Can government agencies help appeal denied claims?

Can government agencies help appeal denied claims?

March 13, 20251 min read

In this episode, Naren and I discuss the challenges dental practices face with insurance claim denials post-healthcare hack. We explore how government agencies, primarily state insurance commissioners, can intervene in appeals against insurance companies. Clarifying that while agencies protect consumer rights, dentists can utilize them effectively through strategic advocacy. The conversation also touches on the complexities of ERISA laws governing self-funded plans. It emphasizes proactive engagement with insurance commissioners after initial claim denials, highlighting success stories where dentists like Tessina have effectively used governmental support to overturn claim denials, stressing the importance of early and persistent advocacy.

Listen now - https://bit.ly/IUBenEP61 

Benjamin Tuinei is a leading expert in PPO strategies and fee negotiations, recognized by multiple state dental associations and continuing education institutions. Since beginning his dental career in 2007, he has helped over 9,000 dentists improve insurance reimbursements, influencing more than $5 billion in negotiated revenue. His expertise in restructuring billing departments increased collections from 65% to 98%, and his negotiation skills with third-party payors boosted insurance revenue by nearly $1 million, earning widespread recognition from dental practices across several states.

Benjamin Tuinei

Benjamin Tuinei is a leading expert in PPO strategies and fee negotiations, recognized by multiple state dental associations and continuing education institutions. Since beginning his dental career in 2007, he has helped over 9,000 dentists improve insurance reimbursements, influencing more than $5 billion in negotiated revenue. His expertise in restructuring billing departments increased collections from 65% to 98%, and his negotiation skills with third-party payors boosted insurance revenue by nearly $1 million, earning widespread recognition from dental practices across several states.

Back to Blog

© 2025 Veritas Dental Resources | All Rights Reserved

Privacy Policy | Terms & Conditions