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Revenue Cycle Management

Adults in Utah who are 21 and older are now eligible for dental coverage under Medicaid, the Utah News Dispatch reported April 1.  Previously, those eligible for dental coverage included children, pregnant women, adults undergoing treatment for substance use disorder,…

A Kansas dentist has filed a lawsuit against several insurance companies alleging conspiracy to suppress out-of-network payments to healthcare providers.  Dennis Ayer, DDS, of Leawood, Kan., filed the lawsuit March 31 against Zelis Healthcare, UnitedHealth Group, Elevance Health, Aetna and…

The Guardian Life Insurance Company of America has expanded access to individual dental insurance products.  The new expansion is designed for individuals who do not have access to or are not eligible for traditional workplace benefits, according to a March…

The orthodontic scoring tool within the Illinois Medicaid program has updated its rules and scoring criteria. The update is in part due to the Illinois State Dental Society’s work during the 2024 legislative session to secure $12 million in funding…

The Arizona Senate recently passed a bill to expand the state’s adult Medicaid coverage to include comprehensive dental benefits. Three notes:  1. The Arizona Medicaid program currently only covers emergency dental services for adults.  2. If the bill is passed,…

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Dental AI company Overjet has launched the Dental Clarity Network, a group of dental companies, to improve the patient experience and improve the relationship between dental payers and providers, according to a March 13 news release from Overjet.  Here are…

The Kentucky House of Representatives passed a bill that would require dental insurers honor patients’ written assignment of benefits, according to a March 12 report from CKNJ.  House Bill 210 ensures that payment for dental services goes directly to the…

Sen. Bernie Sanders and Rep. Lloyd Doggett introduced bicameral legislation to expand access to dental, hearing and vision care under Medicare. More than 26 million Medicare beneficiaries have no dental coverage, according to a March 11 news release. The Medicare…

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