ELIGIBILITY & DENTAL INSURANCE VERIFICATION SERVICES

 Welcome to Health Management Solutions Dental Insurance Verification Services! We ensure hassle-free and efficient dental insurance verification for your practice. Save time and streamline your administrative processes with our comprehensive verification services.

Dental Insurance Verification Process in South Florida and across the United States

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At Health Management Solutions, we understand the importance of prompt Dental Insurance Verification service, especially for emergency appointments. Our experienced subcontractors are dedicated to verifying dental insurance benefits on the same day or for emergency cases. To initiate the emergency verification process, simply send us the insurance verification requests via email to our group’s email address. Please allow us up to 2 hours to complete the “Same Day Verification”, as we may experience holding times while communicating with dental insurance companies. Some “Dental Insurance Companies” may also require fax verification, which may result in additional processing time. Rest assured, we will promptly inform you of any delays caused by these factors. Once the verification is completed, we will share the status with your dental practice via email.

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To ensure smooth operations and preparedness for the next day’s appointments, Health Management Solutions offers “Next Day Verification” services. Our subcontractors will generate a comprehensive verification report for all the appointments scheduled for the following day. We extract the necessary information from your “Dental Practice Management Software (PMS)” and perform the “Dental Insurance Verification Services” on the same day. By the end of the business day, we will provide you with a spreadsheet report via email, eliminating the need for additional communication.

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Planning ahead is essential for effective dental practice management. HMS facilitates “Future Verification” services, allowing you to prepare treatment plans and address any potential issues well in advance. Our subcontractors will retrieve appointments for future dates (up to the next 5 working days) and verify them using our trusted “Dental Insurance Verification” process. You will receive detailed reports two days prior to each appointment, giving you ample time to communicate with patients and make necessary arrangements. Whether it’s incomplete laboratory cases, back-ordered dental materials, inactive “Dental Benefit Plans”, or the need for additional patient information, our future verification reports will help you to handle these situations proactively.

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H2: Plan Creation or Evaluation (Group “Dental Benefit Plans” administration in the PMS) Paragraph: At Health Management Solutions, we understand the importance of maintaining accurate and up-to-date “Dental Benefit Plans”. Our subcontractors take responsibility for creating new employers’ or group plans based on the dental benefits obtained from “Dental Insurance Companies”. If the plan is already available in your “Dental Practice Management Software (PMS)”, we will update it as per your instructions. Our goal is to ensure seamless integration and proper administration of dental benefits for efficient practice management.

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 We provide “Dental Insurance Eligibility Verification” using customized breakdown forms tailored to your specific needs. Depending on the type of policy and patient, we offer different forms to simplify the “Dental Insurance Verification” process:

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To ensure accurate and reliable “Dental Insurance Eligibility Verification”, we utilize various sources: Verification over the phone: Our experienced subcontractors communicate directly with “Dental Insurance Companies” to gather the necessary information. Verification from insurance website: With your provided credentials, we access insurance websites to extract accurate Dental Benefit Plans details. Verification from(the dental practice will provide the Website credentials), Verification from fax received from insurance Verification from the insurance IVRU (Interactive Voice Response Unit). 

Accurate and Timely “Dental Insurance Verification” for Seamless Dental Services in South Florida, United States

REPORTING STRUCTURE

  1. EMERGENCY or Same Day Verification:: The status will be shared with the dental practice instantly. If the “Family File” has not been created, our subcontractors will create the plan on a “test account” in the PMS and they will share the same with the dental practice. Once this has been created, the dental practice will have the instant plan to attach to the respective patient’s “Family File.”
    If the “Document Center” or the “Case Note” (the module in PMS where the patient’s breakdown is posted) is not available, the breakdown will be shared via email with the dental practice. Once the same is created, the dental practice will be able to post the instant breakdown to the module.
  2. NEXT DAY VERIFICATION: The status will be shared with the dental practice at the end of the day, for all the appointments of the following day. For example:
    On Monday: The report of Tuesday will be shared at the end of the day.
    On Tuesday: The report of Wednesday will be shared at the end of the day.
    On Wednesday: The report of Thursday will be shared at the end of the day.
    On Thursday: The report of Friday will be shared at the end of the day.
    On Friday: The report of Monday will be shared at the end of the day. 
  3. Future Verification: The status will be shared with the dental practice at the end of the day, for all the appointments of the +2 days. For example:
    On Monday: The report for Wednesday will be shared at the end of the day.
    On Tuesday: The report for Thursday will be shared at the end of the day.
    On Wednesday: The report for Friday will be shared at the end of the day.
    On Thursday: The report for Monday will be shared at the end of the day.
    On Friday: The report for Tuesday will be shared at the end of the day.

Get Started Today with Health Management Solutions‘ Comprehensive Dental Insurance Verification Services

 

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