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