Bundled Service Plans
- Tier 1-E-claims and claims management $2,000
- Tier 2- E-claims, claims management, EOB entry, patient balances $3,900
- Tier 3-E-claims, claims management, EOB entry, patient balances, and benefits verification $5,300
Additional Information about our Dental Billing Services
1. Comprehensive Dental Billing, Insurance & Practice Optimization Solutions
At Dental Claims Consulting (DCC), we partner with dental practices to improve operational efficiency, streamline billing systems, increase collections, and strengthen overall practice performance — all while working seamlessly within your existing team structure.
2. Practice Efficiency & Operational Optimization
DCC evaluates your current office systems, workflows, and staffing utilization to identify opportunities for increased efficiency and productivity. Our goal is not to reduce staffing, but to maximize the effectiveness of your existing team.
For example, we may recommend reallocating team responsibilities to support accelerated hygiene scheduling systems, helping increase hygiene production and creating additional treatment opportunities and revenue growth.
3. Insurance & Accounts Receivable Performance Goals
Our objective is to help practices achieve and maintain:
- No more than $3,000–$5,000 in unresolved insurance claims over 30 days
- No more than $1,500 in patient balances per $80,000 of monthly production
Our systems are designed to help offices reach these benchmarks within approximately six months.
4. Flexible Month-to-Month Service Agreements
All DCC agreements operate on a month-to-month basis and may be canceled by either party with 30 days written notice.
Payments are due monthly on the contract anniversary date and may be conveniently processed through automatic credit card billing authorization.
5. Seamless Integration With Your Existing Office
DCC works behind the scenes as an extension of your practice without disrupting your daily operations.
Our involvement is limited to billing, accounts management, insurance processing, and related administrative functions. Clinical coding and procedure posting remain the responsibility of the provider and office team. Once procedures are posted, DCC manages the billing and insurance processing workflow.
6. Digital Office Requirements & Technology Consulting
To maximize efficiency and claim success, DCC primarily works with practices utilizing:
- Digital practice management software
- Electronic billing systems
- Digital radiography
- Digital intraoral photography for e-claims documentation
For non-digital practices, DCC can assist with technology transition planning and implementation oversight.
We also provide complimentary technology evaluations and recommendations to improve office efficiency, reduce operating costs, and modernize communication systems.
Examples may include:
- Transitioning to Voice-over-IP phone systems
- Improving call tracking and reporting
- Enhancing workflow automation
- Upgrading practice management integrations
These improvements help both your office and DCC operate more effectively.
7. Customized Levels of Support
Every office has different needs. DCC services may include:
- Assisting offices that have fallen behind on insurance claims and patient balances
- Supporting and training existing billing teams
- Acting as a fully outsourced dental billing department
- Providing consulting and workflow optimization
Our services are fully customizable to your practice goals.
8. Dental Billing Phone Support Service
Our Dental Billing Phone Support Service provides your team with direct access to experienced billing specialists for:
- Insurance and billing questions
- Account setup assistance
- Claim troubleshooting
- Insurance processing guidance
- Resolution strategies for difficult claims
The service also includes up to 10 insurance phone calls performed on your behalf each month.
For unresolved claims, your office may provide DCC with a claim list and our specialists will:
- Contact insurance carriers
- Research claim status
- Identify issues and delays
- Provide a detailed status report
Common issues identified include:
- Missing claims
- Incorrect demographics
- Coding discrepancies
- Insurance setup errors
- Coordination of benefits issues
This service allows your team to focus on patient care while reducing time spent on lengthy insurance calls.
9. Benefits Verification Service Information:
DCC provides comprehensive insurance benefits verification services designed to improve accuracy and reduce claim delays.
Our Verification Process Includes:
Active Coverage Verification
We verify active insurance coverage for hygiene patients prior to appointments using:
- Electronic eligibility systems
- Insurance phone verification when necessary
Detailed Benefits Breakdown
For:
- New patients
- New insurance plans
- Certain emergency visits
- Existing patients with updated coverage
Our specialists obtain and document detailed benefit information including:
- Frequencies
- Limitations
- Exclusions
- Code-specific coverage
- Waiting periods
- Maximums and remaining balances
Practices may use either:
- DCC’s customized verification forms
- Their own office-specific verification sheets
Timing & Workflow
- Verification begins approximately 3 business days prior to appointments
- Same-day verification is available with approximately a 20-minute turnaround time
Included Services
The monthly base service includes:
- 50 benefit verification sheets per month
Additional verifications:
- $10 per verification sheet above the included amount
- Specialty offices or extensive medical/dental breakdowns: $15 per verification
DCC specialists also:
- Update insurance information within your software
- Set up new insurance plans
- Scan verification sheets into patient digital charts
To maximize efficiency, a secondary dedicated workstation is recommended.
10. Aging patient balances management:
Aging Patient Balance Management & Collections
DCC has developed an effective in-house patient balance management system focused on early intervention and timely collections.
Our Process Includes:
- Immediate statement generation after insurance claim completion
- Collection activity beginning at 30-day aging
- Two patient statements
- Overdue notification letters
- Final demand letters
All communications request responses within 10 days and are sent approximately 3 weeks apart.
This structured and consistent process prepares accounts for collection placement within approximately 90 days if unresolved.
When necessary, accounts may be referred to Results! Dental Collection Agency for additional recovery efforts.
Depending on the office financial agreement, collection or litigation fees may also be recoverable from the patient.
Our goal is to help practices recover outstanding balances quickly — ideally within 60 days — while maintaining professionalism and patient communication standards.