Dental Insurance Billing & Collection
Reckoned as an esteemed dental insurance billing and collection company based out of Houston. Capline Dental Services is your comprehensive resource to eliminate all of the undue stress that can be caused by decreased collections and high accounts receivables.
Opting a professional Dental Billing and Collection Services Company can greatly reduce this problem in your practice, making the constant headache of collecting fees a distant memory. When you choose billing specialists at Capline Dental Services, you are investing in a service that can handle both simple and complex insurance and collections challenges, resulting in increased efficiency and profitability for your practice.
At Capline Dental Services, our mission is to collect all of the insurance money owed to your office. We address your dental billing issues using a fully developed methodology. Our professional experts work at each stage to move towards an efficient insurance claim process.
Key Services
- Daily Processing of Primary and Secondary Claims
- Using Clean Claims Tool to Check for Accuracy of Claims before Submitting to Insurance
- Claims Correction and Re-Submission
- Claims Management and Tracking (Aging)
- Insurance Payments Posting and Adjustments (if required)
- Follow-up with Insurers and Appeal of Denied Claim
- Periodic reports that show how your practice is doing at collections
- Patient Statements (Add on Service)
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Sample Reports
Our team at Capline Dental Services works round-the-clock to provide clients with the updated detailed reports of the Billing & Collection process on a weekly and monthly basis. We also specialize in generating on-demand reports to keep them updated on their practice revenue at all times.
Reports
1. Monthly Claims Submission Progress and First Pass Ratio – Sample Report – Jan 2020
This report gives a brief overview of Total numbers of claims which were received and billed along with the number of claims which were clean or fixed for the month.
- Claims in Dollar Amount
| As on Month End | Received | Billed | Found Clean | Fixed and Submitted by Capline |
First Pass Ratio | Pending |
| Dec-19 | $180,061 | $175,944 | $175,944 | $0 | 100% | $4,117 |
| Historical | ||||||
| Nov-19 | $91,598 | $90,345 | $89,092 | $1,253 | 99% | 0 |
| Oct-19 | $73,273 | $73,273 | $73,273 | $0 | 100% | 0 |
| Sep-19 | $54,000 | $54,000 | $54,000 | $0 | 100% | 0 |
- Claims in Numbers
| As on Month End | Received | Billed | Found Clean | Fixed and Submitted by Capline |
First Pass Ratio | Pending |
| Dec-19 | 193 | 190 | 190 | 0 | 100% | 3 |
| Historical | ||||||
| Nov-19 | 117 | 116 | 115 | 1 | 99% | 0 |
| Oct-19 | 122 | 122 | 122 | 0 | 100% | 0 |
| Sep-19 | 111 | 111 | 111 | 0 | 100% | 0 |
2. Monthly Production/Collection/Adjustments/AR Report – Sample Report – Jan 2020.
This report includes the estimated production of a month with the total collections from insurance, adjustments as well as the Outstanding AR amount in that month
| As on Month End | Est Production | Collection | Adjustment | Outstanding A/R | ||
|---|---|---|---|---|---|---|
| Dec-19 | $19,709 | $15,190 | $287 | $32,044 | ||
| Historical | ||||||
| Nov-19 | $14,658 | $13,598 | $350 | $34,789 | ||
| Oct-19 | $18,759 | $12,697 | $680 | $31,332 | ||
| Sep-19 | $16,987 | $8,583 | $632 | $39,136 | ||
| Aug-19 | $11,218 | $10,211 | $1,007 | $38,741 | ||
| July-19 | $21,000 | $17,636 | $349 | $38,050 | ||
3. Collection to Production Ratio (With Matched Months) – Sample Report – Jan 2020
This report indicates the collection, adjustment, Bill to Patient and In process (AR) amount against the Estimated Production amount of each individual month.
| Month | Total Est Amount | Payment Received from Insurance | Billed to Patient | Adjustment | In Process (AR) | Total | ||||
|---|---|---|---|---|---|---|---|---|---|---|
| $ value | %age | $ Value | %age | $ Value | %age | $ Value | %age | |||
| Dec-19 | $47,983 | $23,557 | 49% | $413 | 1% | $35 | 0% | $23,978 | 50% | 100% |
| Nov-19 | $58,134 | $45,549 | 78% | $518 | 1% | $115 | 0% | $11,952 | 21% | 100% |
| Oct-19 | $63,749 | $57,386 | 90% | $1,469 | 2% | $986 | 2% | $3,908 | 6% | 100% |
| Sep-19 | $73,043 | $65,883 | 90% | $1,259 | 2% | $700 | 1% | $5,201 | 7% | 100% |
| Aug-19 | $66,056 | $59,780 | 90% | $1,558 | 2% | $367 | 1% | $4,351 | 7% | 100% |
| Jul-19 | $54,747 | $48,546 | 89% | $1,173 | 2% | $3,229 | 6% | $1,799 | 3% | 100% |
**Report will be furnished only if we are able to fetch it from your Practice Management Software
4. Month-on-Month AR Progress – Sample Report – Jan 2020
In this report, we provide you the historical month wise comparison of your "Outstanding A/R". It also shows the current age-wise status of the claims with the complete count.
| As on Date | 0-29 Days | 30-59 Days | 60-89 Days | 90+ Days | Total | |||||
|---|---|---|---|---|---|---|---|---|---|---|
| Amount | Count | Amount | Count | Amount | Count | Amount | Count | Amount | Count | |
| Dec 31, 19 | $26,779 | 117 | $9,404 | 36 | $5,673 | 31 | $9,236 | 40 | $51,092 | 224 |
| Historical | ||||||||||
| Nov 30, 19 | $13,832 | 56 | $8,097 | 42 | $6,513 | 24 | $12,682 | 74 | $41,124 | 196 |
| Oct 31, 19 | $17,110 | 95 | $11,424 | 52 | $3,946 | 25 | $11,598 | 80 | $44,078 | 252 | Sep 30, 19 | $17,987 | 80 | $8,898 | 51 | $1,987 | 17 | $8,088 | 65 | $36,960 | 213 |
| Aug 31, 19 | $15,963 | 92 | $5,534 | 30 | $1,214 | 11 | $9,462 | 64 | $32,173 | 197 |
| Jul 31, 19 | $19,879 | 82 | $4,757 | 32 | $2,012 | 11 | $21,987 | 130 | $48,635 | 255 |
| Jun 30, 19 | $2,169 | 19 | $5,133 | 21 | $4,587 | 13 | $28,150 | 152 | $40,039 | 205 |