submittion are more than 50 claims/month
  • The fee for this service is 10% of the total Insurance Collection
Government Programs
  • Medicare Part B
    Individual Service Fee $550
    Organization Service Fee $500
  • Medicare Part B-DME
    Sleep Apnea, TMJ/TMD & Ortho
    Organization Service Fee $800
    Contractor Service Fee $600 (estimate)
  • Medicare Supplement
    Service Fee for 5 Insurances $1500
    Service Fee for 10 Insurances $2500
  • Tricare(Active Duty Military Health Plan) Organizaton & Individual Service Fee $750
  • ChampVA(Retired Military Health Plan) Organizaton & Individual Service Fee $750
  • US Department of LaborGovernment EmployeesWorkerscomp $1000
  • Denti-Cal $800
  • CAQH Provider Information Access for Credentialling $800(Required for PPO)
  • Admitting Hospital Privilege Contract Fee $1000 (estimate)(Required for PPO & Medicare HMO)
Commercial Health Plan
  • In-Network Provider
    Aetna $1000
    Cigna $1000
    Bluecross $1000
    Blueshield $1000
    Bluecross Blueshield $1000
    HealthNet $1000
    United Health Care $1000
    Scan $1000
    Physical Health Care $1000
    Care1st $1000
  • Out-of-Network Provider
    Aetna $2000
    Cigna $2000
    Bluecross $2000
    Blueshield $2000
    Bluecross Blueshield $2000
    HealthNet $2000
    United Health Care $2000
    Scan $2000
    Physical Health Care $2000
    Care1st $2000
EDI/ERA and/or EFT
No charge for existing provider's

Paid

Dental insurance claims will be paid fast.

Problems

We will solve your accounts receivable problems.

Collect

You will collect more...

How We Do It

Watch the Video to See How We Do It

Why choose Us?

Your Income Will Grow & Receivables Will Shrink

By knowing what causes rejected insurance claims and how to prevent them, effectively appealing denied claims, and focusing on your accounts receivables, our clients earn more than they did before–even after paying our fee.

You Will Be Paid Faster By Insurance Companies

Good accounts receivable management requires more focus. We discover and help correct inefficiencies in office practices that lead to denied claims and lost revenue–eliminating most delays before the claim is sent.

Your Patient Ledgers Will Reflect Accurate Insurance Adjustments

Often unnecessary adjustments are requested by insurance companies. Because we understand what is rightfully yours, we do all we can to make sure you get it. Your over 90 day insurance accounts receivables will always be at a minimum.

You Will Enjoy More Organizational Stability

Staff turnover is a never-ending problem for any small business–dental offices are not exempt from this disruptive issue. We eliminate it by ensuring that your dental insurance collection mechanism is never disrupted again.

Your Staff’s Focus Shifts To Patient Co-Pays

Good Patients will more likely pay for treatment if they are given written treatment plan estimates that are exact. It takes time to verify insurances, ensure fee schedules are correct, and build relationships with patients. Your staff will have time to do that now.

You Will Be More Organized

Are your EOBs organized? How often are they referenced? Without knowing why a claim was denied, its impossible to correct it or explain it to a patient. Our service will organize your EOBS into searchable PDF documents stored on your network. We will notate continuous status updates in your practice management system.