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get dental insurance verification done before rendering services as there are chances of the patient’s benefits being outdated, patient having incorrect information or the policy being terminated or modified.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.

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:

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.

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.

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.