Termed Coverage Resolution: What is it?
Inactive Coverage Shouldn’t Mean Stagnant Revenue
When a claim is returned as inactive, it often sits in a “pending” limbo, eventually becoming a write-off or a difficult-to-collect patient balance months later. At Steadfast Billing Solutions, we don’t wait for you to find these errors. We catch them, address them, and resolve them immediately.
Our Proactive Resolution Process
We bridge the gap between insurance denials and patient responsibility. Our team treats termed coverage as a priority, ensuring your revenue cycle never grinds to a halt.
- Immediate Action: When coverage is flagged as inactive, we move the claim into our resolution workflow instantly.
- Patient Outreach: We proactively reach out to the patient (up to two contact attempts) to secure updated insurance details.
- Seamless Updates: If new coverage is found, we update the patient chart and notify your office immediately so the claim can be re-processed.
- Clear Handoffs: If no response is received, we close the claim and alert your team so a statement can be issued while the balance is still “fresh.”
- Statement Integration: For offices utilizing electronic statements, we can even initiate the first patient statement for you to save your staff an extra step.
Why This Matters for Your Practice
Most billing companies simply report that a claim was denied. We go a step further by attempting to fix the root cause.
| The Benefit | The Impact |
| Cash Flow Protection | Resolve coverage interruptions early before they turn into aged receivables. |
| Reduced Admin Strain | Your front office stays focused on the patients in the chair, not chasing insurance cards. |
| Professionalism | Patients appreciate the proactive help in updating their records correctly. |
| Lower Write-Offs | Fewer claims “die” on the vine due to simple eligibility timing issue |
Stop Letting Inactive Claims Slip Through the Cracks
Get Your Free Billing Analysis
Let’s look at your current aging report and see how much revenue is tied up in termed coverage.
Frequently Asked Questions
How soon do you begin the Termed Coverage Resolution process?
We take action the moment a claim is returned as inactive or terminated. Rather than letting it sit on an aging report for 30, 60, or 90 days, our team moves it into our proactive outreach workflow immediately to keep your cash flow consistent.
Do you update the patient’s information in our dental software?
Yes. Unlike other billing companies that simply “flag” the issue for your team to fix, we secure the updated plan details and update the patient’s chart directly in your software (such as Dentrix, Dentrix Ascend, Open Dental, etc..). We then notify your office so your office can update the patient coverage table.
How do you contact the patients?
We provide a professional, high-touch experience. We make up to two direct contact attempts to the patient to secure their updated insurance information. We represent your practice with the same level of care and professionalism your patients expect when they are in your chair.
Can you send the patient statement if no insurance is found?
For offices utilizing electronic statements, we can initiate the first patient statement as part of our resolution process. This saves your front office the administrative task of manual billing and ensures the patient is billed accurately and promptly.
What happens if the patient doesn’t provide new insurance information?
If we are unable to secure updated coverage after our contact attempts, we close the claim and notify your office immediately. This allows your team to issue a patient statement while the balance is still fresh, significantly increasing the likelihood of collection.
Does this service cost extra?
Termed Coverage Resolution is a core component of our comprehensive dental billing and insurance management services. We believe proactive resolution is essential to a healthy revenue cycle, so it is built into our tiered service plans.