Frequently Asked Questions for offices
What is dental billing?
Dental billing is when someone or some people send claims to dental insurance companies, input the corresponding payments, and then follow up with any outstanding claim.
How Do I Know if southtowne technologies Is Right for Me?
If you are frustrated with dental insurance companies, your write off amounts, or your Insurance Aging Report, we are right for you. Often times front office staff do not have the time to deal with insurance companies. Our account managers work tirelessly to ensure that all that is rightfully owed to you from insurance will be paid. We understand that choosing to outsource is a big decision, so feel free to email, text, or call for more detailed information and pricing.
What size of dental practice do you work with?
We work with any size dental practice. However most of our experience has been with moderately sized offices ranging from $1 to $3 million in revenue per year.
How much will it cost my office?
We understand that there are other companies that do dental billing with many additional services offered. However at Southtowne Tech, our goal is not to take your employees’ jobs but to alleviate a huge stress on the whole office. That’s why we have fairly chosen a percentage of a practice’s insurance collection that we feel accurately represents our specialization of claim submittal and payment. If you would like to know the exact percent, contact us, we are more than willing to tell you.
How does it work?
Through HIPPA-compliant, networked computers (or through your cloud based software), Southtowne Technologies provides direct assistance to your front desk. To establish and maintain a solid relationship, you will have an insurance specialist specifically assigned to your account. This will allow you to create a personal, effective connection with Southtowne Technologies as well as allow your front desk team to focus solely on your patient’s experience. As a result, office revenue will increase while the headaches and stress of running your practice will decrease.
What is Hipaa?
HIPAA is the Health Insurance Portability and Accountability Act. These are privacy standards that safeguards the use and disclosure of individuals’ health information, it also addresses the individuals’ rights to control and understand the way their health insurance is used.
How long do you have to file a dental insurance claim?
Its best to file a claim as soon as possible. However, insurance companies use timely filing. Timely filing is a time limit to submit a claim, determined by the insurance company, from the date of service. This time period can range from 90 days post service to 18 months. Insurance companies are not required to pay on a claim that is submitted post their respected limit. If this happens, the office usually will write off a larger portion of the fee than would normally be required if the claim was filed on time.
What are dental codes called?
Dental codes are formally known as the CDT Code. This code is an array of procedural codes for dental services. These codes describes in shorthand what occurred at the appointment and is primarily used for claim submission to dental insurance companies.
Why do dental claims get denied or rejected?
A claim is denied when it is regarded as ineligible for payment. The reasons could vary from restrictions on the contract, to not enough information. The good news is the insurance company usually lists the reason on the associated payment notice or EOB. If appropriate, these claims can be appealed
A claim is rejected when it has not been processed completely due to a mismatch of information between the claim and the patient information the insurance company has on file. These can be fixed and resubmitted.
How long does it take to receive payment from dental insurance?
Ideally payment should be received within two weeks of claim submission, especially if a dentist is an in network provider. If not, then the range is two to four weeks.
However, it is common for claims to go much longer without being paid due to a small (and often unspoken) problem. This is why it is important to have someone, like Southtowne Technologies, frequently calling and addressing these claims.