Patient & Plan Verifications

 

We provide comprehensive patient/plan verifications for general, pedo, perio, and endo clients (ortho and oral surgery quoted separately).  Verifications include group name & number,  comprehensive carrier administrative data, group number, relevant fee schedule, out-of-network payment guidelines when appropriate, missing tooth clause, waiting periods, ortho coverage and payment info (general & pedo only), maximums, deductibles, category percentages, service code percentage exceptions, downgrades, frequencies, processing guidelines, age limits, service code sharing info, coverage for Pan+BWX on same day, relevant patient history, patient effective date, remaining benefits and unique plan notes.

Schedule Eligibility

 

Schedule Eligibility services provide critical information about insurance for returning patients, with daily notifications one week out on your schedule.  Level 1 identifies patients who are no longer active with the plan you have on file.  Level 3 additionally provides eligibility for schedule services and remaining benefits.

Dental Billing (Insurance RCM)

Dental Office Support’s dental billing services provide strong consistency, high-level expertise and daily, focused attention to maximize collections and Revenue Cycle Management health in your practice.  Your practice makes appropriate notes, collects required films, etc. at the time of service and batches claims with the appropriate services and provider.  Once you batch the claim, we make required attachments, follow up clearinghouse rejections, post insurance reimbursements, follow up delayed or denied claims, report posting/account activity daily, report outstanding claim totals weekly, annotates patient ledgers appropriately, stores EOBs for easy retrieval and provides billing management and customer service from right here in the Carolinas.

Starting 3.40% on the first $100,000 posted monthly (minimum monthly dental billing invoice:  $1,025).  Perio practices quoted separately.  Appropriate volume discounts offered.  

Other Fees

1.  One-time Initial Setup fee, only $199 (compare to setup fees of up to $1,000 for similar services across the industry)
2.  Monthly Retainer Fee, $99 per month – Service fees for either Verifications or Schedule Eligibility services satisfy the $99 Monthly Retainer Fee requirement.  Billing/RCM as a stand alone service incurs the separate $99 Monthly Retainer Fee which provides desktop app/dashboard access to all account, verification, RCM, customer service and more.  Additionally the app provides free lookup of limited plan data and full plan data at a 75% discount for more than 35,000 verified plans in our nationwide database.  
3.  Rush and Urgent surcharges are well below industry standards.

Request a Proposal

 

To receive a proposal with pricing, terms and conditions, please fill out and submit the information below.  No commitment, financial or otherwise, will be incurred until such time that you may sign a proposed agreement we send your way.  We will promptly be back in touch during business hours.  If you need to call, please reach out to us on 803.392.0525.

Patient / Plan Verifications
Schedule Eligibility
Dental Billing (Insurance Revenue Cycle Management, RCM)