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.
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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.
Client Testimonials
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!
Maria HernandezSmilepoint Dental
Kudos to your team. We appreciate your fast response and thanks for improving our AR. I would not hesitate to recommend you all.
Jessica GarciaCrosby Family Dental
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.
Kimberly CanoLavaca Dental