I am after 34 years of being an RDA am making the move From Back to Front and found this very helpful in understanding the basic of what these plans are. THANK YOU!
OMG thank you. My OM sent me this video as I am green in the industry. I am late 40's and transisitioning from the energy industry to dental and this was SO helpful. I am feverishly taking notes. THANK YOU
Thank you so much for this training! Very informative- love how you itemize each terms/kinds of insurances. I always freak out when it comes to insurances and this is good to know even as a consumer or patient.
So Maximum Individual Calendars yr is that the amount total the member could use to pay for treatments? No matter what treatment code specifies? What if it says deductible denotes 100 % of exemption. Also, if insurance companies does not use subcategory such as major it’s all in including in one category for instance periodontists, endodontist, restorative, oral exams etc
Ive been an RDA for over 20 years and its a whole new world up front. But I want to know. If anyone has any other good vids to learn from then plz send them my way.
Dentaquest falls under the Medicaid/Government plans. This is a company that is called a Medicaid Managed Care Plan. These companies administer the plans for things like " Child Health Plus" plans within different states. You follow the medicaid guidelines and it is the type of plan that you cannot charge the patient anything outside of what the plan allows. Meaning if you bill something wrong you cannot charge it to the patient if the insurance does not cover it.
@@lauranelson9204 Many thanks Laura. Most helpful. Do you see movement in the dental community toward a value-based system, incentivising dentists to focus on prevention?
I am after 34 years of being an RDA am making the move From Back to Front and found this very helpful in understanding the basic of what these plans are. THANK YOU!
You and I both are doing it sister!
OMG thank you. My OM sent me this video as I am green in the industry. I am late 40's and transisitioning from the energy industry to dental and this was SO helpful. I am feverishly taking notes. THANK YOU
Thank you! I'm a current RDA considering switching from back to front and I found this video very informative.
Glad it was helpful!
If I may ask , what made you want to switch ?
@@greycimaee07 Hey, honestly there are more growth oppurtunities in front office (my personal opinion) and they get paid more.
As dental provider services representative, it is very helpful for me to understand better about dental insurance.
Thank you so much for this training! Very informative- love how you itemize each terms/kinds of insurances. I always freak out when it comes to insurances and this is good to know even as a consumer or patient.
Thank you for your time . I’m using this time to review I’ve graduated in 2013 and haven’t worked since 2014 I want go back bit I forgot a LOT
Very helpful Laura.. I will wait for such videos. One suggestion is that, please make/present the videos with PPTs/Slides.
So Maximum Individual Calendars yr is that the amount total the member could use to pay for treatments? No matter what treatment code specifies? What if it says deductible denotes 100 % of exemption. Also, if insurance companies does not use subcategory such as major it’s all in including in one category for instance periodontists, endodontist, restorative, oral exams etc
Ive been an RDA for over 20 years and its a whole new world up front. But I want to know. If anyone has any other good vids to learn from then plz send them my way.
What would you recommend for a college student? My health insurance is covered through my school, but dental is not.
Would you explain COB if it’s standard how does this apply to their policy
I have Hmo dental plan but not happy with the services. I need a rct done, can I go to another dentist wHo doesnt accept my insurance and pay cash?
You could actually. At my office we will file with your insurance company and see what they are willing to cover.
Where does a company like Dentaquest fit in the matrix above?
Dentaquest falls under the Medicaid/Government plans. This is a company that is called a Medicaid Managed Care Plan. These companies administer the plans for things like " Child Health Plus" plans within different states. You follow the medicaid guidelines and it is the type of plan that you cannot charge the patient anything outside of what the plan allows. Meaning if you bill something wrong you cannot charge it to the patient if the insurance does not cover it.
@@lauranelson9204 Many thanks Laura. Most helpful. Do you see movement in the dental community toward a value-based system, incentivising dentists to focus on prevention?
@@kerryhegarty5786 I wish that I could say yes but not really.