Dental Insurance|Dental Case Acceptance Archives

Offering Better Treatment Options to DMO Patients

james2026-06-16T00:00:00-04:00

Can I offer better treatment options to patients on a DMO plan? Usually yes, and most dentists never check. The complaint about DMOs is always the fee, but the real issue is the contract, and most doctors have never read theirs closely. Pull your provisions. The majority say that as long as you've shown the patient the option the DMO covers, the one where the patient pays nothing, you're then free to present every other out of pocket option at your regular fees. If you can't find that language, write directly to the administrator or president of the DMO and get [...]

Offering Better Treatment Options to DMO Patientsjames2026-06-16T00:00:00-04:00

Does a Selling System Work in an Insurance Practice?

james2026-06-16T00:00:00-04:00

Can a selling system work if my practice is heavy on insurance or HMO plans? Yes, with one honest caveat. This kind of systematic, ethical selling works in every practice model I have seen, from offices that are one hundred percent HMO to ones that are one hundred percent fee-for-service. It simply pays off more for patients who sit outside the insurance system. If you are stuck deep in the insurance model right now, the system still helps you in the short term while you build a longer-term plan to attract more patients who are not boxed in by their plan. [...]

Does a Selling System Work in an Insurance Practice?james2026-06-16T00:00:00-04:00

Why Getting Dental Insurance Claims Paid Got Harder

james2026-06-16T00:00:00-04:00

Is it harder to get dental insurance claims paid than it used to be? Yes, and it is by design. Talk to anyone who has been billing carriers for thirty years and they will tell you the same thing. Every year it is more downgrades, more bundling, more requests for narratives and radiographs, more denials you have to appeal. The carrier is not being lazy. They are running a business, and the way they stay in business is by holding onto more of the premium they collected. Their customer is the employer who wants low rates, not your patient and not [...]

Why Getting Dental Insurance Claims Paid Got Harderjames2026-06-16T00:00:00-04:00