|Posted on October 8, 2015 at 6:55 PM|
Q: Why do dental insurances "lose" claims we mail them? What can be done?
A: We believe that it is the insurances tactic to delay payment. They hope noone calls to ask about the claim and with enough time it's too late for the claim to be paid on. Every insurance has a term that if the claim is submitted pass this time frame, for instance 6 months of date of service, the claim is an expired claim and they will deny it based on the time frame. Offices that have high unresolved claims lose a lot of money here because they can not keep up with the resubmission of corrected claims within this active time period. Here are 5 tips
1. Contract an e-claim service. This way you have a digital record of claim submission
2. Check claim status especially for high amount claims online. Most insurances have availibility to access claim status online this avoids time spent on the phone. Once you find out the claim status you can place calls on the claims that do not show up as received
3. Send claims certified. Believe it or not some insurances still do not accept electronic claims.
4. Have a contact person in each insurance company. Try to befriend the same person, get their extension so you can call direct. Very often they can push a claim through or you can fax over to them a claim that was not received.
5. Have a systematic insurance call day or days. Do not let things pile up outstanding unresolved claims need to be worked on regularly