Dental Insurance Verification Services
Leverage our dental insurance verification services and ensure that your practice gets paid on time and your patients become referral sources
Insurance companies are obligated to honor dental invoices when claim submissions include verified and factual data that meets their claims criteria. But if your office is unaware of the complex regulatory compliances and insurance details exclusive to a dental practice, you may risk facing many unexpected outcomes that include high accounts receivable, low collection, frustrated patients, and a myriad of challenges in reimbursement.
We can mitigate your worries by ensuring that your practice gets paid on time and your patients become referral sources for growing your brand value. Before getting started, we begin analyzing the problem plaguing your front office teams. Since insurance verification is resource-intensive, it is best to outsource dental insurance verification to us rather than keeping your professionals tied up to the drudgery of dental insurance verification.
Dental Insurance Verification Solutions We Offer
With an increase in the number of dental insurance holders, it is taxing for small and mid-sized dental practice firms to keep up with the ever-increasing demand for dental insurance verification. The desperation to pace up only compounds the problem. This is where we come in. We proactively verify the patient benefits, policy coverage, and details to ensure that the information is up-to-the-minute and accurate. We coordinate with insurers to get detailed information and make a side-by-side comparison with the reported values. Once we validate the patient's dental insurance you can present a custom treatment plan along with estimated cost and co-payment options.
Our dental insurance verification solutions include -
Coverage Eligibility Assessment
Once we receive the patient's details, we use leading software such as MediTouch, Kareo, and MISYS to determine if the patient is eligible for coverage and the extent of it.
Verification with the Insurer
Our team of professionals proactively cross-checks all the information supplied by patients with the insurers. This helps ensure that all the patient's obligations are met before and after the dental treatment.
Patient Follow-up
We also follow up with patients to obtain any piece of information that is missing or to meet any obligations required by the insurer or dental practice. We then also provide a cost estimation to the patients.
Final Report Submission
We generate a final report and use FTP/SFTP servers to transfer the completed for automatic updating into the dental practice's practice management system.
Our Dental Insurance Eligibility Verification Process
Most patients and healthcare practices find it difficult to interpret the obfuscated dental plans that have exclusions, tricky service benefits, as well as perplexingly worded terms and conditions. Dental insurance verification is the cornerstone process to dodge bad patient experience and payment complications. By choosing our dental insurance eligibility verification services, you can leave your worries to us while your front office teams handle other management functions. The steps involved in our dental verification process are as follows -
Scheduling/ Patient Registration
Using predetermined scheme in patient account management system we create a schedule that will mesh the patient registration with revenue cycle management
Coverage Assessment
By persistently phoning the insurer we will check if the applicant has merits to qualify for a dental procedure and notify patients on what will be covered and what will not
Insurance Pre-authorization
We will pre-certify notes, benefits information, and plan details in the account management system to confirm the estimated out of pocket expense to be borne by the patient
Notifying Policy Exclusion
We will compare the plan coverage with the provider's service and if there are exclusions not covered by the insurance plan it will be flagged and reported to patients before rendering the service
Why Are We The Preferred Dental Insurance Verification Company?
With 20 years of experience, we continue to lead as the frontrunning dental insurance verification company taking the burden away from your front office team. We run comprehensive verification on claims submission against insurer's criteria to check if their patient is qualified for the service and what portion of the service cost will be borne by them. There are more benefits on the way when you outsource dental insurance verification services to experts like us -
Certified Dental Insurance Verification Company
All of our healthcare services are HIPAA compliant and meet the recommended guidelines of the international organization for standardization. We are also ISO 9001:2015 certified.
Data Security
Our data security policy meets the guidelines of the information security management system. For this reason, we have earned ISO/IEC 27001:2022 certification. Ours is an enterprise that you can trust while sending confidential clinical data and other project related files and documents because we employ the best security measures to prevent unauthorized members from handling confidential data.
High Accuracy and Quality Service
We have a team of quality analysts who verify the accuracy of final output format from medical data entry services and its adherence to compliances. It is our goal to make sure that your team can seamlessly utilize our converted digital files to provide efficient patient care.
Short Turnaround
From providing a full benefit information to checking compliances we finish the verification in the shortest time so that your patients will be less frustrated waiting for services to reach them. With a short turnaround, you can also enjoy shorter AR and collections can be sped up with faster and successful dental insurance verification.
Scalability
It is our goal to be prepared for an increase in patient inflow. With more patients being insurance holders, we reduce bottlenecks in the verification process. If you are ready to scale up we are ready to support your practice by pacing up our process rate to maintain an equilibrium in revenue management functions and patient care.
Specialized Dental Insurance Verification Experts
We have a team of 200+ insurance verification experts with specialization in the dental domain. With a broad understanding of the insurance provider's rules and coverage, we can complete verification with precision so you can plan the procedure accordingly.
Pocket-friendly Pricing Options
The dental insurance verification services we offer are custom solutions that will help dental hospitals, individual practitioners, and clinics to get past the hurdles in the insurance process. With flexibly priced services you can choose our service that fits within your budget than relying on ballpark figures provided by other vendors.
Single-point Contact
You can always reach us without time zone constraints through a dedicated representative who will collaborate with dental insurance verification professionals to keep track of the progress. By staying on top of the dynamic insurance ecosystem we limit the risk of non-payment and short pay through our high-insurance verification services.
Modern Infrastructure
Our infrastructure is housed with the latest technology and talents with access to powerful insurance verification tools. With experienced human operators, we verify every reported dataset in documentation to prevent you from being overwhelmed by financial liabilities.
Secure Data Exchange
Sending project-related files and data from your end to ours is safe and easy because have a highly secure FTP and VPN that facilitates data movement without concern.
Round-the-clock Availability
You can experience our friendly support by phone, email, and web chat for successfully understanding and resolving your issues on a real-time basis.
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Client Success Stories
Insurance Eligibility and Verification Services Provided to a Birth Control Telemedicine Provider
We were approached by a telemedicine provider from the US to verify the eligibility of people applying for medical and pharmacy insurance before medications could be dispatched.
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We Processed Over 3000 Encounters Related to Rehabilitation Care for a Group of Physicians from Indianapolis
We processed 3000+ physician encounters for the client. Our expertise in healthcare BPO resulted in the on-time completion of the task leading to a 20% increase in savings.
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Outsource Dental Insurance Verification Services to Us - The Leader in Healthcare Outsourcing
Being a leading ISO certified dental insurance verification company, we have outshined all competitors by a huge margin since the last 20 years of our existence. With a zeal for serving clients with not just a solution to their problems but also a memorable service experience, we have continued to excel in every way by touching more healthcare providers through dental insurance verification services. With global centers across many international locations, we are more capable to end your payment woes.
Speed up the AR process
Ensure more accurate dental insurance processing
Achieve significant cost-savings
Get in touch with us if you require high-quality dental insurance verification services to optimize patient experience and AR.
Whom do we serve
Our Customers
Key Differentiators
AHIMA Healthcare Convention 2016
USA
Flatworld Solutions
116 Village Blvd, Suite 200, Princeton, NJ 08540
PHILIPPINES
Aeon Towers, J.P. Laurel Avenue, Bajada, Davao 8000
KSS Building, Buhangin Road Cor Olive Street, Davao City 8000