The present dental care space has created doubt about dental insurance verification service -not only among dental care providers but also among their patients.Most patients are completely not aware of how the mechanism of insurance works, as it comes with various price-sharing alternatives They might not even know the difference between copay, deductible, coinsurance, premium, and out-of-the-pocket maximum –all of which function together to offer dental coverage.Patients are suspicious over why their plans come with high co-insurance, despite choosing for a low-price premium plan.
This might be linked to failure to upgrade the medical dossier of the patient at the reception/front-desk or incorrect form-filling during their visit, insurance cover expiry, a missing form of claim, a mismatch between diagnosis and service provided, lack of pre-certification and so on.In this backdrop, it is imperative to confirm the dental insurance verification service very diligently and also make the process of verification highly effective.Why is Dental Insurance Eligibility Verification Crucial?The Dental Insurance Eligibility Verification is the process of confirming the insurance of a patient in terms of:➣ Status of coverage➢ Inactive or active status➣ Status of eligibilityWithout this data, dental care services might be derailed.
Add to this, appointment reminders via phone texts and emails, waiting lists, and canceled appointments rescheduling and your patient scheduling function will be strong.Enrolment of Patient – Patient demographics are the basic data of a dental care facility.
For example, identification – date of birth, address, and name are needed; so are allergies, medical history, and diagnosis; however, patient family doctor, emergency contact, and the insurance provider might be captured elsewhere below particular heads.Verification of Eligibility – The eligibility verification is the most neglected aspect of revenue cycle management.
If the process of verification is easy, most issues such as late payments, rework, reduced patient satisfaction, increased problems, and non-payment can be resolved.Coverage and Benefits Verification: It is crucial to periodically examine the benefits and coverage extended below the patient insurance plan.
For this, a correct record of patient data has to be managed since any changes such as birth, divorce, and marriage can change benefits and coverage.