Claim Submission
Sending accurate and complete claims to the appropriate insurance companies for payment.
Dental Billing Services
Payment Posting/Collections
Recording payments received from insurance companies and patients in the correct accounts.
Insurance Billing
The process of submitting claims for dental services to insurance companies to receive payment.
Accounts Receivable A/R Follow-up
Investigating and appealing denied or underpaid claims. Work on current claims every week to prevent them from becoming old A/R.
Treatment Documentation & Coding
Accurately recording all dental services and materials used, then assigning the correct Current Dental Terminology (CDT) codes to each procedure.
Patient Billing
Creating and sending bills to patients for their portion of the cost, including co-pays and deductibles.
Add-On / Micro-Services
Patient Eligibility
Confirming and verifying patient demographic information and insurance details. Visit limits and prior authorization requirements.
Insurance Verification
Insurance verification confirms coverage is valid and active, and reviews deductibles, copays, coinsurance, and other requirements.
Provider Credentialing
Verifying a provider's qualifications, including education, training, licenses, and certifications. Includes CAQH setup, Medicare/Medicaid enrollment, and commercial payer credentialing.
Payer Enrollment (EDI/ERA/EFT)
Registering a verified provider with insurance networks, including Medicare, Medicaid, and commercial plans, and setting up EDI, ERA/EFT, and clearinghouse connections.
Accounts Receivable A/R Cleanup & Old Claims Recovery
Recover unpaid claims, correct errors, resubmit, and appeal. Reduce aging A/R and improve cash flow.
Patient Collection Letters
Provide patient collection letters when needed by an office practice.
Patient Statement Letters
Mailing patients' billing statement letters when needed by an office practice.
Appointment Reminder Cards
Mailing patients' appointment reminder cards when needed by an office practice.
Bookkeeping
Track money, organize financial records, and manage accounts for businesses.