PM-16 Procedure Coding and Communication with Dental Benefit Providers (Insurance Companies): Efficiency and Effectiveness
CE: 1.5
Course Description:
From simple to complex, in this presentation, we will train you how to efficiently and effectively communicate with the dental benefits companies who pay for much of the dental work you provide. We will discuss how to more seamlessly submit claims in order to be paid more promptly when possible. We will discuss how to keep a collegial relationship and work towards helping your patients use their benefits. We will review the resources you have as a member of the AAE, which can help you when there is trouble communicating, which is inevitable in the system. We will discuss ideas of how to make the system better, and what we, as providers, do not have control over.
At the conclusion, participants should be able to:
- Identify what information belongs on a dental claim submission form, and why it is needed. How to include all information that might be need from the start.
- Describe how to submit a review request and ask for an endodontist to review the case.
- Explain the reasons why the dental benefits system works the way it works.
Key:
Complete
Next
Failed
Available
Locked
Kenneth B. Wiltbank, D.M.D.
Dr. Kenneth B. Wiltbank attended dental school at the Oregon Health and Sciences University (OHSU) and graduated in the class of 1998. After seven years working as a general dentist, he returned to school at the University of Texas Health Sciences Center at San Antonio, where he completed a Certificate in Endodontics (Class of 2007). He is a Diplomate of the American Board of Endodontics. Dr. Wiltbank is a member of and volunteers in the American Association of Endodontists, where he serves as a member of the Practice Affairs Committee and as an AAE representative to the American Dental Association’s Codes Maintenance Committee and to the American Association of Dental Consultants. He is also a member of the American Dental Association, the Oregon Dental Association and the Clatsop Country Dental Association. He is the current president of the Oregon State Association of Endodontists and has served in other capacities in organized dentistry. As well as owning two endodontic practices and regularly seeing patients, Dr. Wiltbank serves as an adjunct associate professor at the OHSU School of Dentistry, department of endodontology. When he is not in the office, Dr. Wiltbank enjoys the outdoors, running, sports, reading and spending time with his wife, Krista Lucas, and their two children.
Kenneth B.. Wiltbank, D.MD
I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated: CIGNA Dental (Self) : On their Specialist Panel in Consulting role. I serve as an expert they can ask questions of. (Status: Ongoing)
