DENTAL INSURANCE VERIFICATIONS
Verrific - Insurance Verifications, Terrific!
Verrific does one thing and one thing only – Dental Insurance Verifications. Verrific was started in a dental office by a non-dentist DDS (dedicated dental spouse) and another non-dentist DDS joined Verrific later to create the technology behind Verrific. One big pain point of these "DDS"es was always - dental insurance verifications. A dental office simply cannot afford to clog up a phone line and valuable personnel time to be on the phone for 30 minutes to obtain this information. So Verrific does that for you..and more!
WHY VERRIFIC WAS BUILT
Most dental offices have a collections problem. What they produce, they are never able to collect. Dentists get frustrated with denied claims and the usual culprit is dental insurance. However, what we found was most claim denials are not due to a clinical disagreement between the treating dentist and the insurance provider. They are because some limitation of the policy was not verified beforehand. Once an office starts getting detailed breakdowns and reviewing them with the patient, both the office and the patient get a full understanding of which recommended procedures are at a risk of not getting paid by the insurance. Patients are ok with bills, just not surprise bills. Obtaining a full breakdown takes away that uncertainty which gives the patient the appropriate expectation of what his/her estimated copay would be. Great collections begin with great dental insurance verifications!
THE VERRIFIC DIFFERENCE
Verrific is the gold standard in dental insurance verifications
Verrific started with one client - VIP Dental Lounge, that's owned by Verrific's CEO's wife. As a result, Verrific was built from the start to be as detailed as possible. Of all the insurance verification companies, Verrific shines because:
PRECISION AND DETAIL
We provide a detailed breakdown consisting of 96 pieces of information checked including history by other providers. The level of detail we provide is unmatched. Great insurance verifications leads to great production to collections ration
To our knowledge, we are the only company that can provide this data collected manually WITHOUT connecting to your PC remotely. With every other company you have to provide them with a PC or two that their employees remote into. With us, keep your PCs for the reason you bought them for! We perform the verifications in the cloud and push them to you!
We integrate very tightly into practice management softwares like Open Dental so you can simply send us a patient to verify without leaving Open Dental. When we have your breakdown ready, import it into your system without leaving Open Dental. Super cool!
Our pricing model is as simple as it gets. After a base monthly cost, simply pay for each ticket you create. If you don't use us, don't pay us! Our backend system automatically calculates your cost based on the number of tickets, type of tickets, and urgency level, and that's what you pay
ADDED EFFICIENCY FOR YOUR OFFICE
Our tightly integrated software with OpenDental allows your office to create a ticket without leaving open dental and importing benefits without leaving open dental. It's all built in!
THE COOLEST NAME
Admit it. We have the coolest name for any company in this space. Best of all, our quality matches our name. Verrific - dental insurance verifications, terrific!
$299 one time setup
We charge for each ticket you send us. Each ticket is a patient you would like for us to verify. Our pricing is dependent on the type of breakdown you request as well as the urgency level.
* No contract! Not even month to month!
Automated and self-verifications
Through our proprietary latest software - VeriSmart, we are able to pull in a lot of information automatically. You get unlimited verifications for a flat cost and are able to customize the online form and have it pre-populated from many different sources. Any missing information, you can choose to complete yourself and import into your PMS at no charge or outsource the completion to us!
This is the most popular type of ticket. We capture every single detail, every single caveat, and the level of detail that will give you the highest confidence if a procedure will get approved or denied. Note: For emergency verifications needed the same or next business day, there's a $3 surcharge
Once you have a full breakdown for a plan (employer/group), then for any patient on that plan, all you need is patient specific information that is - insurance remaining, deductible remaining, active/inactive, history. We recommend you request a re-verification for returning patients or patients on plans you already have full breakdown information for. Please keep in mind that for re-verifications, we rely on portals/fax backs and the amount of history is inconsistent across different companies. We try to at least obtain history from their last visit to you, or in the case of a new patient, last 12 months.
Dedicated agent option
If you have a busy office or do not have a trained insurance coordinator, it is best for you to get a dedicated agent that works solely for your office. You have the ability to request an agent full time or part time. You can either get a dedicated agent as:
Full time agent: The agent will work full time from M-F 8am - 5pm at a charge of $1650/month
Part time agent: The agent will work part time for 20 hours/week M-F 4 hours/day for $900/month
For any ticket if there is incomplete information or verification is requested for a non-PPO policy or a non-active policy, there is a $1.95 charge
What is your turnaround time?Our turnaround time varies. It also depends on how quickly you need it done by. We split any verification requests (tickets) in two categories - 1. Emergency: If it's needed today or next business day 2. Non-emergency: Everything else. Our turn around time for emergency tickets is before and up to the patient's appointment time and for non-emergency tickets, it's latest 24 hours prior to the appointment. NOTE: We recommend that you send us tickets 1-2 weeks in advance as best practice
What are your business hours?Monday-Friday: 9am-6pm CST Saturday: Closed Sunday: Closed
If I have a patient in the chair, how quickly can I get the verification back?"That is an emergency ticket and while we can turnaround emergency tickets up to the patient's appointment time, our service level agreement states that we need at least 2 hours. This is because often we are on hold with insurances for 1.5 hours. We prioritize tickets based on appointment time so if you have a patient in the chair, that ticket will get to the front of the ticket queue. However, because of hold times, we cannot promise a return before 2 hours
If a patient is in the chair, can I just get partial breakdown to get started"Yes. We recommend you request the ticket to be downgraded from detailed breakdown to basic on the Verrific portal. Because basic breakdowns do not rely on a live agent answering calls, we can often turn those around in 30 minutes.
How many urgent tickets can I send?While we don't limit it, our service level agreement says that we cannot guarantee completing more than 2 emergency tickets/day. This is because if all clients sent a lot of emergency tickets, it would stress the system. So while there is no limit in how many you can send (and we will often do them all), we cannot promise more than 2/day
Do you allow customization of the breakdown forms?Yes. We allow for extensive customization with hundreds of possible customizations. You can customize as much or as little as possible. However if you decide to outsource the verification to us, the cost covers up to 60 data fields. Any data field above 60 is charged at $0.25/field
Do you support specialists?Yes. Now that we have the ability to customize a form, you can design a form to the speciality you prefer
Is there any customization that you cannot provide?On a case by case basis, we may determine that the custom code/question you are requesting is far too esoteric for our team to be able to get well trained on it across all insurances so we can provide the information accurately. We may decline the particular code or question in that case
What happens if there are errors on the breakdown?Unfortunately this is still a human to human process and humans make mistakes. While we obtain a lot of information electronically, we still need to speak to a live agent. We have often found that there are significant discrepancies between the information we receive through software (APIs), insurance portals, and speaking to a live agent. While the Verrific team does it's best to unify this accurately, the system inherently is far from perfect. It is near impossible to guarantee 100% accuracy and we definitely hope that one day we will get there
How do you obtain the breakdown information?A combination of methods that include: -software API -insurance portals -fax backs -speaking to an agent
MEET YOUR TEAM
Vivek spent most of his career in the software field but one day found himself picking up phone calls at a dental office. Being married to a dentist can make that happen. Right away Vivek got immersed in the field of dentistry and took over the business side of the dental office. He realized that one of the most inefficient tasks a dental office can do is be on the phone with a dental insurance for 40 minutes to get a detailed breakdown. So he outsourced it. But couldn't find a company that could get all the answers so he created it
DENTISTS WHO THINK VERRIFIC IS TERRIFIC
Dr. Dawn Baker
Getting detailed insurance breakdowns has been a huge hurdle in our office. It took many hours to get and I didn’t want to use a company who would give me just a generic breakdown. Once I met Vivek and realized he prefers extremely detailed breakdowns just like us, I was excited to try his services. I couldn’t be happier! My team have so much more time to focus on filling the schedule and the detail is so good on the insurances that it helps us avoid “surprises” when giving estimates. I highly recommend their services!