Expert articles, compliance guides, and practical how-to content — written specifically for dental practices navigating medical insurance billing.
Free tools your team can use before the claim goes out — no sign-in, and no patient information required. These ask about the plan, not the patient.
Seven questions about the card in your hand — plan type, network status, out-of-network benefits, referral, deductible — and a clear answer: file, file but collect in full, or don't file. It shows you the reasoning, not just the verdict.
Two pages for the front desk: what each field on the front and back of the card actually tells you, the red flags worth stopping for, and what every plan type means for an in-network versus an out-of-network practice.
These tools are general education, not coverage determinations. MediClaim Works does not review or determine claim content; diagnosis codes, modifiers, and service qualifiers are selected by the provider or billing professional. Plan rules, state law, and payer policy change — verify current requirements with the payer and your state.
Rings catch moderate-to-severe OSA well but miss mild cases more often. Here's what the data shows, and why we recommend Level 3 to diagnose and the ring to monitor oral appliance therapy.
Billing & CodingMost medical denials are decided before the claim is ever coded. Here are the seven questions to answer before the patient sits down — and the free tool that runs the check in two minutes.
ComplianceFederal law prohibits billing QMB beneficiaries for Medicare cost-sharing — even if you don't accept Medicaid. Here's what your practice needs to know.
Compliance · UnitedHealthcareEffective April 1, 2026, UHC will bundle your CBCT reimbursement into the E/M payment unless you attach a separate written interpretation report to the claim. Here's what the report must include.
We're adding new guides regularly. Check back for articles on credentialing, payer enrollment, sleep medicine billing, and more.