Myth: Claims Are Denied Because of the Insurance Company.

Published Date
Myth: Claims Are Denied Because of the Insurance Company.
Truth: It’s Usually a Preventable Mistake on Your End.
Let’s get one thing straight: most denied claims aren’t because the insurance company is out to get you. They’re denied because something got missed on your side before the patient even sat in the chair.
I’ve seen it in practices across the country:
- Patient walks in.
- Insurance was "sort of" verified.
- Treatment happens.
- Claim is sent.
- Denied.
And just like that, the blame game starts. But here’s the truth: it’s not about blame—it’s about power. Because once you take ownership, you can change everything.
What’s Actually Going Wrong?
- Coverage wasn’t fully confirmed. Skimming portals doesn’t cut it.
- Wrong codes submitted. The right procedure with the wrong code? Still wrong.
- Narratives were too vague or missing. “See attached” isn’t helping your case.
- Coordination of benefits skipped. Dual coverage? Secondary plans? Ask.
These aren’t just billing issues—they’re leadership issues. And you can lead the change.
Flip the Script: You’re In Control of Your Outcomes
Consistency is what wins. When your systems are tight and your communication is sharp, denials drop and collections climb.
A client of ours recovered $18,000 in denied claims just by tightening up their VOB and narrative protocols. And they didn’t add a single new team member—they just got smarter with the ones they had.
Linda’s Rally Cry: Own the Process, Own the Win
I say this with every fiber of my being: "You don’t have to be perfect. You just have to be consistent."
Stop waiting for claims to come back denied and hoping you can fix them later. Start building habits today that prevent the mess in the first place.
When your team is dialed in, your practice is unstoppable.
Want Fewer Denials? Let’s GO:
✅ Train your team—yes, the whole team—on insurance basics
✅ Call for clarity. Don’t just hope the portal got it right
✅ Build powerful narratives that tell the story of the treatment
✅ Log and learn from every denial. It’s your built-in feedback loop
✅ Don’t wait. Ask for help before you’re buried in AR
You’ve got this. And if you want backup? We’re right here.
Zeroed-In Dental Solutions. Clean claims. Clear processes. Confident teams.