Fighting the Culture of Insurance Claim Denials in Dentistry

Key Points

SRPs are being denied at high rates – even when bone loss is clearly documented.:

Insurance companies often ignore submitted evidence – it’s important to file formal appeals and report trends.:

Request peer-to-peer reviews – even if they’re often denied, requesting one shows effort and builds your case.:

Know your patient’s plan – the contract is between the patient and the insurance company, not your office.:

Bundling issues are common – procedures like gingivectomies and buildups are often unfairly bundled.: