Guide to Insurance Verification Charges

Guide to Insurance Verification Charges

Adit offers three packages for Insurance Verification services, tailored to meet the diverse needs of dental practices. Below is a detailed explanation of each package and its pricing structure.

1. Software-Only Package

This package provides access to Adit’s software without manual verification services.

- Flat Fee: $150 per month

- Inclusions: Software access for managing insurance verifications

- Exclusions: No manual verifications performed by Adit

2. Software + Manual Verification Package

This package includes both software access and manual verification services by Adit.

- Flat Fee: $150 per month for the software

- Additional Charges (based on verification type):

- Basic Verification: $1.00 per verification

- Advanced Verification: $2.25 per verification

- HMO Verification: $1.00 per verification

- Failed Verification: $0.75 per attempt

- Partially Verified by Software: $1.00 per verification (manual intervention required)

 Additional Details

1. Failed Verifications : Verifications that are attempted but fail (e.g., due to an inactive policy) will be charged at a lower rate of $0.75 per attempt in the Software + Manual Verification Package.

2. Primary and Secondary Insurance : If a patient has both primary and secondary insurance, each will be verified separately, and charges will apply for each verification.

3. Cancellation Policy : If a verification is canceled before Adit makes an attempt, no charges will apply. If the attempt has already been made, standard charges will apply.

4. Client-Verified Patients : If a practice verifies a patient independently, no charges will apply for that verification. Adit will charge only if the practice requests another attempt.

5. Partially Verified by Software: Verifications partially completed by the software and requiring manual intervention will be charged at a flat rate of $1.00 per verification in the Software + Manual Verification Package.


This streamlined pricing structure ensures transparency and flexibility, allowing practices to choose the package that best suits their needs.


Package

Software Fee

Basic Verification

Advanced Verification

HMO Verification

Failed Verification

MMC Plans

Software-Only

$150

-

-

-

-

-

Software + Manual Verification

$150

$1.00

$2.25

$1.00

$0.75

-


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