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Episode 2048/21/202600:26:51

Outsmarting Insurance Denials with Ericka Aguilar

  • Why the ADA's latest financial data signals a growing profitability problem for dental practices
  • The rise of AI-generated insurance denials and what practices can do about them
  • Why diagnosis codes are changing dental billing forever
  • The biggest mistakes offices make when handling insurance appeals
  • Why fewer than 1% of denied claims are appealed—and why that's costing practices thousands
  • Understanding Prompt Pay Laws and how they can increase collections
  • How to identify insurance company violations and hold payers accountable
  • Documentation, clinical notes, and attachment strategies that strengthen claims
  • Why clean claims matter more than ever
  • The legal architecture behind successful insurance billing
  • How recurring revenue from membership plans helps practices weather economic uncertainty
  • The strategy successful practices use before dropping PPOs
  • Real-world case studies of practices generating over $50,000 per month in recurring membership revenue
  • Why membership patients accept significantly more treatment than PPO or cash patients
  • Common mistakes practices make when managing membership plans manually
  • Leadership and implementation tips for successfully launching a membership program
  • Building long-term practice value with recurring revenue

Resources Mentioned

Key Takeaway

"The practices that thrive over the next decade won't just collect more—they'll build recurring revenue, reduce dependence on PPOs, and create financial freedom through smarter systems and stronger patient relationships."

Own your revenue. Starting this month.

Launch a membership plan, enroll your uninsured patients, and watch recurring revenue land every month — no claims, no write-offs.

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