C.O.D.E. is a full service medical billing company that provides the following:
• Eligibility checks- we inform you about the patient's plan in terms of procedure coverage, deductibles, and out of pocket maximums
• Pre-Authorizations- if needed and requested by our client we will process the pre-authorization
• Claims filing- we will file a clean claim with all necessary modifiers and attachments
• Claims follow up and appeal- when applicable we will appeal claims until we arrive at a final resolution.
Our team cross codes your dental procedures (chosen by your practice on our internal Web-Portal) into medical procedural codes (CPT Codes). The clinician’s documentation is interpreted by our experts to convert words into proper international classification of diseases codes (ICD-10).
We have taken the mystery out of medical billing for dentists. We train your staff with this website so that they can gather all the important information and start submitting claims through our unique Web Portal. All you have to do is write your S.O.A.P. notes and document the procedures so that we can correctly classify the claims. We also have a large library of sample SOAP notes that you can modify and customize, reducing your work load. You focus on what you love to do, which is practice dentistry, and we take care of the rest!
Our unique advantage is we know how to work with medical insurance carriers. We have hundreds of clients in 45 states. When you do your own billing, you generally stop battling the insurance companies upon the first denial. This is where the work actually starts for us! We thrive to get your claims paid, and you don't accrue a single cost while we are handling your claims for you. You don't need to dedicate staff time to phone calls that often last over 30 minutes. We have built this platform to do just that for you.
This sample video demonstrates how our portal works once you start utilizing our services.