What services does DPS provide?
Planet DDS Denticon Practice Services (DPS) offers a variety of Denticon-related services to help offices ensure that patients are insurance-eligible for procedures, that procedures are billed correctly, and that offices effectively manage cash conversion.
Please contact your Denticon Account Manager for details by submitting a ticket. Please follow this link to "How to submit a ticket". The Denticon support team will make sure it is routed to your account management team.
These services, outlined in more detail below, include:
- Insurance Verification & Plan Entry
- Fee Schedule Entry
- Claims Submission
- Hourly Admin Services (general outsourced admin, billed hourly)
Insurance Verification & Plan Entry
Insurance Verification & Plan Entry is a transactional, on-demand service where DPS agents gather patient-specific insurance information directly from insurance companies and then either:
- Enter the information directly into Denticon in the patient notes section.
Verification Types
- New verification: Extensive verification typically used for patients for whom little to no insurance information is known to the practice.
- DHMO/Medicaid/Eligibility only: This verification only checks for patient eligibility and the name of the plan covering the patient.
- Emergency verifications: any of the above, on a time-sensitive basis. Requests submitted within 48 hours of patient appointment are considered emergency verifications; a small additional fee applies.
Fee Schedule Entry
DPS agents can enter individual fee schedules into Denticon for dental offices and assign the fee schedules accordingly. There are two types of fee schedule entry services:
- Complicated: fee schedules that require calculation rather than straightforward data entry. For example, DHMO fee schedules with provider-specific supplementals.
- Uncomplicated: fee schedules that don’t require calculation. An example would be straight PPO fee schedules.
Claim Submission
Claims are typically submitted individually or in batches for prior days’ production. This allows time for the office to add narratives, include attachments, or make adjustments to any procedures posted throughout the day. With our Claims Submission service, DPS submits claims after the original claims submission by the office(s). If corrections, follow-up and/or additional information is needed, DPS will obtain the info from the office contact and proceed as follows:
- Claim correction: DPS corrects any errors in Denticon or DentalXChange. If the error on the claim was a DPS error, there is no charge. If the error was office-related, there is a charge for a corrected claim.
- Claim follow-up: DPS will run an initial report and get claims along with updated notes on all outstanding claims 30 days or older. While engaged, DPS will pull this report monthly to continue follow up on additional claims that age past the 30-day mark.
PLEASE SUBMIT A TICKET FOR CURRENT PRICING