To Benefit Check or Not To Benefit Check


I was perusing Instagram recently and came across a post by Dental Billing Pros about benefit checks. You can see their post here.


The post was about performing benefit checks for patients and stood out to me. This is a common area of concern for many providers. Many healthcare providers still require their staff to perform insurance verification and benefit checks for all patients scheduled to be treated. This was something that was more common years ago, but continues to be done today. And while many of our new clients request this service, we believe it is important to give the patients the responsibility of checking their own benefits. Many providers feel very strongly otherwise, but give me a little time to explain why we’ve come to this conclusion.


Payers Give Wrong Information


Can you imagine? An insurance company giving out wrong information? Yes, it happens all the time and anyone who deals with a payer on a regular basis knows this all too well. It is a problem, but it becomes an even bigger problem when this wrong information is communicated to the patient. We’ve seen time and time again, patients holding providers responsible (financially) for inaccurate information provided to them by the provider.


Patients Forget The Insurance Company Is Responsible


Once the provider steps in between the relationship between patient and payer, the provider is often seen as the wrongdoer. But, if the provider can start the relationship as a support, blame is placed less on the provider. Patients should clearly understand that the payers are making payment decisions, not the provider or providers coders.