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.

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

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:

Dental Billing Eligibility Verification

Crucial information pertaining to deductibles, co-insurance, effective policy date and other coverage details are collected for efficient dental billing eligibility verification. We verify all this information so that we know that the claim that we are filing for payment is 100% eligible.

Document Authentication

It is one of the most important aspects of dental billing as only when the invoices, case files and other relevant documentation are vetted can they be used to fill the information in the claim.

Data Entry

It is essential to enter data systematically after it has been vetted. Information like demographic details of patients, dentist details, code sets used among other needs to entered in the right manner. At Capline, our experts are well versed with the latest billing softwares that assist in data entry and processing of dental claims.

Dental Claims Processing

Dental Claims processing can become quite a long and difficult task if not handled properly. Since it requires strict cross checking of essential information which should be in compliance with the existing protocols the claims should contain verified information in the right format for hassle-free approval.

Maintenance of Accessible Data Repository

We maintain an easily accessible data repository which includes explanation of benefits, patient information, insurance coverage information as well as the treatment undertaken. Since all the data with respect to previous claims is stored properly it helps in quick retrieval of information necessary for instant cross verification. Moreover, the data is kept confidential and is only shared with approved insurance carriers and can also be requested by clients.

Explanation of Benefits (EOB’s)

We share detailed explanations of benefits that contain necessary information about the amount the healthcare insurance provider paid as well as the payment patient is responsible for if any. Other items included in EOBs are deductibles, co-payment options as well as items excluded from the insurance plan.

Pre-authorization services

Pre-authorization is the process of getting prior approval from the insurance company as well as what the estimated cost of treatment for the patient is going to be.This helps both the patient as well as the dental provider learn beforehand what the insurance company will reimburse and is quite useful in getting maximum insurance benefits.

Dental Coding

Our coding experts are well versed with all the information with respect to the Dental Terminology in use.This helps us use the right codes for each dental procedure in the insurance claim for faster processing.

Claims Denial Management

If for any reason the claim gets denied our team helps you identify the error quickly and correct it immediately to appeal the claim denial and get the settlement promptly. We take care of incorrect spellings, missing data, invalid service codes among others.

Online Tracking of Claims

We provide online tracking of claims which always allows the patients to check the progress of their application.

Dental Billing Processes we follow

We help dental practitioners get quick payments only because we follow an effective step by step guide for dental billing and collection. Our teams are available for you at all times to resolve all your queries and document all the claims in a way that they are easy to access at all times as well as easy to transfer in case you have decided to switch providers. Below are the steps that we follow:

Why Outsource Dental Billing and 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

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 them updated on their practice revenue at all times.

Reports

1. Monthly Claims Submission Progress and First Pass Ratio – Sample Report – Jan 2023

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

• Claims in Numbers

2. Monthly Production/Collection/Adjustments/AR Report – Sample Report – Jan 2023.

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

3. Collection to Production Ratio (With Matched Months) – Sample Report – Jan 2023

This report indicates the collection, adjustment, Bill to Patient and In process (AR) amount against the Estimated Production amount of each individual month.

**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 2023

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.