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drcavola
Premolar III

Re: SoftDent: eClaims with dates of service in 2019 being converted into pre-authorizations

This is a major "hit" in the pocket, i.e. cash flow.  Two thirds of the month of Jan. has passed, and we've seen very little "actual" payments from all the major players, and especially those who send back via EFT's.  What we have seen, however, is LOTS of mail, or pre-estimates, especially lots of Metlife's EOB's faxed over to us, which are pre-estimates.  

The facts that those claims have been resubmitted is one thing.  One the insurance end ... how quickly will they reconcile a pre-estimate claim already processed with a claim for services rendered?

Our answer in our office???? NOT very quickly.

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