Week 3 Flashcards Part 3
Patient and Insurance Communication
What should be explained to a patient during the insurance verification process?
Their coverage details, co-pays, deductible amounts, and any out-of-pocket costs.
Why is clear communication with patients about coverage important?
It helps manage patient expectations, prevents confusion, and improves satisfaction.
How can you ensure accurate information is gathered during a call with an insurer?
Use a structured checklist, ask clear questions, and document all details and reference numbers.
What is the role of a dental office when an insurance claim is denied?
To review the denial reason, correct errors if possible, and resubmit the claim with supporting documentation.
What information should always be included in patient records after insurance verification?
Insurance coverage details, reference numbers, and notes on any special requirements or limitations.
