Eligibility Verification: Subscriber Not Found

Client Profile

ABC Dental Clinic, a mid-sized dental practice, serves over 1,200 patients annually. The clinic’s staff includes four dentists, two dental hygienists, and three administrative professionals responsible for managing the front desk and handling patient inquiries, appointment scheduling, and insurance processing.

The Challenge

As patient numbers grew, the administrative load on the front desk increased significantly. The clinic was struggling to balance the demands of patient interaction with the complex, time-consuming tasks of insurance verification, claims submission, and managing appeals. This resulted in longer wait times for patients, reduced face-to-face interaction, and frequent billing errors, impacting overall patient satisfaction.

The clinic’s goals were to:

  • Enhance front desk efficiency by freeing staff from insurance tasks.
  • Improve patient experience with faster check-ins and more personalized service.
  • Reduce billing errors and streamline claims processes.

The Solution

Our specialized insurance management services were engaged to relieve ABC Dental Clinic’s front desk staff from handling insurance-related tasks. We implemented a comprehensive solution covering:

  • Insurance Verification: Conducting real-time insurance checks to ensure patient eligibility before appointments.
  • Claims Submission: Managing all claims submissions to insurance providers, reducing delays and inaccuracies.
  • Appeals: Handling appeals for denied claims, significantly increasing the rate of successful claim payments.
  • Monthly Statements: Providing patients with clear, accurate billing statements each month, improving transparency and patient trust.

Conclusion

By outsourcing insurance verification, claims submission, and appeals management, ABC Dental Clinic was able to refocus its front desk on delivering excellent patient care. This shift not only improved operational efficiency but also enhanced the overall patient experience, leading to increased satisfaction and loyalty.

Would your practice benefit from similar results? Contact us to learn more about how we can help streamline your front desk operations and elevate your patient service.