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# Dental Insurance Breakdown of Benefits to Maximize Reimbursements

According to an estimate, a whopping 60-70% of claims are denied owing to inefficient dental insurance breakdown of benefits or (BOB). This makes the breakdown of dental benefits a crucial part of revenue cycle management. It demands precision and accuracy.

Even a small error can lead to denied claims, affecting the revenue collection for your practice. Don’t hit the panic button so early. Help is at hand in the form of Apex Dental RCM’s dental insurance verification services aimed to enhance your revenue collection.

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## Significance of Dental Insurance Eligibility Check

A dental insurance eligibility check is a crucial part of revenue cycle management as it breaks down the patient’s eligibility for dental procedures. This printable electronic document, provided by the insurer to the patient, provides dental practices with a clear picture of the percentage covered by the insurance and how much the patients will pay from their pocket.

It mitigates risks and tells the dental practices how much a patient owes. Patients can predict the out-of-pocket maximum and, based on it, decide whether or not to take the dental service. Both parties must understand the intricacies and information involved in the breakdown of dental benefits document, i.e., dental fees, co-pays, insurance portion, deductibles, and procedures that aren’t covered in the plan.

## Why Accurate Insurance Breakdown Matters?

At Apex Dental RCM, we guarantee accurate, swift, and on-time breakdown of dental benefits. This way, we relieve you and your staff of laborious tasks and allow you to plan the treatment and billing structure by eliminating insurance coverage complexities.

We’ve designed our dental revenue breakdown for practices to:

- Reduce administrative burden – so that you can focus on delivering quality care
- Eliminate billing mistakes – by providing correct payout calculations
- Lower Claim denials – accuracy and precision means no or fewer denials
- Speed Up Reimbursements – accelerated payments mean financial stability
- Enhance Patient Satisfaction – they get a clear picture of out-of-pocket costs

## Trustworthy Dental Revenue Breakdown for Dental Practices of All Sizes

As a leading eligibility verification services provider in the US, our experts ensure that you’re reimbursed completely and timely for quality services delivered. Our team of eligibility verification specialists works hard to maximize accuracy and a smooth workflow for your practice.

Our proactive services eliminate unpleasant surprises for patients and last-minute hiccups for dental practices. We simplify the entire process by avoiding common mistakes in dental insurance verification. Thus, you achieve an enhanced flow of cash and decreased account receivables.

## Why Outsource Dental Insurance Verification to DRG?

- Up-to-date insurance benefits for your patients

- Accurate estimation of insurance and patient portion

- Know patients’ insurance status beforehand

Dental insurance breakdown of benefits, also known as insurance verification, is a time-consuming task. You cannot access all essential information online, and it involves long calls to insurance, which can range from 25-40 minutes for a single verification.

Say goodbye to time-consuming phone calls, focus on patient care, and leave the rest to us.

We’ll maximize revenue collection for your practice, minimize AR times, and relieve you of this hectic task. We assure a smooth eligibility verification process that keeps you informed with up-to-date information regarding patients and their coverage.

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## How Apex Dental RCM Manages Insurance Breakdown for Dental Offices?

Here’s our step-by-step guide to dental insurance breakdown for dental practices of all sizes across the US.

01

Our experts thoroughly check insurance coverage details, co-pays, insurance maximums, deductibles, and patient waiting times.

02

Before the treatment begins, we verify the insurance plan details for precise cost estimation. This step ensures error-free billing and transparency.

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To provide you peace of mind, our experts file and track claims to maximize revenue and minimize denials or delays in payments.

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We are one of the few third-party medical billing companies that provides reports to practices, helping them optimize their billing process.

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At ADR, we ease patient communication by providing patients with a detailed breakdown of benefits information.

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We provide dental practices with an all-inclusive dental insurance breakdown form. This helps to maintain clarity and streamline operations.

## Benefits of Dental Revenue Breakdown for Practices and Patients

Reliable and accurate dental insurance verification services benefit patients and practices alike. Here’s a brief snapshot of the benefits for both concerned parties.

### Benefits for Practices

Benefits for Patients

- They know in advance which service is covered and which isn’t
- They’re aware of which services are to be billed and which shouldn’t
- Practice staff can easily explain how much the patient has to pay and which services will be billed
- They experience enhanced and accelerated reimbursements
- Put an end to extended payment posting times through reduced denials and delays

- They’re mentally prepared for out-of-pocket costs
- They can create a payment plan based on full or partial coverage of services
- Patients decide in advance whether to go for the treatment or not
- No more last-minute surprises in bills and enhanced patient satisfaction
- Patients pay the bills on time, which means a steady flow of income for the practice.

Benefits for Practices

### Benefits for Patients

- They know in advance which service is covered and which isn’t
- They’re aware of which services are to be billed and which shouldn’t
- Practice staff can easily explain how much the patient has to pay and which services will be billed
- They experience enhanced and accelerated reimbursements
- No long waiting times for payment posting, reduced denials, and delays

- They’re mentally prepared for out-of-pocket costs
- They can create a payment plan based on full or partial coverage of services
- Patients decide in advance whether to go for the treatment or not
- No more last-minute surprises in bills and enhanced patient satisfaction
- Patients pay the bills on time, which means a steady flow of income for the practice.

## Get Started with the Best Dental Insurance Verification Provider Today

Are you searching for a top dental insurance verification company for your dental practice? Search no more! We at Apex Dental RCM lead the industry owing to our decades of experience, high-quality services, accuracy, short turnaround time, minimized account receivables, and competitive pricing structure. Schedule a consultation to gauge our dental insurance verification services and their associated benefits. We assure you won’t be disappointed!

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