Dental Insurance Verification Services

Dental Insurance Verification Services

Leverage our dental insurance verification services and ensure that your practice gets paid on time and your patients become referral sources

Insurance companies are obligated to honor dental invoices when claim submissions include verified and factual data that meets their claims criteria. But if your office is unaware of the complex regulatory compliances and insurance details exclusive to a dental practice, you may risk facing many unexpected outcomes that include high accounts receivable, low collection, frustrated patients, and a myriad of challenges in reimbursement.

We can mitigate your worries by ensuring that your practice gets paid on time and your patients become referral sources for growing your brand value. Before getting started, we begin analyzing the problem plaguing your front office teams. Since insurance verification is resource-intensive, it is best to outsource dental insurance verification to us rather than keeping your professionals tied up to the drudgery of dental insurance verification.

Dental Insurance Verification Solutions We Offer

With an increase in the number of dental insurance holders, it is taxing for small and mid-sized dental practice firms to keep up with the ever-increasing demand for dental insurance verification. The desperation to pace up only compounds the problem. This is where we come in. We proactively verify the patient benefits, policy coverage, and details to ensure that the information is up-to-the-minute and accurate. We coordinate with insurers to get detailed information and make a side-by-side comparison with the reported values. Once we validate the patient's dental insurance you can present a custom treatment plan along with estimated cost and co-payment options.

Our dental insurance verification solutions include -

  1. Coverage Eligibility Assessment

    Coverage Eligibility Assessment

    Once we receive the patient's details, we use leading software such as MediTouch, Kareo, and MISYS to determine if the patient is eligible for coverage and the extent of it.

  2. Verification with the Insurer

    Verification with the Insurer

    Our team of professionals proactively cross-checks all the information supplied by patients with the insurers. This helps ensure that all the patient's obligations are met before and after the dental treatment.

  3. Patient Follow-up

    Patient Follow-up

    We also follow up with patients to obtain any piece of information that is missing or to meet any obligations required by the insurer or dental practice. We then also provide a cost estimation to the patients.

  4. Final Report Submission

    Final Report Submission

    We generate a final report and use FTP/SFTP servers to transfer the completed for automatic updating into the dental practice's practice management system.

Our Dental Insurance Eligibility Verification Process

Most patients and healthcare practices find it difficult to interpret the obfuscated dental plans that have exclusions, tricky service benefits, as well as perplexingly worded terms and conditions. Dental insurance verification is the cornerstone process to dodge bad patient experience and payment complications. By choosing our dental insurance eligibility verification services, you can leave your worries to us while your front office teams handle other management functions. The steps involved in our dental verification process are as follows -

 

01. Scheduling/ Patient Registration

Using predetermined scheme in patient account management system we create a schedule that will mesh the patient registration with revenue cycle management

 

02. Coverage Assessment

By persistently phoning the insurer we will check if the applicant has merits to qualify for a dental procedure and notify patients on what will be covered and what will not

 

03. Insurance Pre-authorization

We will pre-certify notes, benefits information, and plan details in the account management system to confirm the estimated out of pocket expense to be borne by the patient

 

04. Notifying Policy Exclusion

We will compare the plan coverage with the provider's service and if there are exclusions not covered by the insurance plan it will be flagged and reported to patients before rendering the service

Why Are We The Preferred Dental Insurance Verification Company?

With 20 years of experience, we continue to lead as the frontrunning dental insurance verification company taking the burden away from your front office team. We run comprehensive verification on claims submission against insurer's criteria to check if their patient is qualified for the service and what portion of the service cost will be borne by them. There are more benefits on the way when you outsource dental insurance verification services to experts like us -

  • Certified Dental Insurance Verification Company

    All of our healthcare services are HIPAA compliant and meet the recommended guidelines of the international organization for standardization. We are also ISO 9001:2015 certified.

  • Data Security

    Our data security policy meets the guidelines of the information security management system. For this reason, we have earned ISO/IEC 27001:2022 certification. Ours is an enterprise that you can trust while sending confidential clinical data and other project related files and documents because we employ the best security measures to prevent unauthorized members from handling confidential data.

  • High Accuracy and Quality Service

    We have a team of quality analysts who verify the accuracy of final output format from medical data entry services and its adherence to compliances. It is our goal to make sure that your team can seamlessly utilize our converted digital files to provide efficient patient care.

  • Short Turnaround

    From providing a full benefit information to checking compliances we finish the verification in the shortest time so that your patients will be less frustrated waiting for services to reach them. With a short turnaround, you can also enjoy shorter AR and collections can be sped up with faster and successful dental insurance verification.

  • Scalability

    It is our goal to be prepared for an increase in patient inflow. With more patients being insurance holders, we reduce bottlenecks in the verification process. If you are ready to scale up we are ready to support your practice by pacing up our process rate to maintain an equilibrium in revenue management functions and patient care.

  • Specialized Dental Insurance Verification Experts

    We have a team of 200+ insurance verification experts with specialization in the dental domain. With a broad understanding of the insurance provider's rules and coverage, we can complete verification with precision so you can plan the procedure accordingly.

  • Pocket-friendly Pricing Options

    The dental insurance verification services we offer are custom solutions that will help dental hospitals, individual practitioners, and clinics to get past the hurdles in the insurance process. With flexibly priced services you can choose our service that fits within your budget than relying on ballpark figures provided by other vendors.

  • Single-point Contact

    You can always reach us without time zone constraints through a dedicated representative who will collaborate with dental insurance verification professionals to keep track of the progress. By staying on top of the dynamic insurance ecosystem we limit the risk of non-payment and short pay through our high-insurance verification services.

  • Modern Infrastructure

    Our infrastructure is housed with the latest technology and talents with access to powerful insurance verification tools. With experienced human operators, we verify every reported dataset in documentation to prevent you from being overwhelmed by financial liabilities.

  • Secure Data Exchange

    Sending project-related files and data from your end to ours is safe and easy because have a highly secure FTP and VPN that facilitates data movement without concern.

  • Round-the-clock Availability

    You can experience our friendly support by phone, email, and web chat for successfully understanding and resolving your issues on a real-time basis.

Additional Services You Can Benefit From

Medical Transcription Services

We provide HIPAA-compliant medical transcription solutions and services to healthcare providers worldwide.

Medical Billing Services

If you are looking for accurate and reliable medical billing support for your company, we have got you covered. We provide 100% reliable coding services.

Revenue Cycle Management Services

Our RCM services are provided by seasoned medical experts with a firm grasp of the revenue cycle management function.

Medical Coding Services

Our medical coding services are provided by seasoned healthcare professionals with a firm grasp of the concepts in their field.

Healthcare Claims Adjudication Services

We have significant experience and expertise in handling all types of medical claims. We ensure that all claims are processed and payments received.

EMR Services

We can remotely manage your EMR and EHR records so that they are spotlessly clean and can be relied upon to make informed decisions.

Telehealth Services

If you are looking to partner with a pioneering provider of telehealth services, you are in the right place. We use digital technologies to make healthcare accessible to all.

Medical Animation Services

We have been designing and creating medical animations for over 20 years. Our seasoned animators have created animations of devices and complex concepts.

Client Success Stories

FWS Provided Insurance Eligibility and Verification for Telemedicine Provider

Insurance Eligibility and Verification Services Provided to a Birth Control Telemedicine Provider

We were approached by a telemedicine provider from the US to verify the eligibility of people applying for medical and pharmacy insurance before medications could be dispatched.

Read more
FWS Processed Over 3000 Encounters for a Group of Physicians from Indianapolis

We Processed Over 3000 Encounters Related to Rehabilitation Care for a Group of Physicians from Indianapolis

We processed 3000+ physician encounters for the client. Our expertise in healthcare BPO resulted in the on-time completion of the task leading to a 20% increase in savings.

Read more

Outsource Dental Insurance Verification Services to Us - The Leader in Healthcare Outsourcing

Testimonials

After several days of monitoring encounters, I believe your team has done a great job and we are ready to hand over the task of approving the encounters. I truly appreciate how smooth this process has been. Keep up the great work!

Spokesperson,
Healthcare Service Provider, USA
More Testimonials »

Being a leading ISO certified dental insurance verification company, we have outshined all competitors by a huge margin since the last 20 years of our existence. With a zeal for serving clients with not just a solution to their problems but also a memorable service experience, we have continued to excel in every way by touching more healthcare providers through dental insurance verification services. With global centers across many international locations, we are more capable to end your payment woes.

With our services you can -

  • Speed up the AR process
  • Ensure more accurate dental insurance processing
  • Achieve significant cost-savings

Get in touch with us if you require high-quality dental insurance verification services to optimize patient experience and AR.

Contact Us

Get a FREE QUOTE!

Decide in 24 hours whether outsourcing will work for you.

We respect your privacy. Read our Policy.

Info Email

USA

Flatworld Solutions

116 Village Blvd, Suite 200, Princeton, NJ 08540

PHILIPPINES

Aeon Towers, J.P. Laurel Avenue, Bajada, Davao 8000


KSS Building, Buhangin Road Cor Olive Street, Davao City 8000

Our Customers

  • Movement Mortgage
  • Alcon
  • ARI
  • Maximus
  • Redwood E-Learning Systems

AHIMA Healthcare Convention 2016 Read More