The Navigating Dental Insurance Podcast

The Navigating Dental Insurance Podcast
  • 4.2 (37)
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This podcast is dedicated to helping dentist navigate through the challenges of dental insurance.

  1. How to Go Fee For Service

    FEB 17

    How to Go Fee For Service

    Podcast Summary (Show Notes Style)In this episode, Jordon Comstock talks with Dan from Elevation Association about why dental insurance—especially Delta Dental—is becoming a bigger threat to independent practices, and how practices can successfully transition to fee-for-service without destroying their schedule. Dan explains that Delta is making aggressive moves, including owning dental practices, which gives insurers more control locally and reduces their reliance on independent offices. He also warns dentists not to assume associations will protect them, arguing the industry landscape is shifting fast. The conversation then turns practical: Dan breaks down what it really takes to exit PPOs strategically. The key is preparation—especially having a patient membership / benefit plan in place before going out of network, so patients can move “laterally” into the practice’s own plan. He emphasizes aligning the entire team around the mission, using incentives when appropriate, and building strong patient communication to counter misleading insurer letters that make patients think they “can’t” stay with the practice. Dan shares that the transition isn’t instant—it can take about a year to stabilize, with the first quarter or two feeling messy as hygiene schedules fluctuate and patients test the financial impact. The practices that win dedicate staff to proactive recall/outreach, driven by real data (they use Dental Intel), to refill the schedule and reduce attrition. The episode closes with the payoff: the move is described as freeing and energizing, with fewer write-offs, more control, and the ability to slow down while improving focus and profitability—especially when practices don’t try to do it alone and instead leverage coaching, tools, and a clear plan. TL;DR (30 seconds)Delta is tightening control (even buying practices), so dentists need a strategy to regain power: prep your team + track key KPIs + build a membership plan first + over-communicate + run recall/outreach, and expect a ~12-month stabilization period after the PPO exit. The result: less write-off pain and way more freedom.

    35 min

  2. 01/19/2025

    Are you sick of denied claims? Listen to this!

    Tessina disuses how to effectively use an insurance commissioner. Most dental offices do not use the insurance commissioner and most are missing out on a type of advocacy that is proven to reduce claims denials, as well as many other challenges dental offices face when dealing with insurance.  To contact Tessina, email her at tessinabarney@gmail.com. Visit her company website at www.VerusDental.com

    22 min

  3. 01/16/2025

    The road to hell is paved with in-network reimbursements, with Jim Zenk

    In this episode, Jim focuses on his work as a dental specific CPA. He talks about advantages of using a dental specific CPA over general CPA's. Jim shares advice on how to work with your CPA in a way that is productive and allows for you to take full advantage of tax codes, and other perks that come with proactive tax planning and tax mitigation strategies. Jim also talks about fees and how they impact dental practices and his shock when comparing his client's fees with area percentiles. His advice is to be proactive at reviewing and assessing your fees often and in a way that will impact revenue and profitability.    To contact Jim, send him an email at jim@tridentcpa.com

    40 min

  4. 12/10/2024

    How to Scale a Membership Program to 365 Members in Just One Year

    "How to Scale a Membership Program to 365 Members in Just One Year: Lessons from Pioneer Valley Dental Arts" Read my article for this podcast! Summary: In this episode of The Automatic Patient Podcast, host Jordon Comstock chats with Gina Kiner, Office Manager at Pioneer Valley Dental Arts, about her incredible success in growing their patient membership program to 365 active members in just one year. Gina shares her strategic insights, emphasizing the power of empowering clinical teams to promote the membership program alongside the admin staff. Together, they discuss the importance of patient experience, the role of membership plans in reducing financial barriers, and how effective communication fosters trust and treatment acceptance. Key highlights include: How integrating clinical teams into the financial discussion boosts program adoption.The importance of creating seamless patient experiences and building trust.Specific strategies used to educate both uninsured and insured patients about the membership program.The overwhelmingly positive feedback from members and how it fuels continuous improvement.The significant advantages of membership plans over PPOs, including increased treatment acceptance rates and simplified processes.Whether you're looking to enhance patient care, boost recurring revenue, or learn actionable tips for scaling a membership program, this episode offers invaluable advice from a practice that's successfully done it.How to Scale a Membership Program to 365 Members in Just One Year Jordon Comstock - BoomCloudapps.com Automatic Patient Podcast

    45 min

  5. 12/04/2024

    Mastering the Patient Experience

    "Mastering the Patient Experience: Navigating Dental Insurance and Membership Plans with Deborah Nash" Summary: In this episode of the Navigating Dental Insurance podcast, Jordon Comstock hosts dental consultant and coach Deborah Nash for an insightful discussion on enhancing patient experiences while addressing the complexities of dental insurance. The conversation delves into effective communication strategies for handling common patient questions about insurance, the benefits of in-office membership plans, and the importance of relationship-based care over transactional approaches. Deborah shares practical advice on how to shift from policy-driven to patient-centered conversations, emphasizing the need to educate patients about insurance limitations without alienating them. The duo also explores key differences between PPO, cash-paying, and membership patients, backed by data insights. Deborah offers actionable tips for building trust, creating a seamless patient journey, and maintaining a high standard of care. This episode is packed with valuable advice for dental professionals aiming to foster loyalty and achieve financial clarity while navigating the challenges of the modern dental landscape. www.boomcloudapps.com Debra Nash

    49 min

  6. 11/27/2024

    Mastering Dental Finances: Revenue, KPIs, and Beyond

    Maximize Your Practice’s Revenue with Smarter Financial StrategiesIn this episode, we dive deep into actionable strategies to boost your dental practice’s profitability. From mastering financial KPIs to implementing membership plans, learn how to retain more revenue and reduce write-offs with insights from a seasoned dental CFO. Key TakeawaysWhy KPIs Matter: Understand the financial metrics every practice owner should monitor.Membership Plans as a Revenue Driver: Explore how membership plans can increase recurring revenue and improve patient loyalty.Reducing Write-Offs: Tactics to minimize the impact of insurance write-offs on your bottom line.Scaling Your Practice Profitably: Learn how to align your growth strategies with sustainable financial outcomes.Resources & LinksRevenue & Retention Blog – Articles on optimizing revenue and patient retention.BoomCloud Membership Platform – Simplify your practice’s membership plans and grow recurring revenue.DSO CFO Website - https://dsocfo.comVeritasdentalresources.com - Negotiate PPO Contracts

    46 min

  7. 11/15/2024

    PPO Patient vs Cash Patients vs Membership Patients - Dr. Dan Nelson

    Episode Noteskey topics for a podcast summary: Technical Setbacks and Humor: The podcast kicks off with some lighthearted moments as Dan and Jordon troubleshoot microphone issues, setting an engaging and relatable tone for the conversation. Strategies for Defining an Ideal Patient Profile (IPP): Jordon and Dan dive into the importance of creating an Ideal Patient Profile, emphasizing how understanding demographics, psychographics, and payment preferences can elevate the success of a dental practice. The Value of Membership Patients vs. PPO and Cash Patients: They discuss the financial and operational impact of different patient types. Membership patients are highlighted as the ideal, with higher conversion rates, more predictable revenue, and fewer limitations compared to PPO patients. The Psychology Behind PPO Limitations: An in-depth explanation is provided on how insurance companies influence patient spending behaviors and the drawbacks of being heavily reliant on PPO patients. Marketing Tips for Attracting Membership Patients: The conversation includes actionable marketing strategies, such as using local SEO, social media, and educational content to bring in more high-value, membership-based patients. Community Engagement and Referral Programs: The hosts discuss ways to build community trust and loyalty, emphasizing how involvement and patient referrals can significantly boost practice growth. These topics set the stage for a dynamic and educational episode packed with actionable advice for dental professionals looking to transform their patient base and increase profitability. Jordon's Company - Membership Platform for dentistry: BoomCloudapps.com Dan's Company - Coaching practice owners for success: https://www.elevationassociation.com

    1h 8m

  8. 11/13/2024

    Overcome AI Driven Denials with Innovation

    https://www.180dental.net https://www.boomcloudapps.com Veritasdentalresources.com Fire the PPOs E-book

    45 min
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4.2
out of 5
37 Ratings

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This podcast is dedicated to helping dentist navigate through the challenges of dental insurance.

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