By Connie Loomis I had just started an office that had Texas Medicaid. I filed several claims on the portal. and for some reason two claims processed with the office TPI number instead of the rendering provider TPI. I re-filed the claims on the portal. They were...
From Jacklin Pollock, Account Manager I have a worst claim story involving a well known insurance company. It's actually a group of claims that were paid, but the insurance had the wrong practice address on file, so they were not receiving the checks. It took me...
From Jackie Holloway, Account Executive and Account Manager I had an ortho claim with Delta of NC. The patient had Cigna when they started then converted over to Delta mid treatment. We sent a pre-auth to Delta which was approved. We sent the claim and it...
Claim that finally got paid!! It only took 16 months By Kimberly Scharfenberg Both Becky Osgood and myself worked on getting this paid. On 9/29/15 a claim for BU's for teeth number 6,7,8,9,10,11 and crowns for teeth number 7 and 10 was sent to Delta Dental. On 11/17/15...
By Jesse Worden, Account Manager We have a patient who is dual-covered under his own policy with Dental Select and a spouse’s policy with Select Health. Doctor is in-network with both carriers. I spotted the apparent error in policy order (Select Health was lister as primary...
By: Monique Long I was regularly calling on a few claims for different patients with the same insurance (who shall remain unnamed). When the claims were in the over 30 day insurance aging report the reps would tell me that the claims processed and what they...
In the world of insurance submittals it was simply unquestionable as far as whether it was a benefit of the policy. The 85 year old sweet grandma had Delta premiere with $1500.00 a year calendar benefits and she had used just $250.00. She had been...
By: Natalie Lucken, Account Manager I sent a claim to a smaller insurance company, called back to check if it was received, and was told no. I called once or twice more in the coming weeks to check, and still no. Finally, I got someone on the...
By: Natalie Rogers I don't remember the insurance company but I had submitted a claim via mail, fax and electronic numerous times. The timely filing deadline was 4 days away and they kept claiming they "never received the claim and did not have it on file"...
This story is written by Christine, in first person. When learning more about her story, her the details and heartfelt nature of her experience were too important to change or rewrite. Please enjoy this personal narrative of how eAssist changed Christine's life. --------------------------------------------------------------------------------------------------------------------------------------------- I first read about eAssist as...
