9/22/2015-From the CDA United Concordia changed how periapical X-rays would be paid this summer and CDA Practice Support, after receiving calls from members about the changes, reached out to the company on behalf of dentists to get additional information. In its June 23 letter to dentists, United...
United Concordia Companies, Inc. will begin denying claims for any periapical radiograph taken routinely on a patient who does not have complaints or symptoms. This statement is from the ADA News August 17, 2015. At eAssist, we know that we must do everything in our power...
May 18, 2015 By Kelly Soderlund The ADA Practice Institute has developed guidance on coordination of benefits — a scenario that's increasingly more common as more Americans register for coverage under the Affordable Care Act and medical plans offer embedded dental services. Dental plans coordinate a patient's benefits...
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...
