Dental insurance verification is an important step for any dental practice. Making sure your patients’ insurance details are correct and up-to-date can have a big impact on your revenue. At Enfinity, we understand how important it is to have accurate dental insurance verification, and we offer services to make this process easier for your practice.
Simplify Your Dental Insurance and Eligibility Verifications
With our dental insurance verification services, you won’t have to worry about missing or wrong information. Our team uses dental insurance verification software to make sure eligibility and benefits are confirmed before any treatment is given. This saves time, reduces claim rejections, and lets your team focus on giving great care to your patients.
We make sure all the required insurance details are verified correctly, so you can go ahead with treatments, knowing your claims will be processed without problems. Whether you have PPO, HMO, or other insurance types, we customize our services to fit your practice’s needs, cutting down on extra work and helping improve your cash flow.
Importance of Dental Insurance Verification
Dental insurance verification is essential for a smooth running dental practice. If insurance eligibility isn’t confirmed, practices might provide services that won’t be paid for. Insurance verification makes sure that claims are processed correctly and prevents surprises when it comes to patient payments. By verifying dental insurance information before treatment, you can avoid delays and create a better experience for both your staff and patients. This helps your practice stay on track and reduces the risk of not getting paid for services provided.
Want to simplify your dental billing? Check out our services and get started today!
What Info is Required to Confirm Dental Insurance and its Verification?
To confirm dental insurance, it’s essential to gather specific information to ensure accuracy and avoid delays in the verification process. Here’s a detailed breakdown of the key data required:
- Patient’s Full Name: The patient’s full legal name as it appears on the insurance card is necessary to match their record with the insurance provider’s database and verify coverage.
- Date of Birth: The patient’s date of birth is crucial for confirming their identity and ensuring that the insurance details belong to the correct individual.
- Insurance ID Number: This unique number, usually found on the insurance card, identifies the patient’s specific policy within the insurance company’s system.
- Group Number (if applicable): If the insurance plan is employer-sponsored or part of a group plan, the group number helps identify the specific plan under which the patient is covered.
- Name of the Insurance Company: The exact name of the dental insurance company provides a direct link to the provider’s system to verify the patient’s coverage.
- Insurance Provider’s Phone Number: This contact information is used to reach out directly to the dental insurance company for clarification or to confirm eligibility and benefits.
- Employer Information (if insurance is employer-sponsored): If the patient’s dental insurance is through their employer, the employer’s name or ID number is necessary to validate the coverage.
- Plan Type (PPO, HMO): Knowing the type of insurance plan PPO, HMO, etc. helps in understanding the coverage rules, network restrictions, and benefits that apply to the patient.
- Effective Date of Coverage: The date when the patient’s dental insurance coverage began is needed to ensure the patient is covered at the time of treatment and for the specified procedures.
- Policyholder’s Information (if different from the patient): If the patient is covered under someone else’s insurance (such as a parent or spouse), the policyholder’s name, relationship to the patient, and their details are required for verification.
- Patient’s Address (sometimes needed for verification): The patient’s address might be needed for certain insurance companies to confirm their details, especially in the case of out-of-network services.
- Treatment/Procedure Codes: If you’re verifying coverage for a specific treatment or procedure, the relevant dental codes (e.g., CDT codes) are needed to check if those procedures are covered under the patient’s plan.
- Referral Information (if required): Some insurance plans may require a referral from a primary care dentist or physician for specific treatments. This information must be verified to ensure the referral process is complete.
By collecting this information in advance, you can ensure that the dental insurance verification process is efficient, accurate, and that the patient’s coverage aligns with the planned treatment. This will help minimize delays and prevent claim denials, ensuring smooth operations for your dental practice.
OPTIMIZING YOUR FRONT DESK BEGINS WITH DENTAL INSURANCE VERIFICATION FROM ENFINITY
Enfinity is an extension of your dental office — not just another company you outsource to. Preserve your profits and keep your patients happy when you invest in dental insurance verification with Enfinity. Recover revenue, maintain patient satisfaction, and excel in patient retention, all while keeping your front desk ahead with the help of our expert dental insurance verification team. With our professional services, we ensure accurate insurance verification, preventing delays and claim rejections, so your team can focus on providing excellent care to your patients.
Growing Your Dental Business with Happy Patients
Word of mouth is very important for growing your dental practice. What your patients say about you can help or hurt your business, which is why they are your best promoters!
At Enfinity, we provide easy Dental Insurance Verification Services to make sure you and your patients always have the latest coverage details. We keep track of policy changes, exclusions, and benefits, so you can spend more time giving the best care to your patients.
How Do You Price Your Verification Services?
At Enfinity, we offer flexible pricing based on the needs of your practice. We understand that every practice is unique, so we provide tailored solutions that fit your requirements and budget. Our dental insurance verification services are designed to offer great value while ensuring that your practice benefits from accurate and timely insurance confirmation.
Enfinity is one of the trusted dental insurance verification companies in USA, ensures that your dental practice runs smoothly by accurately confirming insurance verification details before treatment, helping to avoid claim denials and improve revenue cycle management.
Don’t wait—Contact Enfinity today and make insurance verification easy for your practice!
Dental Insurance Verification Process
Our Proven Verification Process Ensures Accuracy Before Treatment
At Enfinity, we have developed a comprehensive and reliable dental insurance verification process that ensures all insurance details are correct before any treatment begins. Here’s a detailed breakdown of how our process works:
- Review Patient Schedules: We begin by carefully reviewing the upcoming patient schedules to prioritize verifications based on appointment dates. This allows us to stay ahead of any potential issues and make sure insurance details are confirmed in a timely manner. By organizing the schedule, we can ensure the necessary verification tasks are completed for each patient before their appointment.
- Check Eligibility and Verify (Online & Calls): Using a combination of advanced online tools and live phone calls, we verify each patient’s insurance eligibility and benefits. First, we check the insurance company’s online portal to confirm the patient’s coverage details. If needed, we follow up with live calls to ensure the information is accurate and up-to-date. This dual approach ensures thorough verification and prevents errors that could lead to claim denials.
- Update Coverage Tables: After verifying the patient’s insurance information, we ensure that all relevant coverage details are updated in your system. This includes making any changes to benefits, exclusions, and policy limits. By keeping your coverage tables current, we help avoid issues at the time of billing and ensure that your practice is always working with the most accurate insurance information available.
- Quality Control Reporting: We believe in maintaining transparency and keeping you informed. That’s why we provide regular quality control reports on the status of all verifications. These reports outline the progress of each patient’s insurance verification, ensuring that no details are missed. If any issues arise during the verification process, the report will highlight them, allowing your team to address them quickly and avoid delays in treatment or billing.
This detailed process minimizes claim denials and ensures that your patients’ benefits are accurately reflected, leading to smoother operations, fewer billing errors, and improved revenue cycle management for your practice.
Facing claim denials? Learn how to avoid these claim denials—read our guide now!
Choosing Enfinity Dental Billing for Insurance Verification
When you choose Enfinity for dental insurance verification companies in USA, you’re partnering with experts who have 16 years of experience. We use advanced Dental insurance verification software and a skilled team to ensure smooth operations for your practice. Our customer focused approach allows us to work around your schedule, making the process as seamless as possible.
- No start-up fees or long-term contracts
- Compatible with Open Dental, Dentrix, Dentrix Ascend, Eaglesoft, and more
- Stay 3-5 days ahead of schedule
- Use your existing verification form or create a customized one
- Backup calls for hard-to-reach eligibility details
Ready to Simplify Your Dental Insurance Verification?
Dental insurance verification is essential for keeping your dental practice running smoothly. At Enfinity, we make the process easy and efficient, ensuring that all insurance details are accurate before treatment starts. Our expert team uses advanced dental insurance verification software to verify eligibility and update your records, reducing claim denials and saving your team valuable time. With no start-up fees, flexible pricing, and support for your existing dental software, Enfinity offers a hassle free way to streamline your insurance verification process. Contact us today for a free consultation and let us help improve your practice’s revenue and patient satisfaction.
Frequently Asked Questions (FAQs)
What Dental Software Are You Familiar With?
Enfinity are familiar with a wide range of dental software, including popular platforms like Kareo, Dentrix, Open Dental, Curve Dental, Practice Fusion, eClinicalWorks, Carestream Dental, Abeldent, SoftDent and more. We can seamlessly integrate with your existing systems
Can You Use Our Verification Forms?
Yes, we can work with any verification forms you provide. Our team is flexible and adapts to your existing workflow
How Do We Know That You Are Experienced in Our Specialty?
Enfinity has been providing dental billing and insurance verification services for 16 years, and we specialize in multiple areas of dentistry, including periodontics, pediatric dentistry, and more. Our team is well versed in all aspects of dental billing and insurance verification
What Does Your Support Look Like?
Our support is personalized, with dedicated communication channels to ensure any issues are addressed promptly. You can always count on us to provide clear and effective solutions.
Do You Have Any Restrictions on Dental Insurance Coverage Information You Capture?
We capture all necessary insurance details, including coverage limits, co-pays, and deductibles. We work within HIPAA guidelines to ensure privacy and security
Are You HIPAA Compliant?
Yes, Enfinity follows all HIPAA regulations to ensure the confidentiality and security of patient data
Why Is It Important to Verify a Patient’s Dental Insurance?
Verifying dental insurance is critical to avoid costly claim denials, delays, or unexpected out-of-pocket costs for patients. It helps ensure that your practice gets paid in full and on time.
Do You Provide Coverage in All US States?
Yes, we provide dental insurance verification services across all US states, so no matter where you are located, we can assist you
What Is the Process of Insurance Verification?
Our process involves verifying eligibility and benefits through both online tools and direct communication with insurance companies. We ensure that your patient’s coverage is valid and up-to-date before treatment begins.
Where Are You Located?
Enfinity is located in New Jersey, but we serve dental practices nationwide.