Lily’s Dental Billing Service (LDBS) provides Certified Dental and Medical Claims Processing Services to Dental Providers nationwide. Our specialist can immediately recognize why a claim is denied or what additional information is needed without contacting the insurance carrier, resulting in prompt submission and processing.
LDBS’s goal is help each provider process 100% of claims through auto-adjudication for services rendered within 30 days. We are experts in claim submission and re-submissions using the appeal process.
We at LDBS understand the nuances involved with insurance carries and their processing systems. We provide accurate CDT, CPT, ICD-10 codes, modifiers, narrative and chart information for quick claim processing. Our certified professionals can navigate through this process quickly by identifying the procedure performed and the coding sequence required not only for processing, but also for plan benefit approval.
At LDBS, we can help ensure compliance, reduce the risk of an audit or focus review, increase revenue and practice profitability.
Our Services
- Claims Correction and Re-Submission
- Follow-up with Insurers and Appeal of Denied Claim
- Claims Management and Tracking (Aging)
- Daily Processing of Primary and Secondary Claims
- Periodic reports that show how your practice is doing at collections
- Insurance Payments Posting and Adjustments (if required)
- Patient Statements (Add on Service)
“Our vision is to provide our clients with a billing and claim experience that will promote a lifelong relationship built on trust, confidence, quality of work, and exceptional relationship.”
Our Message
Lily’s Dental Billing Service (LDBS) is dedicated to providing the highest quality in dental billing, claims, accounts receivable management, and obtain a common goal of increasing profitability within your practice by obtaining full and fair financial reimbursement for all services provided. We are passionate about what we do and we want our clients to feel confident that they will receive the best billing and claims services.
Our Process
Dental Billing Eligibility Verification
We verify all client information so that we know that the claim that we are filing for payment is 100% eligible.
Document Authentication
It is one of the most important aspects of dental billing as only when the invoices, case files and other relevant documentation are vetted can they be used to fill the information in the claim.
Data Entry
It is essential to enter data systematically after it has been vetted. At LDBS, our experts are well versed with the latest billing softwares that assist in data entry and processing of dental claims.
Dental Claims Processing
We provide verified information in the right format for hassle-free approval of claims by strictly cross checking of essential information.
Accessible Data Repository
The data is kept confidential and is only shared with approved insurance carriers and can also be requested by clients.
Explanation of Benefits (EOB’s)
We share detailed explanations of benefits that contain necessary information about the amount the healthcare insurance provider paid as well as the payment patient is responsible for if any. Other items included in EOBs are deductibles, co-payment options as well as items excluded from the insurance plan.
Pre-authorization Services
Pre-authorization is the process of getting prior approval from the insurance company as well as what the estimated cost of treatment for the patient is going to be. This helps both the patient as well as the dental provider learn beforehand what the insurance company will reimburse and is quite useful in getting maximum insurance benefits.
Dental Coding
This helps us use the right codes for each dental procedure in the insurance claim for faster processing.
Claims Denial Management
If for any reason the claim gets denied our team helps you identify the error quickly and correct it immediately to appeal the claim denial and get the settlement promptly. We take care of incorrect spellings, missing data, invalid service codes among others.
Online Tracking of Claims
We provide online tracking of claims which always allows the patients to check the progress of their application.
FAQ
Is there any set up or startup fee?
No, we do not charge a start-up fee. No Commitment. If you are happy with our service, continue. If not, you can stop the service anytime.
Are you a HIPPA client?
Lily’s Dental Billing Service (LDBS) complies with all HIPPA regulations. We will address all relevant agreements ensuring both parties are 100% compliance with HIPAA/HITECH laws.
Do we have to sign a contract with you for a certain time period?
Absolutely not! There is no commitment. Anytime you see our service is not a value addition, just let us know and you can stop the service anytime. Our goal is to be good part of your business and help making your work easy with reliability. If that’s not happening, there is no point in continuing the services.
What are the basic requirements to avail of Lily’s Dental Billing Service (LDBS)?
Internet service is required for us to efficiently process and operate Billing Services for your office.
How soon can you go live if we sign-up today?
We can go live in the next 3 days itself if you sign-up today, and the remote set-up is done without missing time.
How much time do you take to set-up??
We will need a signed agreement, a remote system set-up, and a welcome call. Which should take about 2-3 days, if done without missing time.
Can you do just Billing or Payment posting or Follow-up on claim?
We usually do End to End billing but depending on your billing, we may be able to do just one part as well.
Do we need to buy any additional equipment to avail your services?
All you need is a scanner and a dedicated computer for our support work.
What is the TAT for follow ups?
Follow-Ups on your claims are done every week but results may depend on how the insurance processes the claims.
What is the TAT for claim submission?
Claims are submitted in 24 hours of seeing the patient and posted within 24 hours of getting the payment confirmation.
What if we don’t have any digital Xray system and using traditional (film) Xray system?
No problem. We can help you. We will guide you on how to setup everything for us to be able to provide the services to you. We will also guide you on how to convert to digital with minimal expense (just as a courtesy). Regardless, we can support you with no problem. Please call us for further details.
Can you work if we don’t provide remote access to you?
No, we won’t be able to work without setting up a remote access as we need to check your inventory in order to work on your Accounts Receivable.