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INSURANCE VERIFICATION FORM
Solutions
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Description
Please read this resource and feel free to ask if your have any questions.
December 19, 2022
Verifying insurance is one of the first major steps in medical billing.
- A – Appointment Date and Rendering Doctor
- please make sure that you have the correct date of service correct
- B – In-network or Out of Network
- we are usually in the network of some major insurance but this still has to be verified
- if you identified that we are out of network, make sure to ask if the patient’s plan have out of network benefits
- if we are out of network and the patient’s plan had no out-of-network benefits, our claim will be denied, unless the procedure is emergency
- C – Patient Information
- you can get this from the patient information form of the dental billing software you use
- make sure that the information is correct, you may check the ID of the patient
- D – Insured Information
- this is the information of the insurance owner
- there are times when the patient is not the owner of the insurance, please take note of this detail
- please cross check the insurance information in the insurance ID and patient information form in the dental billing software
- E – Insurance information
- having the correct insurance information is vital in processing a successful claim
- get the correct claim filing deadline – filing the insurance late would result in a denial
- make sure to also get the details if the patient has a secondary insurance