Our Services

Dental Claim Submission Services

At ExpertsRCM, we understand that efficient dental claim submission is critical to the financial health of your practice. A timely, accurate claim submission process ensures you get reimbursed for the services you provide, while minimizing claim denials, rejections, and delays. Our Dental Claim Submission Services are designed to help you optimize this vital part of your revenue cycle management, so your practice can stay focused on providing excellent care while we handle the complexities of dental insurance claims.

Why Dental Claim Submission is Important

Dental claim submission is the process of sending detailed information about the services you provided to insurance companies for reimbursement. Submitting accurate claims is essential for ensuring you receive timely payments for the care you provide, but it can also be a complex and time-consuming task. The wrong coding, incomplete information, or failure to follow payer-specific guidelines can lead to claim denials or rejections, delaying payment and creating unnecessary work for your staff.

Our dental claim submission services ensure that your claims are submitted correctly, promptly, and in compliance with all payer-specific requirements, improving your cash flow and reducing administrative burdens.

Our Dental Claim Submission Services

We offer a comprehensive suite of dental claim submission services to streamline your billing process, reduce denials, and increase the speed at which you receive payment. Here's a breakdown of the services we provide:

• Accurate Claim Coding & Documentation

  We ensure that each dental claim is submitted with the correct codes and detailed documentation. Dental billing relies heavily on accurate coding, which includes:

  • CDT codes (for dental-specific services)

  Our expert team is highly skilled in dental coding and familiar with the nuances of different insurance providers' requirements. We ensure that each claim is properly documented, minimizing the risk of denials due to incorrect coding or incomplete information.

• Electronic Claim Submission

  We leverage electronic claim submission (E-claim) to submit claims directly to insurance companies through secure digital channels. E-claims are faster, more efficient, and less prone to human error compared to paper submissions. By submitting electronically, we can:

  • Speed up the process of claim submission and payment
  • Track the status of claims in real-time
  • Receive immediate confirmation of claim receipt
  • Minimize paperwork and reduce administrative costs

• Insurance Payer Verification

  Before submitting any claims, we verify patient insurance eligibility and coverage to ensure there are no discrepancies between what the patient is eligible for and what was actually provided. This step helps us avoid rejected claims and ensures that your practice only submits claims for covered services.

• Timely Submission

  We understand that timely submission is key to getting paid quickly. Our team is diligent about submitting claims promptly, often within 24-48 hours of treatment. This minimizes delays and ensures that your practice’s cash flow stays on track. Additionally, we keep track of submission deadlines for each payer and follow payer-specific timelines to ensure your claims are never late.

• Claim Tracking & Follow-Up

  After submission, we monitor the status of every claim to ensure it’s processed in a timely manner. If a claim is rejected or denied, we proactively follow up with the payer to resolve any issues. Our team handles all communication with the insurance company, including:

  • Clarifying coding or documentation discrepancies
  • Submitting additional information or corrections
  • Resubmitting claims as necessary

• Handling Claim Denials and Rejections

  Even with the best submission practices, claims can sometimes be denied or rejected. When this happens, we don’t just let the issue sit—we investigate the cause of the denial or rejection, make the necessary corrections, and resubmit the claim. Our team has extensive experience with:

  • Appealing denied claims
  • Addressing coding errors or missing information
  • Communicating directly with insurance providers to resolve disputes

• Comprehensive Reporting and Analytics

  We provide you with detailed reports on the status of your claims, payment trends, and any issues that arise. These reports give you insight into your practice’s financial performance and help you identify areas where claims may be getting stuck or delayed. We provide:

  • Regular status updates on submitted claims
  • Reports on claim denials and resolutions
  • Analytics on payer performance and payment timelines

• Payment Posting & Reconciliation

  Once claims are paid, we handle the posting of payments to your accounts. Our team ensures that payments are accurately applied to patient accounts and reconciles any discrepancies between the insurance payment and your expected reimbursement. This process helps keep your financial records accurate and up-to-date.

Key Benefits of Our Dental Claim Submission Services:

• Improved Cash Flow: With faster, more accurate claims submission, your practice will receive payments more quickly and efficiently, improving your overall cash flow.
• Reduced Denials and Rejections: Our accurate coding and thorough verification processes help minimize claim denials and rejections, ensuring you get paid for the services you provide.
• Time Savings: By outsourcing claim submission and follow-up to us, you can free up your in-house staff to focus on other essential tasks, improving productivity and reducing administrative overhead.
• Enhanced Accuracy: Our team’s expertise in dental coding and payer requirements reduces the likelihood of errors that can lead to claim denials, saving you time and money.
• Faster Payments: By submitting claims electronically and tracking them proactively, we help speed up the entire reimbursement process, ensuring your practice gets paid faster.
• Comprehensive Support: We handle the entire claims process—from submission to payment posting—ensuring that every claim is processed efficiently and accurately.
• Reduced Stress: Dental claim management can be stressful and complex, but with ExpertsRCM handling the process, you can have peace of mind knowing that your claims are in expert hands.

Why Choose ExpertsRCM for Dental Claim Submission?

At ExpertsRCM, we are committed to optimizing your practice’s revenue cycle through accurate, timely, and efficient dental claim submission services. With our team of experienced billing professionals, advanced technology, and a deep understanding of insurance payer requirements, we ensure that your claims are handled with the utmost care and attention to detail.

By outsourcing your dental claim submission to ExpertsRCM, you’ll experience faster reimbursements, reduced administrative overhead, and improved financial performance—all while you focus on providing excellent care to your patients.