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We collect from insurance companies so your office manager can focus on collecting at the time of service.

You will collect more.

INSURANCE ACCOUNTS RECEIVABLE PRIMARY SERVICE

DB_Insurance_Bro.11 © 2019 eAssist, Inc.

Our primary goal is to assist your office in collecting all insurance money that is rightfully owed to you. This requires us to be involved in every aspect of your insurance claims processing. Our achievable goal is to ensure that your over ninety (90) days insurance account balances are ZERO.

$1,250/mo If the office’s insurance collections are under

$40,000/month, the fee for this service is $1250/month

3.5% If the office’s insurance collections

are between $40,000 and $100,000/month, the fee for this

service is 3.5% of the total insurance collections

3.0% When the office’s insurance

collections are between $100–150,000/month,

the first $100k is invoiced at 3.5%, the amount over $100k is invoiced at 3%

2.5% When the office’s insurance collections are

over $150,000/month, the first $100k is invoiced at 3.5%, the amount from

$100-150k is invoiced at 3%, and the amount over $150k

is invoiced at 2.5%

$40,000 $100,000 $150,000

SMALL SIZED DENTAL OFFICE

MEDIUM SIZED DENTAL OFFICE

LARGE SIZED DENTAL OFFICE

ENTERPRISE SIZED DENTAL OFFICE

INSURANCE ACCOUNTS RECEIVABLE PRIMARY SERVICE

Our Insurance Accounts Receivable Primary Service Includes: > Daily, weekly and monthly reports are

emailed to your management staff, with a summary of our insurance collection efforts and any issues we have discovered that will slow down our collection efficiency.

> All insurance payments and insurance contract adjustments are posted to the patient ledgers accurately and timely— within 24 business hours after the EOB is scanned by your office. We recommend depositing the checks the next day, ensuring that our daily deposits balance with what is posted daily.

> All claims are closed out at the appropriate time. If a claim is denied, we will immediately investigate the cause and appeal the claim, if it is appealable. This attention to detail ensures that we collect as quickly as possible the outstanding balances that are rightfully yours.

> Often we find that insurance claims are not created timely. We help ensure that this oversight is remedied.

> All claims for primary and secondary claims are sent electronically, daily. Most preautho- rizations will be sent to insurance companies when requested. We utilize your current electronic claims system. If you are currently sending paper claims, we will assist you in setting up electronic claims. Every claim is reviewed BEFORE it is sent to an insurance

company to ensure that the claim will not be denied over a clerical error, which typically occurs 3-4 times per week in most dental offices.

> Electronic attachments will be sent for all claims when available. If an insurance company will not accept electronic attachments, we will process a paper attachment through the mail. But we will ask you to reimburse us for the cost of the stamps used. If you are currently not using electronic attachments, we will assist you in setting up the ability to send electronic attachments with your electronic claims.

> Often patient’s family files are incomplete. This will cause a claim to be denied after thirty (30) days, if not caught before the claim is sent. A typical office will usually have two of three issues like this weekly. We will proactively contact your patients and ask for any missing information—to complete the patient file—to ensure the most prompt payment possible. We will report these errors in your daily email summary to help you better understand how we are solving your insurance collection issues. Your daily report will show how many errors we found and corrected without any interaction from your staff.

> The Insurance Aging Report is analyzed each month and diligently “worked”. You will receive daily summaries that track how many

overdue claims were appealed, how much money was collected, and what your current account receivable balances are between 30-60 days overdue, 60-90 days overdue, and past 90 days overdue. If there are any outstanding balances that you prefer we do not pursue, please communicate that to us via email to ensure that all patient communication guidelines meet your expectations. Our achievable goal is to ensure that your over ninety (90) days insurance account balances are ZERO.

> All overdue insurance balances that are thirty (30) days old, and up to 24 months old, are followed up on bi-weekly. Your daily report will include a summary of any accounts receivable followup from that day. A detailed list of who we’ve been working with at the various insurance companies is available upon request. Every two to three weeks, detailed notes gathered by your account managers are recorded in the claim status or patient guarantor notes in your dental management software.

DB_Insurance_Bro.11 © 2019 eAssist, Inc.

1-844-eAssist

www.dentalbilling.com

* Dentical: Regular invoicing for all claims EXCEPT Dentical Ortho Claims, which will be charged at 7%.

** We are unable to process Borrego claims at this time due to the stipulations required by this company.

Cost for the Insurance Accounts Receivable Primary Service

The amount of work to send claims, post EOBs, appeal denied claims, and keep your over ninety days insurance accounts receivables at zero is variable depending on how many patients you service monthly. Smaller offices are typically less work, hence the fee is much less than a higher volume office. The fees for this insurance accounts receivable service as described in the above bullet points are variable depending on what is collected from insurance. This payment schedule applies for all offices.