Our Services
Our team of experienced professionals, with extensive industry knowledge, specializes in optimizing every facet of your front office operation. Whether it’s patient scheduling, billing, insurance verification, or credentialing, Optum Elite is your all-in-one solution for dental administration needs.
Dental Insurance
Billing
Daily clean claims
Daily clean claims submission within 1 business day
Primary & secondary claims
Primary and secondary claims filed with proper coding and accurate supporting documentation within timely filing limits
Electronic attachments
Electronic attachments sent with all claim forms when necessary. If electronic attachments are not accepted by an insurance carrier, the Optum Elite team will process paper claims & attachments through the mail. Postage will be added to monthly invoice
review for resubmission
Thorough review of denied claims for potential resubmission. We will file an unlimited number of claim submissions and appeals on your behalf as needed
Daily/weekly/monthly data
Daily/weekly/monthly data tracking reports to ensure accountability
SET UP within your practice management software
If you are not currently using electronic data interchange, our team can help you set up electronic claim and attachment submissions within your practice management software
Analysis and management
Analysis and management of the Insurance Aging Report each month.
Automated AR tracking
Automated AR tracking via our platform displays the number of appealed claims, total amount collected, and current accounts receivable balances organized by overdue categories of 30, 60, and 90+ days.
Patient
Billing
Reconcile for accuracy
Reconcile patient ledgers to verify the accuracy of balances within 2 years old, after receiving insurance payments
send statements regularly
Send statements regularly and initiate patient contact to discuss account balances
Daily audit schedule
Audit daily schedule and notify in-office staff of outstanding balance
Automated AR tracking via our CRM displays
Automated AR tracking via our platform displays the total amount collected, and current accounts receivable balances organized by overdue categories of 30, 60, and 90+ days.
AR Clean Up & Transparency
AR Clean Up & Transparency – Optum Elite will inform the practice when a balance is considered uncollectible and will advise if an account should be sent to a collection agency. Please note that we do not place your patients in collections for you
Daily/weekly/monthly data
Daily/weekly/monthly data tracking reports to ensure accountability
Insurance
Verification
Partnering with Optum Elite ensures you receive the most up-to-date and accurate insurance benefits for your patients. This empowers you to accurately estimate both insurance and patient payment portions, instilling confidence for you and your patients in understanding their plan benefits during the treatment planning stage.
FLEXIBILITY
Ability to choose between DIY Data Entry or Full-Service Data Entry
Maximize insurance collection
Maximize insurance collection at the time of service, while lowering your accounts receivables
Seamless Integration & Transparency
Insurance information directly imported and written into your practice management system
Real-Time Eligibility Verification
Real-time, precise breakdowns of benefits delivered alongside your daily schedule
Comprehensive Breakdowns
Tailored and comprehensive insurance breakdown forms designed to collect plan-specific coverage details and code-specific benefits
Thorough Detail Capture
Our team captures specific benefit details obtained not only through insurance carrier portals but also via phone with live insurance representatives on your behalf, while eliminating the time your staff spends on phone calls with insurance carriers, freeing up your staff from time-consuming calls with insurances
Front Office
Management
PHONE SUPPORT
Personalized patient engagement and professional communication through your PMS or preferred patient communication platform
SCHEDULE
Strategies to enhance patient retention and optimize daily financial productivity
Insurance Credentialing
Seamless dental insurance credentialing with each carrier to ensure your licensure, certifications, and practice history are accurately recorded and submitted, minimizing the risk of claim delays, rejections, and incorrect payments
Dental Office Management
Ensure the smooth operation and efficiency of your dental practice. From administrative oversight, staff management, financial management, and patient relations, to compliance & regulation, marketing & growth and technology management – our experts with deep knowledge of the industry are able to support you