Products

A man that needs the help of a dental billing service

Dental Billing Service

Your accounts receivable problems will be solved with the nation’s leading dental insurance billing system from the Aegle Group. You will gross and net more revenue.

We offer two services that focuses on accounts receivables; Dental Insurance Billing Service and the Patient Accounts Receivable Management add-on Service.

Our primary goal is to assist your office in collecting all insurance money that is rightfully owed to you. This requires us to be involved in aspects of your insurance claims processing. Our achievable goal is to ensure that your over ninety (90) days insurance account balances are minimal.

Features Of The Dental Dental Billing Service

EOBs Posted Daily

All insurance payments and insurance contract adjustments are posted to the patient ledgers accurately and timely–within 24 business hours after the EOB is scanned by your office. We recommend depositing the checks the next day, ensuring that our daily deposits balance with what is posted daily. Your team of Billing 4 Dental dental insurance billing specialists will communicate daily with your office manager via email to ensure smooth end-of-day balancing.

Review All Denied Claims

All claims are closed out at the appropriate time. If a claim is denied, we will immediately investigate the cause and appeal the claim if it is appealable. This attention to detail ensures that we collect as quickly as possible the outstanding balances that are rightfully yours.

Verify Procedures That Are Not Sent To Insurance

Often we find that insurance claims are not created timely. We help ensure that this oversight is remedied, by daily review of patient schedules and claims.

Claims Submitted Daily

All dental insurance billing claims are sent electronically daily.
We utilize your current electronic claims system. If you are currently sending paper claims, we will assist you in setting up electronic claims at no additional cost to you. Every claim is reviewed before it is sent to an insurance company to ensure that the claim will not be denied over a clerical error.

Electronic Attachments Used When Available

Electronic attachments will be sent for all claims when available. If an insurance company will not accept electronic attachments, we will process a paper attachment through the mail. But we will ask you to reimburse us for the cost of the stamps used. If you are currently not using electronic attachments, we will assist you in setting up the ability to send electronic attachments with your electronic claims at no additional cost to you.

Missing Information Is Gathered By Us

Often patient’s family files are incomplete. This will cause a claim to be denied after thirty (30) days, if not caught before the claim is sent. A typical office will usually have two or three issues like this weekly. Our insurance billing specialists will proactively contact your patients and ask for any missing information–to complete the patient file–to ensure the most prompt payment possible. We will report these errors in your daily email summary to help you better understand how we are solving your insurance collection issues.

Insurance Aging Report Focus

The Insurance Aging Report is analyzed each month and diligently “worked”. You will receive daily summaries that track how many overdue claims were appealed, how much money was collected, and what your current accounts receivable balances are between 30-60 days overdue, 60-90 days overdue, and past 90 days overdue. If there are any outstanding balances that you prefer we do not pursue, please communicate that to us via email to ensure that all patient communication guidelines meet your expectations.

Detailed Accounts Receivables Work Log

All overdue insurance balances that are thirty (30) days old or older are followed up on weekly. Your daily report will include a summary of any accounts receivable followup from that day. A detailed list of who we’ve been working with at the various insurance companies is available upon request. Every two to three weeks, detailed notes gathered by your dental insurance billing specialists are recorded in the claim status or patient guarantor notes in your dental management software.

Daily, Weekly, & Monthly Accountability Reports

Weekly and monthly reports are emailed to your management staff, with a summary of our insurance collection efforts and any issues we have discovered that will slow down our collection efficiency. Examples of these reports can be sent to you upon request.

Summary Of Dental Insurance Billing Service Features

  • All insurance payments & insurance contract adjustments are posted to the patient ledgers accurately & timely
  • All paid claims are closed and denied claims immediately investigated
  • Detailed clinical notes wil be referenced to formulate appeals
  • All procedures not attached to insurance claims will be reviewed
  • All primary & secondary claims are sent daily electronically
  • Electronic attachments are sent for all insurance companies that receive them
  • Correction of missing information in patient family files that can deny a claim
  • The insurance aging report is analyzed and worked
  • Daily (if desired), weekly, and monthly reports are emailed with summaries of all of our collection efforts
  • Our achievable goal is to ensure that your over 90 days insurance account balances are zero

Our Dental Insurance Billing Service Fees

There is a fixed price for this service with a variable cost increase for collection letters or statements which require postage and handling. The fix base price is based on your total office collections for the month. The more you are collecting, the larger the office and the greater the work load. All services above are included with each of these tiered price levels. The following schedule applies:

Small Sized Dental Office

If the office’s insurance collections are under $35k/month. The fee for this service described above is

$1250 / month

Medium Sized Dental Office

If the office’s insurance collections are between $35k/month and $100k/month. The fee for this service is 3.5% of the total insurance collections

3.5% / month

Large Sized Dental Office

When the office’s total collections are between $100-150k/month, the first $100k is invoiced at 3.5%, the amount over $100k is invoiced at

3% / month

Enterprise Sized Dental Office

When the office’s total collections are over $150k/month, the first $100k is invoiced at 3.5%, the amount from $100-150k is invoiced at 3%, and the amount over $150k is invoiced at

2.5% / month

Patient Accounts Receivable Management add-on Service

Our primary goal is to help your staff collect at the time of service. We will actively pursue all patient balances and contact the patient multiple times with requests for prompt payment.However, It can take anywhere from six (6) months to a year, depending on the size and scope of your patient accounts receivable issues before they are in line with industry standards. We are not a collection agency.

All Features of the Patient Accounts Receivable Management add-on Service

Patient Ledger Audits

By request, we can audit a patient ledger for accuracy. Often we find that errors have occurred in previous EOB posting, which cause inaccuracies in your patient balances. There is a cost for this service. Patient ledgers are reviewed for origin of balance and we research transactions up to two years prior.

Custom Letters Requesting Payment

Patients that have outstanding balances–that you have deemed to be accurate–will receive three customized letters from us demanding payment. The purpose is to prompt the patient to call your office for clarification and make payment arrangements for their patient accounts receivable balances with you. All patient correspondence is available for client review.

Patient Phone Calls

Patients with outstanding balances that have ignored statements will receive a series of three phone calls along with the customized letters. The goal is to alert the patient of the issue and contact the office to pay their balance.

Clean Bad Debt From Aging Report

When an account is deemed noncollectable, the office is advised, and the patient accounts receivable balance is then transferred to a collection agency–if desired by the office. We either write off the account or facilitate the collection agency transfer based on your office’s desires. Regardless of the outcome, we actively manage all of your collectible receivables to ensure accurate accounts receivable reporting.

Electronic Statements

Statements are sent electronically through your management software on a weekly or monthly basis, according to your preference.

Daily & Weekly Accountability Reports

Daily emails and weekly summaries are sent to the doctor that describe who we have contacted, how many letters have been sent, how many phone calls were made, how much money has been collected, current patient accounts receivable balances, and who left the office without paying any of their portion. This information will help your office manager better manage the front desk staff, thus improving patient portion collections at the time of service.

Our Patient Accounts Receivable Management add-on Service Fees

There is a fixed price for this service with a variable cost increase for collection letters or statements which require postage and handling. The fix base price is based on your total office collections for the month. The more you are collecting, the larger the office and the greater the work load. All services above are included with each of these tiered price levels. The following schedule applies:

Small

sized dental office

If the office’s total collections are under $40k/month

The base price is

$500 / month

Medium

sized dental office

If the office’s total collections are between $40k and $100k/month

The base price is

$750 / month

Large

sized dental office

If the office’s total insurance collections are between $100,000 and $150,000/month the progressive tier fee is

$1050 / month

Enterprise

sized dental office

If the office’s total insurance collections are over $150,000/month the progressive tier fee is

$1400 / month

*Please contact us for pricing if your office is collecting over $200,000/month.