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Dental Insurance Billing & Collection

Known to be a renowned dental insurance billing and collection company based in 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.

Hiring 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.

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)

Dental Billing and Collection should be accurate and efficient in order to facilitate smooth cash flows for every dental practice. However, this is not always the case with all dental practitioner as long as after the patient has received the treatment the practice can still find itself chasing the payment from the insurance provider.

This is why it is important for any dental practitioner to hire the right staff for smooth billing and collection.The right team of professionals are well aware of all the different codes for dental procedures to file the right paperwork for all your claims thereby ensuring maximum payable benefits for your practice.

We at Capline Dental Services are committed to provide a great dental billing and collection experience for all the dental professionals who we get associated with.

Key

Features

Dental Billing Services We Offer

We provide a range of dental billing services that make it easier for any dental practice to collect what they are owed. Our thorough process includes:

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Dental Billing Services We Offer

Checking Claims Eligibility

Data Entry

Data
Authentication

Claims
Adjudication

Explanation
of Benefits

Claims
Computing

Claims
Submission

Follow-Ups

Update on
Claim Status

Claim 
Re-adjudication

Why Outsource Dental Billing & Collection to Capline Services?

Dental billing and collection is something that can prove to be challenging to anyone, time and time again especially if the company is new. At capline services we have a team of experts who have been working in this area for quite some time and have the right solutions to every challenge which can easily prove to be overwhelming to others. By choosing us you get a range of services like...

Outdated Dental Billing Practices

INADEQUATE STORAGE SYSTEM
A lot of dental billing companies still rely on paperwork and file cabinets to store information and documents related to claims.
LONG DURATION PAYMENTS
When a claim has been pending for a long time it directly impacts the cash flow of a dental practice thus negatively affecting the revenue cycle.
INCORRECT CODING
Correct coding is the backbone of each and every successful dental claim but with so many companies promising correct coding there are so many who are unable to deliver as they do not employ coding experts.
WORKPLACE STRESS
Every dental practitioner feels some amount of stress at their workplace related to patient care as well as administrative work if they are actively involved in both.
POOR PATIENT EXPERIENCE
Patient experience doesn’t just involve getting first class treatment as it also includes getting on time updates related to claims as well as detailed patient statements which a lot of practices don’t send.
USE OF ADVANCE SOFTWARE
Our software is easily able to collate all information related to a single claim in one place electronically resolving issues along the way for efficient results.
TIMELY PAYMENTS
We at Capline have a team of dental billing experts who ensure the claims are filed correctly so that payments are made on time to the dental practice
CODING EXPERTS
We have a team of coding experts who are well versed with all the codes currently in use which is why they are able to fill the right ones as per the dental procedure and treatment received.
GREATER EFFICIENCY AND NO STRESS
With our hassle free process of clean claims submission, regular follow ups and timely payment posting we leave you to what you do best i.e. treat patients with all your energy.
ENHANCED PATIENT EXPERIENCE
In order to provide enhanced patient experience to each and every patient you need the best of both dental care and dental billing. We are here to implement the latter as you take care of the former.

Capline’s Ultimate Dental Billing Approach

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 you updated on their practice revenue at all times.

Claims Submission Report
Production & AR Summary
Collection Production Ratio
AR Monthly Progress
Claims in Dollar Amount
As on Month End Received Billed Found Clean Fixed and Submitted by Capline First Pass Ratio Pending
Dec-22 $180,061 $175,944 $175,944 $0 100% $4,117
Historical 
Nov-22 $91,598 $90,345 $89,092 $1,253 99% 0
Oct-22 $73,273 $73,273 $73,273 $0 100% 0
Sep-22 $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-22 193 190 190 0 100% 3
Historical 
Nov-22 117 116 115 1 99% 0
Oct-22 122 122 122 0 100% 0
Sep-22 111 111 111 0 100% 0
As on Month End Est Production Collection Adjustment Outstanding A/R
Dec-22 $19,709 $15,190 $287 $32,044
Historical 
Nov-22 $14,658 $13,598 $350 $34,789
Oct-22 $18,759 $12,697 $680 $31,332
Sep-22 $16,987 $8,583 $632 $39,136
Aug-22 $11,218 $10,211 $1,007 $38,741
July-22 $21,000 $17,636 $349 $38,050
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-22 $47,983 $23,557 49% $413 1% $35 0% $23,978 50% 100%
Nov-22 $58,134 $45,549 78% $518 1% $115 0% $11,952 21% 100%
Oct-22 $63,749 $57,386 90% $1,469 2% $986 2% $3,908 6% 100%
Sep-22 $73,043 $65,883 90% $1,259 2% $700 1% $5,201 7% 100%
Aug-22 $66,056 $59,780 90% $1,558 2% $367 1% $4,351 7% 100%
Jul-22 $54,747 $48,546 89% $1,173 2% $3,229 6% $1,799 3% 100%
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, 22 $26,779 117 $9,404 36 $5,673 31 $9,236 40 $51,092 224
Historical 
Nov 30, 22 $13,832 56 $8,097 42 $6,513 24 $12,682 74 $41,124 196
Oct 31, 22 $17,110 95 $11,424 52 $3,946 25 $11,598 80 $44,078 252
Sep 30, 22 $17,987 80 $8,898 51 $1,987 17 $8,088 65 $36,960 213
Aug 31, 22 $15,963 92 $5,534 30 $1,214 11 $9,462 64 $32,173 197
Jul 31, 22 $19,879 82 $4,757 32 $2,012 11 $21,987 130 $48,635 255
Jun 30, 22 $2,169 19 $5,133 21 $4,587 13 $28,150 152 $40,039 205

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