South Dakota Dental Billing & Collection Insurance Verification & Credentialing

South Dakota Billing and Collection

There are plenty of challenges that one has to steer clear of if they are to continue the success of their dental practice. Tricky factors like coding errors causing claim denials, delayed payment posting, falling short of submission date as well as incomplete application can derail any practice. This is why it is important to outsource this task to a competent company with experts who can streamline these time consuming administrative tasks and improve the process of revenue cycle management. South Dakota Billing and Collection is known for providing the best assistance for dental insurance billing and collection. We have formed strong ties with numerous clients over the years by helping them get timely reimbursements and speeding up their cash flows. Read on to learn more about it.

On Time Reimbursements

All billing collections are not the same with some of them being tricky and others being complex. Our team of billing experts help you through both by getting you on time reimbursements which further help maintain low accounts receivables to increase your collections.We keep a close check on daily processing of both primary and secondary claims , effective tracking of claims, utilization of clean claims tool to check accuracy before submission to insurance, payment adjustment and posting, claims denial management as well as preparation of periodic reports which show how the practice is doing. Moreover, we also prepare detailed patient statements which consist of crucial information like date, type of service, charges levied, description of treatments as well as demographic and personal details.

When all the claims that you have submitted are clean and error free your practice will receive that boost of productivity you really needed to collect more revenue. Our trained team of billing specialists will keep your collection department in order thereby ensuring a smooth revenue cycle resulting in timely reimbursements.

South Dakota Dental Credentialing

PPO, DMO, HMO, DHMO, Medicaid, CHIP Credentialing in South Dakota

Every new practice can feel overwhelmed by the pressure to get up and running. Credentialing and enrollment are two of the most common revenue cycle challenges that can baffle administrative staff. Credentialing can consume more time than usual even if there is a small mistake in the application which can result in delayed payments as well as can make the reimbursement process longer than it should be.

South Dakota Dental Credentialing offers complete credentialing and provider enrollment solutions right from initial application submission to entering a formal contract with the insurance company. We have a team of credentialing experts who organize all the necessary information like medical certification and licenses, documents related to education, practice history, as well as all other supporting documents to make the process of vetting easier for you.

We understand that the insurance provider of the patient can be PPO, HMO, DHMO, DMO, Medicaid which is why we ensure that each and every provider is notified about the credentialed dentists so that there is no issue while settling claims. We conduct regular follow ups and continuously monitor all claims until they are settled. Moreover, we are there with you every step of the way.from applying for NPI to completing your CAQH profile.

South Dakota Eligibility Verification

Dental Eligibility Verification is an important step in getting paid which is why it should be smooth and hassle-free. Our team of eligibility verification experts check the eligibility of the patient, type of coverage as well as active benefits with the insurance company for you. It is critical to conduct eligibility verification before giving treatment to the patient and without doing it your practices runs the risk of not getting paid.

South Dakota Eligibility Verification takes care of eligibility verification on your behalf so that you can spend more time on patient care. Our team of experts working for you are well equipped with all the measures needed to procure the patient’s history and related information to get verification done in an accurate and timely manner. They efficiently coordinate with insurance companies through fax, web and call to collect the latest patient data.

Check below to see the step by step guide of our thorough approach:

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

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

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