Secondary Claims – Adjustment Information: A Quick Update from the Solutions Team at Vyne Dental

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Have you noticed a recent uptick in secondary claim rejections?  You’re not alone, we’ve seen it too, and we’re here to help.

 

Here’s what we know so far.

There is a growing list of insurance carriers that are now requiring claim adjustment information to be included on secondary claims. Additionally, the current ADA claim form does not provide a dedicated field for financial information related to secondary claims.

What does this mean for you?
If an insurance carrier now requires this adjustment information on all secondary claims, they may reject any secondary claim that’s missing it. 

So what can you do about it today?

Vyne Dental can help support the successful submission of your secondary claims, to insurance carriers who require adjustment information, by submitting the required information in the Additional Coverage section in the Claim Details Procedure Tab.

 

Here’s how:

  1. Send the claim to Vyne Trellis and click on the claim in the Unsent Tab. Navigate to the Procedure Tab. 
    1. Claims with secondary coverage detected will show a status of ‘Additional Coverage Detected’ in the Unsent Tab.
  2. Enter the carrier’s requirements for secondary information in the Additional Coverage section on the Procedures Tab.
  3. We’ll send the required information, electronically, on your behalf along with the rest of your claim data, to the insurance carrier.

Here’s a peek into our long-term strategy for a more permanent solution.

Vyne Trellis will help detect that a secondary claim requires the adjustment information and add it for you, reducing manual entry and error.

 

 

© 2024 Napa EA/MEDX, LLC. All rights reserved. This communication is provided for convenience as general information and is not intended to be used as legal advice. Vyne does not guarantee reliance on the aforementioned information. Provider remains responsible to assess and verify claim data and carrier requirements.

Increased Profits through Proper Billing and Coding Presented by Rick Garofolo

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Rick’s most popular course, Increased Profits Through Proper Billing and Coding, is updated for 2024 and includes new codes, new rules and new ways to make sure you get paid what you deserve. We will also cover topics including dealing with secondaries, insurance requirements, increasing collections ethically, and 10 codes you aren’t using to maximize patient experience and insurance reimbursement.

In this course you’ll learn:

  • New codes for the new year
  • What are your most profitable codes?
  • Understanding Self-Funded Dental Plans
  • Managing Patients with Multiple Insurance Plans

Providers, practice administrators, office managers, and dental billers, you don’t want to miss Rick Garofolo this May 9-10 in Indianapolis at the Accelerate: Dental Revenue Workshop! Register today!

 

About the Speaker:

Rick is a speaker, author, consultant and the Founder of The Dental Practice Mechanics with nearly 30 years experience in business management and compliance. Rick’s unique experience comes from a combination of years of successful business ownership with advertising agencies, PR firms, publishing companies, multiple magazines, restaurants, bakeries, a chain of barber shops and commercial and residential real estate investments coupled with his years of experience in the dental industry as a consultant and dental business owner. He is the author of Driving Your Business, produces Drive Live (a daily podcast on dental business topics), and runs the Dental Billing, Coding and Insurance Academy Facebook group.

 

 

© 2024 Napa EA/MEDX LLC. All rights reserved.  https://vynedental.com/legal/  All third-party trademarks and tradenames (including logos and icons) referenced are and remain the property of their respective owners. 

 

Navigating the Mystery of EOBs Presented by Colleen Huff

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Explanation of Benefits are confusing and difficult to understand, and team members are often unaware of how to interpret the explanation. How we track and enter revenue is essential to the success of a practice. This seminar will clarify terms and assist you in collecting from the insurance company all that is owed to you, and your patients.

In this seminar you will learn: 

  • Adjustments – Making sure you are charging your patients correctly 
  • Denials – Learn ways to maximize the insurance for your patients 
  • Coordination of Benefits – Regular and Non-Duplication – how to utilize both while benefiting Patient & Office both 
  • Interactive review of actual EOB’s with Q & A 
  • Trends in Dental Insurance 

Providers, practice administrators, office managers, and dental billers, you don’t want to miss Colleen Huff this May 9-10 in Indianapolis at the Accelerate: Dental Revenue Workshop! Register today!

About the Speaker: 

Colleen Huff, FAADOM has been in the dental field for over 29 years. Her dental career began as a customer service representative for Metlife Dental, then she spent 21 years as a Practice Administrator to multi-location practices. Colleen began working as a full-time consultant and speaker in 2021, and is a published author in numerous dental trade publications.

In 2018 Colleen began working with Front Office Rocks as their Insurance Guru and now has an Insurance Mastery online course. She is very proud to have been named one of the Top 25 Women in Dentistry by Dental Products Report.

 

© 2024 Napa EA/MEDX LLC. All rights reserved.  https://vynedental.com/legal/  All third-party trademarks and tradenames (including logos and icons) referenced are and remain the property of their respective owners. 

 

“Compliance Matters: We Know We Know, but Trust Us You Want to Hear This!”

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In the ever-evolving landscape of compliance regulations, it’s crucial to stay well-informed about the latest legislative changes that affect your dental practice. Devon Banks will delve into essential topics such as the Cures Act, No Surprise Billing Act, Medical Debt Forgiveness Act, fraud protection, and more. 

While this segment will provide you with invaluable insights into how these regulations impact your revenue and daily operations, we promise you won’t fall asleep! Devon is a master at keeping things fun. Compliance may be a necessary evil, but we’re in it to stay ahead of the curve together!

In this presentation, you’ll learn:

  • The good, bad, and ugly of insurance trends
  • Recent legislations
  • Strategies for dental offices

Providers, practice administrators, office managers, and dental billers, you don’t want to miss Ashley Bond this May 9-10 in Indianapolis at the Accelerate: Dental Revenue Workshop!

About the Speaker:

DeVon Banks is CEO of D-TECH Billing and Claims, a successful billing and claims company based in Maryland that has worked with hundreds of dental offices across the country since 1998. DeVon is an industry expert in insurance, revenue cycle management, and Dentrix. She leads a robust team of billing professionals and together, they have served hundreds of dental offices all over the country. DeVon is active in the nonprofit sector as well.  She acts as a board member for Special Care Special Needs and Chairwoman of the Board for People for Change Coalition. Her passions include dancing, kickball and travel.

 

© 2024 Napa EA/MEDX LLC. All rights reserved.  https://vynedental.com/legal/  All third-party trademarks and tradenames (including logos and icons) referenced are and remain the property of their respective owners. 

Breaking Down the Insurance Breakdown: The Secret to Successful Collections in Thriving Practices Presented by Ashley Bond

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Understanding the finer points of benefit breakdown can mean the difference between fast, full reimbursements, and slow, partial payments. In this course Ashley will guide you through best practices to ensure prompt payment. From people to process to systems; Ashley’s extensive expertise and knowledge in the dental field makes this segment a can’t miss. 

In this segment you’ll learn:

  • What is your collection percentage?
  • Why insurance breakdowns are the backbone to success
  • When to check insurance rejections
  • How to create an RCM Planner

Providers, practice administrators, office managers, and dental billers, you don’t want to miss Ashley Bond this May 9-10 in Indianapolis at the Accelerate: Dental Revenue Workshop!

 

About the Speaker: 

Ashley Bond, VP of Billing Services at Wisdom and owner of Bond Dental Billing, is a trailblazer in the field, having made remarkable contributions to the industry. She is at the forefront of dental billing industry knowledge and her insights have led to publications in renowned platforms such as drbicuspid and AADOM (American Association of Dental Office Management). 

Under Ashley’s visionary leadership, Bond Dental Billing, now Wisdom, has experienced extraordinary growth, with a staggering 600% increase in two years. With a proven track record of success, Ashley Bond continues to inspire and empower dental professionals, helping them streamline their billing processes, reduce stress, and maximize profitability. Her commitment to delivering exceptional service, combined with her extensive industry knowledge, makes her an invaluable asset to dental practices seeking growth and efficiency.

 

Register today at vynedental.com/accelerate!

 

 

 

© 2024 Napa EA/MEDX LLC. All rights reserved.  https://vynedental.com/legal/  All third-party trademarks and tradenames (including logos and icons) referenced are and remain the property of their respective owners. 

Revenue Cycle Management for Leaders Presented by Teresa Duncan

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Today’s practice leader doesn’t just manage collections. Cash flow, payment organization, and forecasting are all key components of revenue cycle management (RCM). Teresa’s insightful class will explain why we need to think past sending statements and making collections calls so that we can stay cash flush and prepared for any challenges.
We’ll also discuss how to explain the importance of RCM to your team members so they can support you in your efforts.

In this seminar, you will learn how to:

  1. Explore the holistic nature of revenue cycle management (RCM), encompassing cash flow optimization and revenue forecasting
  2. Understand the pivotal role of RCM in maintaining financial stability and readiness for challenges
  3. Effectively communicate the importance of RCM to team members, garnering their support for collective financial goals

About the Speaker:
With over 20 years of healthcare experience, Teresa addresses topics such as Insurance Coding, Office Manager Training, and Patient Conversations. Her memberships include the National Speakers Association and the National Association of Dental Plans. She has been named one of the Top 25 Women in Dentistry and is the author of Moving Your Patients to Yes: Easy Insurance Conversations as well as a contributing author to the ADA’s annual CDT Companion Guide™. Her podcasts “Nobody Told Me That!” and “Chew On This!” provide regular coding and management updates. Teresa received her Master’s Degree in Healthcare Management.

Providers, practice administrators, office managers, and dental billers, you don’t want to miss Teresa Duncan this May 9-10 in Indianapolis at the Accelerate:Dental Revenue Workshop! Register today at vynedental.com/accelerate.

© 2024 Napa EA/MEDX LLC. All rights reserved. https://vynedental.com/legal/ All third-party trademarks and tradenames (including logos and icons) referenced are and remain the property of their respective owners.

Maximizing Efficiency with Electronic Claims Processing: A Guide to Seamless Revenue Cycle Management

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In today’s fast-paced dental industry landscape, electronic claims processing emerges as a game-changer, offering unparalleled efficiency and accuracy compared to traditional paper-based methods. Electronic claims processing is revolutionizing dental practice revenue cycle management with its ability to streamline workflows and minimize errors. Let’s explore why adopting electronic claims is crucial for healthcare providers and payors alike, along with essential implementation strategies and compliance considerations.

 

Benefits of Electronic Claims Processing:

Electronic claims submission offers a myriad of advantages, including speed, accuracy, and cost-effectiveness. By eliminating the need for manual data entry and paper-based documentation, dental practices can significantly reduce processing times and administrative overhead. Moreover, electronic claims systems enable seamless communication between providers and payers, leading to faster reimbursements and improved cash flow. With built-in error-checking mechanisms and real-time claim status updates, electronic claims processing ensures greater accuracy and transparency throughout the reimbursement process.

 

Implementation Best Practices:

Implementing electronic claims processing requires careful planning and execution to maximize its benefits. Dental billers should start by evaluating their current workflows and identifying areas where electronic claims can streamline operations. Selecting the right electronic claims software is crucial, considering factors such as integration capabilities, user-friendliness, and compliance with industry standards. Additionally, thorough training and support for staff members are essential to ensure a smooth transition and adoption of the new system. Regular monitoring and performance evaluation are key to identifying any potential issues and optimizing the electronic claims process continuously.

 

Compliance Considerations:

While electronic claims processing offers numerous benefits, it also comes with regulatory and compliance requirements that dental care providers must adhere to. Ensuring compliance with HIPAA regulations is paramount to protecting patient privacy and confidentiality. Dental practices and payors must implement robust security measures, such as encryption and access controls, to safeguard electronic health information (EHI) during transmission and storage. Moreover, compliance with standardized code sets, such as CDT, is essential to ensure accurate claims submission and reimbursement. Regular audits and assessments can help dental organizations identify and address any compliance gaps proactively.

In conclusion, electronic claims processing represents a significant advancement in dental practice management, offering unparalleled efficiency, accuracy, and transparency. Vyne Dental offers a robust electronic claims processing solution that dental care providers and payors can use to streamline workflows, reduce administrative burdens, and enhance the overall patient experience. Connect with a Practice Revenue Advisor today to see how electronic claims processing with Vyne Dental can unlock new possibilities for improved care delivery in the digital age.

About Vyne Dental

Vyne Dental is part of the VyneⓇ family of industry-leading information exchange, revenue acceleration, and communication solutions for healthcare. Vyne Dental strategically develops solutions, for dental practices, healthcare providers, and insurance plans and payers, that facilitate the secure exchange of health information in a digital, end-to-end revenue accelerator that optimizes cash flow while helping to reduce associative costs. Vyne Dental continues to drive the dental industry forward by innovating intelligent technologies to improve workflow, reduce administrative costs, engage patients, and streamline reimbursements.

© 2024 Napa EA/MEDX LLC. All rights reserved.  https://vynedental.com/legal/  

Streamlining Dental Insurance Claims Processing with Vyne Trellis

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In the fast-paced world of dental practice management, efficiency is paramount. Every minute spent on administrative tasks is a minute taken away from patient care. That’s where Vyne Dental steps in, revolutionizing the way dental insurance claims are processed with its cutting-edge Dental eClaims platform, Vyne Trellis®.

Simplifying Dental Insurance Claims Processing via our Dental eClaim Software

Gone are the days of manual paperwork and tedious phone calls to insurance providers. Vyne DentalⓇ’s Dental eClaims platform automates the entire process, from claim submission to reimbursement, streamlining operations and saving valuable time for dental practices.

Key Features of Dental eClaims

Fast and Accurate Claims Submission: With Dental eClaims, dental practices can electronically submit claims to insurance providers within seconds, eliminating the need for paper forms and helping to reduce the risk of errors.

Real-Time Eligibility Verification: Say goodbye to surprises at the front desk. Dental eClaims provides real-time eligibility verification, allowing practices to confirm patients’ dental insurance coverage instantly and accurately.

Dental Claim Tracking and Management: Track the status of dental claims in real-time and receive notifications on updates or changes. Dental eClaims offers comprehensive tools for managing and monitoring claim submissions effortlessly.

Integration with Practice Management Software: Seamlessly integrate Dental eClaims with existing practice management software, eliminating the need for manual data entry and ensuring a smooth workflow.

Benefits for Dental Practices

Increased Efficiency: By automating dental insurance claims processing, dental practices can significantly reduce administrative overhead and allocate more time and resources to patient care.

Faster Reimbursements: With quicker dental claim submissions and fewer errors, practices can expect faster reimbursements from insurance providers, improving cash flow and financial stability.

Enhanced Accuracy: Manual data entry is prone to errors, leading to dental claim denials and delays. Dental eClaims helps ensure accuracy through electronic submissions, reducing the risk of costly mistakes.

Improved Patient Experience: By streamlining administrative processes, dental practices can enhance the overall patient experience, leading to higher satisfaction and retention rates.

Why Choose Vyne Dental?

Industry-Leading Expertise: With decades of experience in dental practice management solutions, Vyne Dental understands the unique challenges faced by dental professionals and delivers tailored solutions to meet their needs.

Comprehensive Support: From implementation to ongoing support, Vyne Dental provides dedicated customer service to ensure a smooth transition and maximum utilization of Dental eClaims.

Continuous Innovation: As technology evolves, so does Vyne Dental. With a commitment to innovation, the company continuously updates its products to incorporate the latest advancements in dental technology and industry best practices.

Get Started with Dental eClaims Today

Don’t let manual paperwork and inefficient processes hold your practice back. Join the thousands of dental professionals who have embraced the future of dental insurance claims processing with Vyne Dental’s Dental eClaims platform. Contact us today to schedule a demo and experience the difference firsthand.

Dental eClaims Frequently Asked Questions

What are Dental eClaims?

Dental eClaims are addressed by an advanced electronic platform developed by Vyne Dental that facilitates the submission of dental insurance claims electronically to insurance providers.

How do Dental eClaims streamline the insurance claims process?

Dental eClaims streamline the insurance claims process by automating claim submission, helping to eliminate the need for manual paperwork, and reducing the risk of errors. It offers features such as real-time eligibility verification and comprehensive claim tracking to expedite processing.

What are the key features of Dental eClaims?

Key features of Dental eClaims include fast and accurate claims submission, real-time eligibility verification, claim tracking and management, seamless integration with practice management software, and enhanced efficiency in insurance claims processing.

How do Dental eClaims ensure accuracy in claim submissions?

Dental eClaims ensures accuracy in claim submissions through electronic data transmission, which reduces the likelihood of errors associated with manual data entry. Additionally, it provides validation checks and prompts for missing information to minimize inaccuracies.

Can Dental eClaims integrate with existing practice management software?

Yes, Dental eClaims can seamlessly integrate with most existing practice management software, allowing for a smooth workflow and eliminating the need for duplicate data entry.

How do Dental eClaims handle real-time eligibility verification?

Dental eClaims interfaces with insurance providers’ databases to conduct real-time eligibility verification, enabling dental practices to instantly confirm patients’ insurance coverage before providing services.

What types of insurance claims can be processed using Dental eClaims?

Dental eClaims supports the processing of various types of dental insurance claims, including primary, secondary, and tertiary claims, as well as claims for dental procedures, treatments, and services.

How long does it take to set up Dental eClaims for my dental practice?

The setup time for Dental eClaims may vary depending on the size and complexity of the dental practice, but typically, it can be implemented relatively quickly with the assistance of Vyne Dental’s support team.

What kind of support is available for Dental eClaims users?

Vyne Dental offers comprehensive support for Dental eClaims users, including implementation assistance, training resources, and ongoing technical support to ensure smooth operation and maximum utilization of the platform.

Is training provided for dental office staff to use Dental eClaims effectively?

Yes, Vyne Dental provides training resources and support to dental office staff to help them effectively navigate and utilize Dental eClaims for insurance claims processing.

Can Dental eClaims help reduce claim denials and rejections?

Yes, Dental eClaims can help reduce claim denials and rejections by minimizing errors in claim submissions, conducting real-time eligibility verification, and providing prompt notifications for missing information.

How do Dental eClaims contribute to improving patient experience?

Dental eClaims improves patient experience by expediting the insurance claims process, reducing wait times at the front desk, and enhancing transparency regarding insurance coverage and claims status.

What security measures are in place to protect patient information within Dental eClaims?

Dental eClaims employs industry-standard security measures, including encryption, access controls, and compliance with HIPAA regulations, to safeguard patient information and ensure data privacy and security.

Can Dental eClaims help track the status of submitted claims?

Yes, Dental eClaims provides tools for tracking the status of submitted claims in real-time, allowing dental practices to monitor progress, receive notifications on updates or changes, and take necessary actions promptly.

How do Dental eClaims help dental practices increase efficiency and save time?

Dental eClaims increases efficiency and saves time for dental practices by automating administrative tasks, reducing manual paperwork, minimizing errors, and expediting the insurance claims process, allowing staff to focus more on patient care.

About Vyne Dental

Vyne Dental is a leading provider of technology solutions designed to streamline workflows, reduce administrative costs, and enhance reimbursements for dental practices nationwide. To learn more about our innovative solutions, visit vynedental.com.

© 2024 Napa EA/MEDX LLC. All rights reserved.  https://vynedental.com/legal/  All third-party trademarks and tradenames (including logos and icons) referenced are and remain the property of their respective owners. 

Accelerate: Empowering Dental Billers for Success – Unveiling Vyne Dental’s 2024 Workshop Agenda!

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Vyne Dental’s customers are an integral part of our mission to deliver next-generation dental billing solutions to practices. We saw the need for more tailored education opportunities for the dental biller that weren’t prevalent in the dental space before. So, in 2023 Vyne Dental created an in-person workshop geared towards just that – education for the dental biller, the front lines, the office manager, and anyone responsible for revenue in the dental practice, the Accelerate: Dental Billing Workshop.

Building on that success, 2024’s Accelerate will take place May 9-10 in Indianapolis. While there are many things that excite us about welcoming dental billing professionals to Vyne Dental’s home base, education is at the top of the list, so we’re thrilled to announce the incredible agenda we have in store for our attendees! 

Take a look at the comprehensive presentations that our top-notch speakers will be presenting:

Increased Profits through Proper Billing and Coding by Rick Garofolo

Rick’s most popular course is first up in the day, and is updated for 2024 including new codes, new rules and new ways to make sure you get paid what you deserve! Rick will also cover topics including dealing with secondaries, insurance requirements, increasing collections ethically, and 10 codes you aren’t using to maximize patient experience and insurance reimbursement.

 

Compliance Matters: We Know We Know, but Trust Us You Want to Hear This! By DeVon Banks

In the ever-evolving landscape of compliance regulations, it’s crucial to stay well-informed about the latest legislative changes that affect your dental practice. Devon Banks will delve into essential topics such as the Cures Act, No Surprise Billing Act, Medical Debt Forgiveness Act, fraud protection, and more. While she may be speaking about compliance, DeVon is a fun presenter who always keeps things interesting! 

 

Breaking Down the Insurance Breakdown: The Secret to Successful Collections in Thriving Practices by Ashley Bond

Ashley is a master at understanding the finer points of benefit breakdown, which can mean the difference between fast, full reimbursements, and slow, partial payments. In this segment Ashley will guide attendees through best practices to ensure prompt payment. From people to process to systems; Ashley’s extensive expertise and knowledge in the dental field makes this presentation a can’t miss.

 

Navigating the Mystery of EOBs by Colleen Huff

Explanation of Benefits are confusing and difficult to understand, and team members are often unaware of how to interpret the explanation. How we track and enter revenue is essential to the success of a practice. Colleen’s presentation will clarify terms and assist attendees in collecting from the insurance company all that is owed to their offices, and your patients.

 

Revenue Cycle Management for Leaders by Teresa Duncan

Today’s practice leader doesn’t just manage collections. Cash flow, payment organization and forecasting are all key components of revenue cycle management (RCM). There is no one better equipped to speak to this than Teresa Duncan! She will explain why we need to think past sending statements and making collections calls so that we can stay cash flush and prepared for any challenges

In addition to these segments, the Accelerate: Dental Revenue Workshop has ample opportunities for networking, access to speakers for questions and discussions, and lots of fun! We’d love to see you in Indianapolis May 9-10. 

 

Regardless of the size of your dental practice, this workshop is designed to empower teams and revolutionize the financial performance of your office. During this classroom-style workshop, we will fully immerse attendees in valuable, practical content presented by thought leaders of the industry. Learn from the experts how your practice can successfully increase and protect your revenue stream. Speakers will include Teresa Duncan, Rick Garofolo, Ashley Bond, Colleen Huff, and more to be announced.

Discover solutions that facilitate intelligent data exchange between the payers, the practice, and their patients, revolutionizing dental billing and payment processing and more!

About Vyne Dental

Vyne Dental is a leading provider of technology solutions designed to streamline workflows, reduce administrative costs, and enhance reimbursements for dental practices nationwide. To learn more about our innovative solutions, visit vynedental.com.

© 2024 Napa EA/MEDX LLC. All rights reserved.  https://vynedental.com/legal/  All third-party trademarks and tradenames (including logos and icons) referenced are and remain the property of their respective owners. 

Vyne CEO Joins Rick Garofolo of the ‘Dental Billing, Coding and Insurance Academy’ Facebook Group for Interview

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Rick Garofolo, the founder of ‘The Dental Practice Mechanic’ and the ‘Dental Billing, Coding, and Insurance Academy’ Facebook group, is renowned for his expertise in dental billing. With over 20k members in his Facebook group, Rick’s insights are highly valued within the dental community. This week he invited Steve Roberts, Vyne’s Chief Executive Officer, to talk through critical aspects of dental billing following the recent cybersecurity incident, and Vyne Dental’s efforts to help those affected to start sending claims and getting paid as soon as possible.

Electronic Claims: A Modern Necessity

One of the primary topics covered was the importance of utilizing electronic claims submission in today’s environment. Rick and Steve emphasized its role in reducing claim processing delays, enhancing tracking, and reporting capabilities – particularly crucial amidst recent healthcare challenges. Opting for electronic submission reduces the risk of claims being held up in a paper to EDI conversion process on the insurance carrier’s end.  

 

“The core of what we’re trying to do is to get people paid faster,” says Steve Roberts, Vyne Chief Executive Officer. 

 

Access the full interview here.

 

About Vyne Dental

Vyne Dental is a leading provider of technology solutions designed to streamline workflows, reduce administrative costs, and enhance reimbursements for dental practices nationwide. To learn more about our innovative solutions, visit vynedental.com.

 

© 2024 Napa EA/MEDX LLC. All rights reserved.  https://vynedental.com/legal/  All third-party trademarks and tradenames (including logos and icons) referenced are and remain the property of their respective owners.