Rhode Island Dental Billing & Collection Insurance Verification & Credentialing

Rhode Island Dental Billing and Collection

For almost all dental practices billing and collection can be increasingly challenging if it is not handled properly. Dentists who do not have a large client base may be tempted to hire in house staff at a low cost. However, this decision can work to their disadvantage as a person only with administrative qualifications and experience won’t be well versed with the technicalities of the dental billing and collection process. Things like missing the submission date, delayed payment posting, claim denial due to coding errors or incomplete information among others can easily occur. This is why it is important to outsource this process to someone with prior experience and required expertise. Rhode Island Dental Billing and Collection is recognized for providing top of the line assistance in dental insurance billing and collection. Over the years we have forged trusted relationships with our clients to enable timely reimbursements and speed up their cash flow. Read on to learn more about it.

On Time Reimbursements

Both simple and complex insurance collections are handled with ease by our billing experts as they know that the survival of each and every practice ultimately relies on money. We are here to aid you in maintaining low accounts receivables by increasing your collections as well as ensuring that the reimbursements are on time. We ensure this by monitoring daily processing of both primary and secondary claims, effective tracking of claims, payment posting and adjustment, practicing effective use of clean claims tools to check claim accuracy before sending to insurance for submission,appeal of denied claims if any as well as preparation of periodic reports that reflect how your practice is doing. At the same time, we also prepare patient statements that contain all the details like type of service, charges levied, date, description of treatments as well as demographic and personal details.

Rhode Island Dental Credentialing

PPO, DMO, HMO, DHMO, Medicaid, CHIP Credentialing in Rhode Island

Every dental practitioner needs someone who knows about all the aspects of credentialing. This is because even a simple error at this stage can affect the reputation as well as the cash flow of the practice. Rhode Island Dental Credentialing offers a team of experts who with their focused approach and wealth of knowledge provide complete credentialing and provider enrollment solutions. This includes the submission of initial application to enter into a formal contract with the insurance company to timely follow ups and regular monitoring of claims until they are settled.

We have been assisting dentists for many years now. With years of experience in the Dental space, our staff understOur skilled team is apt at organizing all the necessary information required for hassle free credentialing including educational certificates, documentation of practice history to medical licenses as well as other supporting documents necessary for verification. We try to make sure that that each and every provider is notified about the credentialed dentists so that there is no issue while settling claims as the insurance provider of the patient can be PPO, HMO, DHMO, DMO and Medicaid. In addition to this , we also help in applying for NPI as well as completing CAQH profile.

Rhode Island Dental Insurance Verification

It is quite critical that dental insurance verification occurs in an efficient and effective manner as it plays a very important part in the practice getting paid. Dental insurance verification involves verifying the patient’s eligibility, insurance coverage as well as active benefits for you so that all the treatments received by the patients are paid by their insurance carrier.

Rhode Island Insurance Verification takes the task of insurance verification off you so that you and your team have more time to focus on patient care and improve patient experience. Our experts efficiently communicate with insurance carriers through web, fax and call to match the information of each and every patient in both their as well as the insurance carrier’s database.This ensures that the dental insurance verification is done in an accurate and timely manner.

Below is a step by step guide of our thorough approach:

Getting the dates from which the policy is effective
Collection of coverage details like limitations, frequencies, history and waiting period
Updating patient records with the information obtained
Uploading the verification document in the patient record
Obtaining member ID of patient
Getting the verification document from the insurance provider

Contact out specialists today to get the best of dental billing and collection, credentialing and insurance verification.

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