Denial Management
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Denial Management Service Overview
At VerifyBite, we understand that dealing with claim denials can be a frustrating and time-consuming process for practices. That’s why we offer comprehensive Denial Management and Appeals services to help you overcome claim denials and recover rightful reimbursement for your services. Our approach is designed to be proactive, efficient, and effective, ensuring that you receive the maximum reimbursement for the care you provide.
Denial Management
Our Denial Management process begins with a thorough analysis of denied claims. Our team of experts investigates the root causes of denials, identifying patterns and trends to address any systemic issues. We categorize denials to streamline the resolution process, allowing us to prioritize and tackle high-impact denials first.
Maximizing Reimbursement
Our goal is to maximize reimbursement for your dental practice. By effectively managing denials and appealing unjust claim denials, we strive to recover the revenue that rightfully belongs to your practice.
Benefits of Our Denial Management and Appeals Service
Transparency and Reporting
Throughout the Denial Management and Appeals process, we provide transparent reporting and analytics, giving you valuable insights into the status of denied claims, appeal success rates, and financial recovery.
Resubmission Management
In cases where claim denials can be resolved through resubmission with additional information, we work closely with your dental practice to gather the necessary details and ensure a successful resubmission.
Appeals Process
Upon identifying claim denials, our team initiates the appeals process promptly. We prepare well-structured appeals with supporting documentation and appropriate explanations to present a strong case to insurance companies.
Following Up on Appeals
We meticulously track each appeal’s progress and follow up with insurance companies to expedite the resolution. Our persistent approach ensures that appeals are not overlooked and are given the attention they deserve.
Frequently Asked Question
Unfortunately this is still a human to human process and humans make mistakes. While we obtain a lot of information electronically, we still need to speak to a live agent. We have often found that there are significant discrepancies between the information we receive through software (APIs), insurance portals, and speaking to a live agent. While the Verifybite team does it's best to unify this accurately, the system inherently is far from perfect. It is near impossible to guarantee 100% accuracy and we definitely hope that one day we will get there
Unfortunately such a world doesn't exist. Different insurance carriers provide different quantity and quality of data. We fetch the data through multiple different sources and provide to you in a standardized format. What's more, the data and the information is integrated with the 3 most common practice management softwares - OpenDental, EagleSoft, and Dentrix
Our turnaround time varies. It also depends on how quickly you need it done by. We split any verification requests (tickets) in two categories - 1. Emergency: If it's needed today or next business day 2. Non-emergency: Everything else. Our turn around time for emergency tickets is before and up to the patient's appointment time and for non-emergency tickets, it's latest 24 hours prior to the appointment. NOTE: We recommend that you send us tickets 1-2 weeks in advance as best practice
Monday-Friday: 9am-6pm CST Saturday: Closed Sunday: Closed
