Episode #325: Are You Noticing More Insurance Claims Being Denied?

  1. January 02, 2025

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.

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Episode Timestamps

  • 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.

Gary Takacs

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

Gary Takacs

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Gary Takacs

Gary Takacs One of Gary's most significant achievements as a dental practice management coach is transforming his own practice, LifeSmiles, from one that was infected with PPO plans, no effective marketing strategy, and an overhead of 80% to a very successful dental practice that is currently one of the top-performing practices in the US.

With over 2,200 coaching clients, Gary has first-hand experience transforming insurance-dependent practices into thriving and profitable practices.

Through his Personalized Coaching Program, Gary shares access to the systems, strategies, processes, and experience gained over 41 years of coaching dentists and transforming over 2200 practices worldwide.

Learn More: www.thrivingdentist.com/coaching/
Connect with Gary Takacs on Linkedin

Naren Arulrajah

Naren ArulrajahAs CEO of Ekwa Marketing, Naren has over a decade of experience working with dental practices and helping them attract the ideal type of patients to their practices. It is his goal to help dentists do more of the type of dentistry they love with the help and support of effective digital marketing.

Ekwa’s "Done-For-You" Digital Marketing model blends fundamental persuasion principles with an all-in-one Digital Marketing solution to help your ideal patients find you and choose you for reasons other than being on their insurance plan.

If you’re interested in finding out if Ekwa is the right fit for you and your practice, book a Free Marketing Strategy Meeting with Ekwa’s Marketing Director, Lila Stone.

Book Free Marketing Strategy Meeting: www.lessinsurancedependence.com/marketing-strategy-meeting/

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