We live in a time when the line between medical and dental services is increasingly blurred — especially when it comes to billing. Yet, medical insurance providers have often struggled to keep pace with the evolving needs of the market, making it challenging for dental providers to collect payments from medical payers.

However, a new boutique service is helping dental providers bridge this gap and seek reimbursement for a variety of dental restoration services. Founded by CEO Bethany Abbott, claimSTAT is a proprietary billing system that dental providers are turning to as a way to navigate the complexities between dental and medical services. Through this innovative service, providers can potentially elevate their practices and continue to offer restorative services to patients that may have a significant impact on their quality of life.

From Complex to Comprehensive

Dentists have long faced challenges when attempting to bill medical insurance companies and payors. Dental billing codes, known as CDT codes, are updated annually by the American Dental Association,  making it difficult for dental billing professionals to stay current with the appropriate codes to submit to medical payors. This complex system can occasionally lead to errors in billing, which may affect the reimbursement that dental offices receive for services rendered.

In addition, verifying both dental and medical insurance coverage for patients can be time-consuming for dental office professionals, who are often responsible for various administrative tasks. Add to this the intricate nature of insurance coverage and policies, and it’s easy to see how a combination of delays and administrative challenges can impact reimbursement returns.

Abbott identified this gap in billing system efficiency over the course of her 25 years in the medical industry. “I saw an opportunity within the dental industry for a solution that could help integrate dental coding with medical insurance coverage. Not only could this benefit patients who already have coverage, but it also gives providers an opportunity to receive fair compensation for their services, which they’ve historically struggled to obtain,” she explains.

Boutique-style Service

Drawing on her knowledge of insurance reimbursement rates and the challenges dental offices face with billing practices, Abbott developed claimSTAT — a claims software designed with a focus on customized service and user-friendliness. Each claimSTAT-affiliated facility has access to a team of medical review analysts, claims coders, and documentation experts who work collaboratively behind the scenes on each claim submitted. Additionally, each facility is paired with a dedicated claims analyst, ensuring careful attention to each patient’s case.

“Being able to use my medical insurance to pay for all of my dental work has been life-changing. I am so thankful for the folks at claimSTAT.” — M. Hunnicutt (Patient)

All of this personalized service contributes to improving compensation for services rendered and supports the delivery of quality patient care. “Our commitment is to service, and we strive to maintain a consistently high level of care,” says Abbott.

The claimSTAT service is specifically designed to relieve dental staff of additional tasks by streamlining workflows and reducing administrative burdens. Processes such as claim submissions and tracking can be automated, enabling dental office staff to focus on what matters most — patient care. Everything from pre-screening to prior authorizations is handled efficiently, with each analyst working to help offices get reimbursed as promptly as possible.

“Our dental clinic now offers medical billing, making essential treatments more accessible and affordable for our patients. It allows us to provide care that positively impacts their health and overall well-being.” — Z. Dixon, Dixon Family Dental (Provider)

ClaimSTAT represents a notable advancement for the dental industry, which has historically faced challenges in ensuring claims are filed accurately and reimbursed properly. However, the benefits of this tailored approach to claims and medical billing extend beyond financial returns. With the support of the skilled claimSTAT team, in-house dental staff can refocus on their core competencies.

“Bringing claimSTAT’s services to our office has helped elevate our practice, enabling more patients to move forward with procedures and improving our profitability. We’re grateful for our partnership with claimSTAT.” — C. Loftin (Provider)

The dental industry is constantly evolving, but claimSTAT offers a solution that enables dental practices to continue to adapt and thrive while maintaining excellent patient care. To learn more about claimSTAT, contact them via email at info@claimstatbilling.com or visit www.claimstatbilling.com for further information.

Disclaimer: The information provided in this article is for informational purposes only and does not constitute medical, financial, or legal advice. While the service discussed offers an innovative solution to help dental providers streamline their insurance claim processes, individual results may vary based on the specific circumstances of each dental practice. It is important for dental providers to conduct thorough research and consult with qualified professionals to determine if such services are suitable for their unique needs.

Published by Anne C.