Are You Noticing More Insurance Claims Being Denied?

In this episode of The Less Insurance Dependence Podcast, co-hosts Gary Takacs and Naren Arulrajah discuss the growing trend of dental insurance claim denials. They explore how insurance companies are increasing claim rejections, requesting excessive documentation, and leveraging policies like wait periods to reduce benefits utilization. They emphasize that these practices prioritize profits over patient care, creating challenges for dentists and patients alike. Gary and Naren encourage dentists to reduce their reliance on Insurance, highlighting the benefits of resigning from PPO plans and attracting patients without Insurance, stressing the importance of building strong patient relationships to sustain a thriving, independent dental practice.

• 00:01:19 – Are You Noticing More Insurance Claims Being Denied?
• 00:03:53 – How Insurance Companies Strategize to Deny Claims and Avoid Payouts
• 00:07:23 – Every time you successfully resign from a PPO plan, you are making an improvement in your practice.
• 00:09:27 – Once they realize that most patients want to come to your office, if you’re relationship-driven and you’re giving people great reasons to come, they’ll want to come there.
• 00:12:32 – Why would it cost you money to provide hygiene appointments in many parts of the country?
• 00:14:05 – They take in premiums, but they don’t pay claims, which means they deny claims and pay you less and less.

Every time you resign from a PPO plan successfully, you’re improving your practice.

I think they’re turning up the heat by increasing the denials and lowering your claims.