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Dental Verification and Billing Services

Accurate charges are critical for higher first-pass rates of claims. ecare gets it right the first time, every time…

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QuantumQRCM helps to overcome the challenges in Dental verification and billing that most of the Dental Practices face when compared to other Medical billing Practices.

DENTAL VERIFICATION

It is very important to handle Dental verification to ensure patient’s insurance plan covers dental services especially high cost procedures, whether it needs prior authorization to avoid revenue loss for the provider after performing the service.

QuantumQRCM provides summary sheet after verification and it would be very helpful for the front desk staff to collect co-pay/deductible/non covered service upfront even before performing service which will help in reducing Patient AR.

QuantumQRCM provides complete breakdown of benefits for each insurance plan once in start of every year & update the information in PM system and use the same for patients under same employer group which will help you to save time and also reduce cost by just obtaining the eligibility for patient with existing insurance plan.

Other benefits of verification before performing service is, provider can go for budget plan with patient for non-covered procedures.


Dental Coding:


Unlike the usual medical coding process that requires the CPT (Current procedural terminology), Dental coding differs completely and requires CDT (Current Dental terminology) along with its unique set of codes been submitted to the Dental insurances. Dental Coding broadly falls into three categories: Diagnostic, Preventive and Restorative.


QuantumQRCM’s Dental Coding Team understands the nomenclature of each codes and has the required expertise in the clinical side of it. Also, claim submission is done through J400 form which is exclusively for dental claims. With all these differences set from the usual coding process, QuantumQRCM’s Dental Coding team follow certain protocols to make the coding error-free and in getting the claims paid accurately and timely.


Our expertise help in creating customized encounter forms for the dental practices, based on the categories of the dental services performed. This makes documenting part easier for providers so that they can concentrate on treating the patients without missing the needed documentation.