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Dental Insurance Verification

Insurance verification is the process of verifying the patient’s eligibility, active benefits and coverage with the insurance companies to prevent billing issues.

For any dental practice, successful billing is entirely dependent on correct and complete dental insurance verification (IV). Owing to the increase in the number of people getting insured, it has become difficult for several practices to manage the dental insurance verification (IV) workload 
in-house.

Our experts undertake the process of verifying patients’ eligibility, active benefits, and coverage with the insurance company for you. To prevent claim rejection, it is important to get dental insurance verification done before rendering services as there are chances of the patient’s benefits being outdated, patient having incorrect information or the policy being terminated or modified. Any such information could get the claim denied.

Our experts work round-the-clock to obtain information from insurance providers through their website or fax. They also call them regularly to get every patient’s history as it affects treatment planning. They take care of all these tasks so that you can focus on your patients without any worry.

Download Eligibility Verification Form

What is Dental Eligibility Verification?

Dental Insurance Eligibility Verification is all about assessing a patient’s active coverage with the insurance provider. It also involves verifying the eligibility of their insurance claims. To ensure approval of the claim, a verification process is done before the patient has already started up with the treatment and other processes.

A patient calls your office to book an appointment for Dental Treatment. Your staff asks them questions about whether his treatment is covered by any Insurance plan. If yes the front office takes details of the insurance coverage which includes:

Patients Name
Patients DOB
Continues / Recall /New Patient etc.
Member ID

What Happens Next?

Your staff calls the insurance provider. However, due to certain reasons, the call is put on hold. This could be either because the representative is busy navigating the information or unable to find the patient’s data. All this ends up taking a lot of time. Meanwhile, your office’s phones are ringing and not being answered because your staff is engrossed in figuring out patient’s insurance benefits. Believe it or not, it ain’t that simple! Here comes the role of the dental insurance verification company. You can have Capline’s experts call the insurance company to get all the insurance information ready.

So, we will be sitting on the phones and freeing up your staff to do anything else except the verification part because dental insurance verification is our forte.

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How Capline Handles Dental Insurance Verification for Your Practice?

Get patient insurance details via an online form
Our agents call insurance company, verify patient plans, coverage and other required information
Follow up and verify patient’s benefits
We make sure that every detail in your record is accurate
We make sure that your patients are fully informed about what expenses they owe nbefore treatment begins
We share the detailed information on our insurance verification form with the dental offices for easy understanding.
Get patient insurance details via an online form
Follow up and verify patient’s benefits
We make sure that your patients are fully informed about what expenses they owe before treatment begins
Our agents call insurance company, verify patient plans, coverage and other required information
We make sure that every detail in your record is accurate
We share the detailed information on our insurance verification form with the dental offices for easy understanding.

Why Is Dental Insurance Verification Important?

For the Practice

Give clarity on which services are covered and uncovered
Gives an overview of the services that the patient needs to be billed or not.
Helps your staff easily explain the patient’s responsibility on the spot.
Speedier cash flow.
No more guessing around whether your practice will be receiving your reimbursements on time or not.

For the Patient

Patients are prepared for any extra cost once they verify coverage.
Patients will be able to create a payment plan, if necessary.
No more hidden surprises as far as billing is concerned.
Patients are prepared of the amount they require to pay once the coverage is verified.
Patients do not deny paying bills. This ultimately turns advantageous for the practice.

Outsourced Dental Insurance Verification OR In-House Dental Insurance Verification: Which One to Choose?

Why Outsourcing Dental Insurance Verification Makes Sense?

Dental Insurance verification requires specialized knowledge and skill to get it done in a timely and efficient manner. This is the reason dental offices feel the need to outsource dental insurance verification.
With the constantly changing policies, there are chances that an important step can be overlooked. Hiring an expert to handle this task gives you peace of mind and ensures that all tasks are being done correctly.
It also allows your staff to focus on scheduling the appointment and patient engagement.
When you have a team that makes the dental insurance verification process easier, you can focus on giving your patients outstanding dental care.
If your practice experiences higher volume, it is worth outsourcing an expert team that handles all your funds efficiently.

Why In House Dental Insurance Verification Goes Wrong?

Even the smallest wrong information can lead to the entire form being rejected. If you do not speak to dental insurance verification companies, there are increased chances of errors occurring while fetching patient’s data.
A lot of time goes wasted in gathering inaccurate data and confirming claims.
Rejection in claims due to mismatched information.
You don’t want your patients to get annoyed when they realize that their treatment isn’t covered properly. Similarly, you would also not want their forms to get rejected because of an inappropriate detail. This is where outsourcing comes in!

What Is the Process of Dental Insurance Verification?

We are quick at finding out the information from the insurance provider. We match all the details with the insurance representative to ensure that there are no obligations on the part of patients. Our experts call the insurance company to check information like policy holder’s name, policy number, group number, employer’s name, phone number, etc.

Insurance Verification Workflow

Remote Access Setup
Preparation Of Live IV Tracker
Schedule & Patient Info Shared By Client
Completion of IV & Uploading In Software
Invoice Generation

We Verify the Following:

Effective date of coverage
Deductible amount
Other out-of-pocket expense
Is prior authorization necessary?
History of Services
Coverage terminated?
If yes, what date?
Has the deductible been met?
Benefits for treatment?
Out-of-network benefits?
In-network benefits
(co-payment amount)
Co-insurance amount
Is a referral necessary?
Out-of-network financial
responsibilities?

What Is the Process of Dental Insurance Verification?

Capline Dental Services is one of the fastest-growing dental insurance verification companies in the USA. Over the past few years, we have successfully helped many dental practitioners with dental insurance eligibility verification. We perform comprehensive verification of claims submitted with respect to the underlying insurance criteria. This helps in verifying whether the patient is eligible for the service or not and if any portion of the cost will be borne by them. By outsourcing insurance verification to Capline, dental practitioners and dental offices not only save on infrastructure and administration staff expense but also give their entire focus to patient care.

Below is a list of reasons to choose Capline Dental Services for Insurance Verification

Certified Dental Insurance Verification Company

All the healthcare services we provide are HIPAA compliant conforming to the guidelines laid out through international standardization for nation wide compliance.

Short Turnaround

With our experienced staff we are able to complete the verification in the quickest of times so that we do not keep the patient’s waiting.

High Quality of Service and Accuracy

Our team of experts ensures that every step of the way you get high quality of service as per insurance best practices with accurate results by employing state of the art software and advanced technology.

Data Security

Every type of patient information stored in our systems is accessible only to authorized personnel as we offer the highest level of data security for all documentation.

Scalability

With the growth of any practice comes more responsibility which is why we can easily increase our process rate as your patient inflows increase to maintain the same speed of revenue management as well as patient care.

Single Point Contact

We offer single point contact for all our patient queries so that they get the solution or answer right away for the problem they are facing or the information they want.

Flexible Pricing Options

We offer flexible pricing options as per the needs of our individual practice so that you get the best value for money.

24/7 Availability

We offer 24/7 availability as you can contact us at any time, be it via phone, email or chat to give you instant solutions and information.

Hire Capline to Outsource Dental Insurance Verification Services

We are sincerely dedicated to providing the best customer experience to all your patients as we think of their problems as those of our own. Our team of experienced professionals processes the documentation to the insurance provider in a jiffy and tallies all the necessary patient information against their coverage plan. After this, they convey to the patient whether they will be fully covered for the treatment they plan to seek or not. When you choose us, you are not just minimizing risks that can occur with dental insurance verification, you are completely eliminating them. Apart from dental insurance eligibility verification we also provide billing and collection, credentialing, patient statements, and other services for smooth revenue cycle management.

What Is the Turnaround Time?

Normal IV: The standard turnaround to complete a normal IV is up to 48 hours and also depends upon the insurance companies call volume which may result in longer wait time on the IVR.

Rush IV: Any IV reported within a time frame of 2 hours to 24 hours before the patient’s appointment time will be considered as a rush IV, our turnaround time is up to 2 hours from the time of entering the patient’s information in the IV tracker.

What Is the Cost of Getting IV Done Through Capline Dental Services?

Our rates are economical
New Patient Verification

$4.99

Set-up Charges Waived

$200

Any Rush/Urgent Verification

$2 Additional

Don’t let dental insurance come across as a barrier in your patients’ way of receiving treatment. Schedule a consultation with us to learn more on the benefits of having an insurance verification team on board.

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