In this episode, Ben Tuinei and Tessina Bullock tackle the challenges dental practices face with insurance denials, focusing on retreat root canal procedures. Tessina shares actionable strategies, including the importance of understanding exclusions and limitations in insurance contracts, leveraging the insurance commissioner for persistent denials, and the pros and cons of pre-authorizations. They discuss the long-term benefits of reducing abuse from insurance carriers and improving practice efficiency. Tessina also offers her expertise in navigating insurance issues.
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Time stamps
- 00:02:49 – What’s the first step to take to explore an appeal process?
- 00:04:40 – What questions should you ask to find benefit information?
- 00:07:52 – Should you pre-authorize treatments consistently denied by insurers?
- 00:15:09 – How long does it take the insurance commissioner to do their review?
- 00:16:55 – Does involving the insurance commissioner reduce denials for your practice?
- 00:20:05 – Who to contact if you have any questions regarding this?
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