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)

 3. Full RCM Cycle Package

This comprehensive package includes full Revenue Cycle Management services with a minimum monthly commitment (MMC). No additional charges are applied beyond the MMC.

- Plan A: $250 per month

- Plan B: $500 per month

- Plan C: $750 per month

- Inclusions: All verifications and full RCM services with no per-verification charges

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

-

Full RCM Cycle

-

Included

Included

Included

Included

$250, $500, $750


    • Related Articles

    • Guide to Adit Phones - Adit Voice v.2

    • Guide to Adit Academy

      Welcome to Adit Academy! Adit Academy is a free online training program that offers courses designed by product experts to help you expand your understanding and use of the Adit platform. Our courses feature expert training videos and articles with ...

    • Guide to Adit's eFax

      Go paperless with Adit’s eFax! To get started on Adit’s eFax please follow these instructions. If you do not have a fax number in the Adit platform already, please refer to the last section of this article: "Adding a Fax Number". Configuring Your Fax ...

    • Guide to the Patient Card

      Adit’s Patient Card is a one-stop place to find all the information that the Adit platform has about one of your patients. Because the Patient Card links together many of Adit’s other modules, it’s a convenient place to perform some of your most ...

    • Guide to Automating Patient Forms

      One of Adit's greatest value adds is to be able to automate your patient forms - we can automate sending them to patients, importing them into your EHR, and updating certain fields from the forms once imported. Automating all of these processes can ...