This episode of the Less Insurance Dependence Podcast addresses the growing impact of AI-driven auto-denial insurance claims and how dental practices can adapt. Gary Takacs and Naren Arulrajah discuss how insurance companies use AI to increase profits by automating claim denials, making it challenging for dental practices to receive payments. They highlight the financial imbalance in the dental insurance model, where only insurance companies benefit, and urge dentists to reduce their dependence on PPO plans, as reform is unlikely. They also emphasize focusing on what practices can be controlled to achieve financial and operational stability.

Episode Timestamps

  • 00:01:24 – Impact of AI Auto-denial of Claims and how you can adapt as a practice.
  • 00:06:19 – The 4 entities that are involved in the dental insurance game today.
  • 00:12:14 – The past doesn’t have to be your future.
  • 00:15:46 – How can applying the six steps to successfully resign from PPO plans, training the team, and leveraging organic SEO help in the transition to fee-for-service or reduce PPO plans by the end of 2025?

Insurance companies are using AI today to deny claims, right? And the beauty of AI is that it’s easy. You know, press a button, and it will go and deny 10,000 claims for you.

Naren Arulrajah

Recognize the things you can change, understand the things you cannot. Take action on the things you can change. That’s a great change-your participation.

Gary Takacs

Resources


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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