EffectiveDental Insurance Billing,Enhanced Revenue Growth.
Optimize revenue with our effective dental insurance billing services. Streamlined processes ensure accuracy and growth for your practice.
Payla Dental Insurance Billing Service provides your practice with a dedicated team of remote billing experts who take care of all aspects of insurance claim processing.
Our experienced billing team diligently gathers all necessary information to confirm that charges and attachments are correct before submission. They handle primary and secondary claims daily, tracking and managing these claims from submission to resolution.
For any claims that are underpaid or denied, our specialists take proactive steps to follow up and, if necessary, appeal to secure the funds you are owed. Paid claims are posted and adjudicated daily.
Spare yourself the headaches of insurance billing with our expert team at your service. Let us manage it all for you, ensuring a smooth process and boosting your profits.
Our Comprehensive Dental Insurance Billing
Gather and Correct Missing Information
We carefully gather and correct any missing or inaccurate information to ensure the accuracy of claims. Often, patient family files are incomplete, which can potentially result in claim denials within thirty (30) days if not addressed before submission. Our insurance billing specialists will proactively contact your patients to request any missing information and complete their files, ensuring the promptest payment possible.
Comprehensive Attachment Support
Our team ensures claim approval by attaching all necessary documents. We prepare detailed narratives, X-ray, and procedure reports to strengthen submissions and increase approval rates. By providing comprehensive and accurate documentation, we facilitate smoother approval processes and improve chances for maximum reimbursement.
Claim Submission
We electronically submit all dental insurance billing claims, both primary and secondary, on a daily basis. We handle preauthorizations as well, ensuring they are submitted to insurance companies as needed. We work seamlessly with your existing electronic claims system. If you are not currently submitting claims electronically, our specialist team can assist you in setting up the electronic claim and attachment features within your practice management software.
Post EOBs (Explanation of Benefits)
We accurately and promptly post all insurance payments and contract adjustments to the patient ledgers—within 24 business hours after your office scans the EOB. We recommend depositing the checks the next day to match daily deposits with what is posted. Our team communicates daily with you or your office manager via email to confirm that everything balances at the end of the day.
Review Denials and Appeal Service
When a claim is denied, our dental billing specialists thoroughly review the case and, if possible, appeal the decision. This helps recover the funds you're owed promptly and effectively.
Insurance AR (Accounts Receivable)
We maintain effective management of insurance Accounts Receivable (AR), ensuring timely follow-up and resolution of outstanding claims. Specifically, any overdue insurance balances aged thirty (30) days or older. Our team is dedicated to following up on all outstanding unpaid claims every 14 days. Furthermore, your daily report will encompass a summary of the day's accounts receivable follow-up activities, providing transparent insights into our diligent efforts to optimize collections.
Patient Account Balance and Credit Report
We email detailed reports to your management staff daily, weekly, and monthly. These reports summarize our insurance collection efforts and highlight any issues that could affect your team's ability to collect payments efficiently. For more detailed insights, examples of these reports are available upon request to help you manage your practice’s financial processes transparently.
Patient Account Statement
Our team prepares clear and concise patient account statements and accompanying cover letters based on the Explanation of Benefits (EOB). These documents clarify any outstanding balances for patients, promote transparency, improve communication, and help patients understand the reasons behind their balances.
Patient Account and Billing Questions
We offer quick and helpful support to address patient account and billing questions. Our dedicated team is committed to handling all inquiries with utmost care and clarity, ensuring thorough and understandable responses to each concern.
Coaching Services
We support dental office staff with personalized coaching and one-on-one sessions. Our experienced team delivers detailed education and training on managing dental insurance duties effectively. This helps your staff gain valuable insights and skills to accurately handle insurance processes and treatment plans.
Dental Insurance Billing Service Fees
Our service fees are variable and depend on the amount collected from insurance. The following payment schedule applies to all single-location offices. Custom pricing is available for multi-site or dental service organizations, ensuring tailored solutions that meet your specific needs.
(For California state non- Delta Dental network providers needing claim submission and pre-authorization, please contact us for custom rates.)
SMALL
< $40,000
If the office’s insurance collections are under $40,000/month, the fee for this service is $1,386/month.
$1,386
per location, per month
MEDIUM
< $100,000
If the office’s insurance collections are between $40,000 and $100,000/month, the fee for this service is 3.50% of the total insurance collections.
3.50%
per location, per month
LARGE
> $100,000
When the office’s insurance collections are over $100k/month, the fee for this service is 3.00% of the total insurance collections.
3.00%
per location, per month
