Invisalign costs, or dental implant costs getting you down? Try an insurance claim approval letter.

Invisalign, implant, or other dental costs getting you down? “My insurance doesn’t cover that?” Here at Greater Boston Dental in Watertown, Massachusetts, 02472, we are proud of the fact that every insurance denial is reviewed by a doctor, with the majority of denials reversed and approved.

A little known and much underused tactic in dental practice is the insurance claim approval letter. It’s an extra step in dental office management, requiring a doctor’s time, but its a powerful tool for insurance company approval of any dental work.  Here is how it works:

Any dental insurance carrier gets hundreds of thousands of claims, none of which are initially reviewed by a human. The carrier’s software program checks for any condition in the patient’s entire lifetime dental history to deny the claim.  When it finds one  – and it does – the claim is rejected, with limited explanation, typically a vague 3 number denial code. The patient pays the full cost out of pocket.

Most claims have an excellent chance of insurance coverage, it only takes an office willing to wade through the mess of denial codes and insurance company idiosyncrasies and write letters with proper clinical terms and x-rays. These are amazingly effective. Rather than reply to the claim, the insurance company just pays it.

Dental care is expensive – we understand. Balancing high quality care with costs is part of our philosophy, which is why we also offer 0% financing for any insurance work over $1000. Please feel free to schedule a complimentary consultation and cost estimate for any work you are considering.

Comments are closed.