Dental Insurance Billing and Collection Services Company

Dental Insurance Billing & Collection

Dental Insurance Billing & Collection

Medical Dental 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.

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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)

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 2019
  • Claims in Dollar Amount
As on Month End Received Billed Found Clean Fixed and Submitted by Capline First Pass Ratio Pending
Dec 2018 $25,850 $25,120 $23,100 $2,020 91% $730
Historical 
Nov 2018 $21,695 $21,695 $23,100 $2,020 98% $216
Oct 2018 $29,958 $25,630 $23,100 $2,020 83% $5,697
Sep 2018 $25,783 $24,052 $23,100 $2,020 89% $4,101
  • Claims in Numbers
As on Month End Received Billed Found Clean Fixed and Submitted by Capline First Pass Ratio Pending
Dec 2018 149 141 135 6 91% 8
Historical
Nov 2018 123 123 120 6 98% 3
Oct 2018 162 151 135 6 83% 11
Sep 2018 151 140 135 6 83% 11
2. Monthly Production/Collection/Adjustments/AR Report – Sample Report – Jan 2019
As on Month End Est Production Collection Adjustment Outstanding A/R
Dec 2018 $25,120 $23,505 $10,365 $43,691
Historical
Nov 2018 $21,695 $20,167 $6,589 $44,172
Oct 2018 $25,630 $20,067 $6,353 $47,115
Sep 2018 $24,052 $26,438 $8,742 $49,464
3. Collection to Production Ratio (With Matched Months) – Sample Report – Jan 2019
Month Total Est Amount Payment Received from Insurance Billed to Patient Adjustment In Process (AR) Total
$ % $ % $ % $ %
Dec 2018 $48,811 $5,254 11% $1,076 2% $598 1% $41,882 86% 100%
Nov 2018 $21,103 $4,869 23% $0 0% $13 0% $16,221 77% 100%
Oct 2018 $15,433 $10,361 67% $0 0% $48 0% $5,024 33% 100%
Sep 2018 $26,389 $21,045 80% $1,006 4% $976 4% $3,362 13% 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 2019
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, 2018 $52,392 187 $22,727 87 $32,506 105 $143,388 599 $251,013 978
Historical
Nov 30, 2018 $55,051 182 $38,126 130 $25,419 114 $143,987 539 $262,583 965
Oct 31, 2018 $58,129 137 $64,101 132 $28,248 58 $238,162 501 $388,640 828
Sep 30, 2018 $62,014 133 $49,184 83 $25,587 53 $211,397 429 $348,182 698

10 Reasons to Choose Capline Dental Services

Regardless of whether you run a small practice or a large one, there is significant amount of constant work in sending claims, posting EOBs, appealing denied claims and managing accounts receivables .We can alleviate this burden from your practice, as we are solely dedicated to processing claims more accurately and quickly while appealing denied claims and reducing your accounts receivable.

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Client Testimonials


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We recently opened our dental office and appreciate the services provided by Capline Dental Services. It has helped us to establish ourselves rather quickly. Great job!

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Maria HernandezSmilepoint Dental

 


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Kudos to your team. We appreciate your fast response and thanks for improving our AR. I would not hesitate to recommend you all.

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Jessica GarciaCrosby Family Dental

 


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Thanks to Capline Dental Services for taking care of our Billing, Insurance Verification and Credentialing for our office since the past six months. That has helped our office to focus on our patients so much more.

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Kimberly CanoLavaca Dental

 

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