Dominion Dental Services, a leading dental insurer and administrator of dental and vision benefits in Alexandria, VA announced that they have acquired DentaQuest Mid Atlantic and DentaQuest Virginia. Upon contacting them about claims sent to DentaQuest just prior and now, there will be a delay to...
Some 35 states have passed new legislation that no longer allows insurers to require dental providers to give discount for services not covered under an insured dental plan. Listed below are the states that have passed this legislation and the link to the document source....
“The Affordable Care Act extended health insurance to millions of Americans in 2014.. About 6.7 million Americans gained health insurance and 1.1 million gained stand-alone dental benefits through the health insurance marketplaces in 2014. Individuals had until Feb. 15 to meet the law’s individual mandate...
Before you blame the payers for denied claims check your offices processing systems for errors and omissions. Rejected claims are different from denied claims. Rejected claims were never adjudicated by the insurance company because they were rejected before they were received. They were rejected because something...
Often, when the tooth isn’t broken down enough to warrant the coverage under a dental insurance policy the search goes for the magic wand of words to get the procedure covered. Indirect restorations such as inlays and onlays are often not covered because the alternate...
CDA is scheduled to present further evidence in its legal case against Delta Dental at a hearing scheduled Nov. 16 in San Francisco Superior Court. This is a further hearing on CDA's "standing" as an association to represent its members in challenging Delta's actions relating...
As a professional billing service we have to be on top of all of the issues that can affect the collections of monies owed to the practice. One of the up and coming issues is that of locum tenens. A locum tenens is a person who...
For additional information, visit the ADA's website: http://www.ada.org/en/publications//cdt New CDT Codes and Descriptions for 2016 D0251 EXTRA-ORAL POSTERIOR RADIOGRAPHIC IMAGE D0422 COL & PREP GENETIC MATERIAL-LAB & REPORT D0423 GENETIC TEST-SUSCEPTIBILITY TO DISEASE D1354 INTERIM CARIES ARRESTING MEDICAMENT APPL D4283 AUTO CONNECTIVE TISSUE GRAFT/EACH ADD TH D4285 NON-AUTO CONNECTIVE TISSUE GRAFT/ADD TH D5221...
Someone owes you money! A membership survey recently conducted by the Commercial Collection Agency Section of the Commercial Law League of America showed that after just three months, the likelihood is that you’ll collect only about 70 cents of each dollar owed. After six months, that...
NPI or National Provider Identifier numbers are important for claim payment. NPI or National Provider Identifier numbers must be properly reported on your claims or there will be denials and possibly hold-ups on the processing of many claims submitted by your practice. Basically there are two...
