Whether it is about direct billing of patients or claiming insurance, there’s always a process to follow. Following a set plan to treat patients and billing them is an arduous task. The dentists might know precisely how to treat patients but they get entangled during the claiming process, more often than not. The crisis exists with most of them out there.
From the recent past, electrical billing has granted a speed up in the dentist’s progress. So, let’s go through the process of professional dental insurance claims processing with all the technology up your sleeve.
Submit a claim
After getting all the information about a patient regarding his dental insurance, the professional billing process includes submitting the claim on his behalf. It could be through a regular mail or through electronic software. The automatic option is way more comfortable and can handle the bulk of your patient’s claims. Although the insurance provider may choose a different method. Sometimes the insurance provider needs other documents, like the X-ray of the patient, to proceed with the application. You might have to ask the patient to pay some money in the initial stages for the claim to be completed quickly.
Don’t be in a haste
The second step is to wait for the payment after you submit a claim with all the formalities finished. The insurance provider will make sure the treatment you provided was covered under the policy. If the plan includes the same, the appropriate amount will be paid within a few days. If the patient has already paid you, the payment will be made to his account.
Dental claims processing can become complicated. Sometimes the services you provide are not included in the plan and the payments are not made timely. These complications are what make professional claim processing essential.
Know exactly when to submit a claim
Some insurance providers prefer to receive the claim from the patient. So, even if you have professional dental billing, don’t always submit the application by yourself. The plans sometimes include that the patient pays you first and the whole/partial settlement is then done with the patient. While filing a claim by yourself, you need to convey your contact details along with the exact service details to itemize the cost. Sometimes the provider requires receipts and other documentation to verify the information.
Don’t put the burden on your coworkers
As understood from the above points, dental claims processing is not that simple. In most cases, coworkers do not possess the required managerial abilities to handle billing. They are not qualified for something apart from treating their patients. You can’t expect anything over and above what they’re capable of doing. Giving them the billing responsibility puts additional pressure. Outsourcing these activities help you boost their performance along with a streamline in the dental billing process.