No, you can remain out of network and bill medical insurance. Depending on the payer and plan type, benefits may be limited if you are OON. However, as an out-of-network provider, you are not subject to payer fee schedules or contractual adjustments. 

Depending on the payer and the reason for treatment, any dental procedure could be covered by medical insurance. Some of the most common procedures covered under medical are:

Implants

3rd Molar Extractions

IV Sedation

Sleep/TMD Appliances

Trauma or Accidents

Exams and X-rays

Periodontal Treatment

Like most things, the more you put into it, the more you get out of it. Providers are responsible for clinical documentation, identifying medical necessity, and code selection. Devdent offers a step-by-step training program that walks each team member through their role in medical billing.  

All providers that bill medical insurance must be credentialed, whether in-network or out-of-network. Without credentialing, the medical payers will not recognize the provider’s information and will not process claims.  Credentialing has nothing to do with contracts or fee schedules. Without proper credentialing, chances of success are very very low.

Imagn Billing is made up of three categories. First is the software portion, second is the support and training programs, and lastly is the 3rd party billing services. Depending on the package you choose, the monthly fee will vary.

Fill out this assessment form, and speak with one of our experts to see which plan is right for you and what your practice’s revenue potential could be.

It’s 8% of the allowed amount so if there is none paid we don’t get paid either.