“Your Insurance Denied WHAT?!”
You’ve been there—or your patients have.
You submit a dental claim for a crown that’s clearly needed. The patient’s got coverage. The tooth is a ticking time bomb. Everything’s legit.
And then you get that letter:
“We regret to inform you that the claim has been denied due to non-covered services under your plan.”
Translation? “Nah, we don’t feel like paying.”
Cue the dental team rage-spiral, the pissed-off patient, and a serious hit to your practice’s bottom line. And now you’re asking yourself the million-dollar question: how do I fight a denied dental claim?
I’ll give you the answer—plus show you why the better question is:
Why are you still letting insurance companies call the shots at your practice?
Because there’s a smarter, slicker, sexier way to run your office—and it’s called a membership program powered by BoomCloud™.
Let’s dive into the chaos, the comeback, and the cure.
Story: Meet Lisa—The Insurance Slayer from Boise
Lisa runs a thriving 4-op dental practice in Boise, Idaho. Things were golden… until insurance started pulling the ol’ bait-and-deny game.
First, they denied a perio scaling for a long-term patient. Then, they rejected a crown for “lack of necessity” (even with x-rays, photos, and 3 years of history).
So Lisa fought back. She appealed. Sent letters. Called reps. Spent 9 HOURS over 3 weeks dealing with one denied claim.
She won.
But the burnout? REAL.
So she looked for a better way to get paid. One that didn’t involve jumping through flaming hoops.
And that’s when Lisa discovered BoomCloud™.
Fast forward 8 months:
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376 active members
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$13,900 in MRR (Monthly Recurring Revenue)
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Patients spending 3.1x more annually
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✅ No more claim denials. Ever.
The Nightmare of Fighting a Denied Dental Claim
Here’s what usually happens when a claim is denied:
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You resubmit it… and wait.
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You call the insurance rep… and wait.
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You appeal with documentation… and wait some more.
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You get ghosted, transferred, or fed 9 kinds of “policy exclusions.”
Meanwhile, your team’s time is burning. The patient is losing trust. Your production gets delayed—or worse, never collected.
According to the ADA, 9–12% of dental claims are denied on first submission. And for larger procedures? That rate climbs to 20% or higher.
That’s thousands in treatment you already performed—now hanging in limbo.
How Do I Fight a Denied Dental Claim? Here’s the Checklist:
Step 1: Understand the Denial Reason
Look for codes like:
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CO-50: Not medically necessary
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CO-109: Service not covered
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CO-151: Authorization missing
Step 2: Gather Your Docs
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Chart notes
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X-rays/photos
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Pre-treatment estimates
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Patient history
Step 3: Contact the Insurance
Yes, call them. Yes, be nice. Yes, expect a hold time longer than a Marvel movie.
Step 4: Submit a Formal Appeal
Send a professional letter, signed by the doctor, outlining the medical necessity.
Step 5: Follow Up… and Follow Up Again
You might get lucky. But don’t bet your business on it.
Step 6: Seriously Consider Saying BYE to Insurance
Why Membership Programs > Fighting Denials
Imagine this:
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A patient needs a crown.
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They’re part of your membership plan.
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They get 20% off.
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You get paid upfront.
NO claim forms.
NO waiting.
NO begging.
NO BS.
BoomCloud™ lets you build this system from scratch—with your branding, your pricing, your rules.
Because you’re the provider, not the unpaid insurance administrator.
BoomCloud™ to the Rescue: How It Works
Easy Online Signup for Patients
Recurring Monthly Billing
Custom Treatment Discounts
Real-Time MRR and ARR Dashboard
HIPAA-Compliant and Dentist-Approved
Automated Renewals, Failed Payment Recovery
It’s like Amazon Prime… but for dental care. And it’s changing the game.
BoomCloud™ Case Study: “We Fired Insurance and 4X’d Patient Revenue”
Practice: Atlanta Dental Arts
Goal: Cut down denied claims + increase hygiene visits
Result After 10 Months:
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512 active members
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$17,920 in Monthly Recurring Revenue (MRR)
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$215,040 in Annual Recurring Revenue (ARR)
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4.2x increase in elective treatments per patient
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No more A/R tied up in appeals or rejections
“Patients love the simplicity. We love the revenue. And nobody misses the insurance companies.” — Dr. Tonya L., Owner
Why Membership Patients Spend 2X–4X More
✅ Predictable cost = less price resistance
✅ Discounts incentivize full treatment plans
✅ No claims = faster payments = smoother workflow
✅ Loyalty skyrockets with membership perks
BoomCloud™ data shows:
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90% of members return for 6-month recalls
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Membership patients spend 2x–4x more yearly
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Practices earn 11–20% more net revenue vs. insurance-only
Ready to Stop Fighting and Start Growing?
Don’t just fight a denied claim—eliminate the problem entirely.
Download the Million-Dollar Membership Plan eBook
https://boomcloud.myclickfunnels.com/million-dollar-book
Take The Six-Figure Membership Course
https://www.boomcloudapp.com/six-figure-membership-course
️ Schedule a BoomCloud™ Demo
https://boomcloudapps.com/demo-schedule/
Create Your Free BoomCloud™ Account
https://www.boomcloudapp.com/main-online-demo-and-sign-up-page
FAQs
Is fighting a denied dental claim worth it?
Sometimes, yes. But it’s time-consuming and uncertain. That’s why many practices pivot to membership instead.
Can I use BoomCloud™ alongside insurance?
Absolutely. Start with uninsured patients, then expand. Some practices go 100% membership!
How long does it take to set up BoomCloud™?
You can launch a custom plan in under a week—with guided support from BoomCloud™ pros.
What do patients think?
They love it! Clear pricing, no insurance drama, and VIP treatment—it’s a win all around.
Will it really grow my revenue?
Practices report 2x–5x increases in hygiene revenue and 30%+ profit margins on memberships.
Conclusion: “How Do I Fight a Denied Dental Claim?” Maybe You Shouldn’t Have To…
You became a dentist to change lives, not chase appeals.
You deserve to get paid for the care you provide—on your terms.
So sure, if you want to spend your time writing appeal letters and being ghosted by claim reps, go for it…
But if you’re ready for freedom, cash flow, and happier patients?
Membership is your golden ticket. ️
BoomCloud™ gives you the tools, the automation, and the strategy to ditch denial drama and start building a recurring revenue machine.
Inbound Link Suggestions
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Your blog post on “how insurance affects dental care”
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Practice page: Join Our Dental Membership Program
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FAQ page: Insurance vs Membership Comparison
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