Prior authorization and predetermination are vital, when billing dental insurances for a dental practice. These processes are based on the dental eligibility of the patient receiving a particular dental treatment or service, and the remaining benefits at the time it was issued. For most dental practices, certain medically necessary dental services require advance pre-certification and the failure to obtain it may result in claim denial.

At Outsource Strategies International (OSI), a Managed Outsource Solutions (MOS) service, we are experienced in providing comprehensive dental preauthorization and predetermination services that help dental practitioners reduce the risk of claim denials, avoid unnecessary costs to the patient, and improve practice revenue with quicker reimbursement. Once the preauthorization is submitted, the team at our dental pre-certification company also performs regular follow-up calls, checking on the status of the request until an answer is received. watch this video