Episode 64

Primary and Secondary/Coordinating of Benefits

August 13, 2024

In this episode, Tessina, an expert in dental insurance, discusses the complexities of Coordinating Benefits (COB) and provides practical advice for dental practices. She highlights common misunderstandings caused by insurance companies and emphasizes the importance of understanding COB policies. Tessina outlines a three-step process to simplify COB: know the coordination type, use usual and customary rates (UCR) in patient ledgers, and adjust write-offs after receiving the secondary explanation of benefits (EOB). For further assistance, Tessina offers insurance verification services through Verus Dental.

Time stamps

  • 00:02:13 – Why is coordination of benefits such a hot topic in today’s world of dentistry?
  • 00:04:46 – Are we entitled to keep the $200 and refund the patient or the insurance company that $1 overage?
  • 00:07:25 – What is your recommendation on how to simplify coordination of benefits?
  • 00:12:19 – How do people get a hold of you if they need help?

Resources

Freebie 60

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