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What do you do if a dentist charges you an 'insurance filing fee' but your dental insurance contract says they can't?
Wiki User
∙ 18y ago
Show the dentist in your contract where it says they can't. If it solves it, great. If not, you need to call and talk to your insurance and see what they say for you to do. You may need to find another dentist if it becomes too much of a hassle or talk to a lawyer. Whichever you choose. Dont pay your dentist, tell him or her to take it up with the insurance companie. Bring your contract in to your dentist. It may be an honest mistake. With SO MANY different policies out there, no dental staff can know and remember them all. If your claim isn't paid in a timely manner, and your dentist does have to re-file with the insurance company, call your insurer and get on their case! The insurance company sure wants their premiums on time, so you should expect them to pay your dental claims on time. Unless the dentist is a preferred provider for your insurance company, they can charge a fee. It doesn't make any difference what your insurance contract says. If you have gone to a doctor out of network, you have no recourse. To use your dental insurance in your best interest, you must go to a preferred provider. A preferred provider is someone who has signed a contract with a specific insurance company indicating they will follow the "rules" of that company and accept the fee schedule. If your dentist has charged for a insurance filing fee, notify the insurance carrier. It is written in the dentist contract with the carrier that fees for filing claims should be not be charged. Get a rep from the insurance company to call and notify the doctor if they are participating in your plan. Alot of the time the office staff can not remember all of the policies. If there is a timely filing deadline on the plan and the insurance company has told you that it has not been received see if they can provide you with a fax number. If the timely filing deadline has expired and the dentist can provide proof that they have filed the claim several time the insurance carrier can accept that and will process the claim when received. If the provider can not show proof that the claim has been filed during the timley filing period normally the insurance carrier does not hold the patient responsible for the charge. Especially if the dentist is a participating provider. Please read you explaination of benefits. It states it there or contact you ins carrier.
Wiki User
∙ 18y ago
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What companies offer insurance that covers one's visit to the dentist?
Companies that offer insurance that covers dentist visits include Delta Dental, United Concordia Insurance, Cigna Dental Insurance, Ameritas Group and MetLife.
Who is the best dental insurance PPO or HMO?
PPO and HMO, both are acceptable dental insurance. PPO dental insurance allows you to concern other dentist with some limitation coverage. HMO dental insurance provides expert dentist in their network to offer best treatment. You can choose any insurance plan which suits you the best.
Do Mexican dentist accept delta dental insurance from America?
Some Mexican dentists do accept Delta dental insurance from America. To find out if the dentist would be covered, you would need to contact Delta, and then contact the dentist to make sure that they would accept the insurance.
Is there an insurance company that covers just dental insurance?
To find a dental insurance you can contact a dentist office to find out what type of insurance they accept. Then contact those companies. If you have a specific dentist office you want to go to then it's especially important to find out what insurance they accept.
My husband needs some dental work. What is the average wait between obtaining dental insurance and when you can use it?
Once you obtain dental insurance, you can use it. The only hold up would be with the dentist themselves. The dentist may not schedule the appointment for a few weeks.
What are dental insurance plans most useful for?
Dental insurance plans are very important in maintaining the cost of a dental procedure. In fact, studies have shown that a consumer with dental insurance will go to see a dentist more frequently for preventative measures.
What is an advantage of being a dentist?
You get paid, and maybe free dental insurance, and you have clean teeth.
Pediatric Dentist?
form_title=Hire a Pediatric Dentist form_header=These dentists focus specifically on the dental needs of younger patients. Who is your current dental insurance provider?=_ Does your child have any special dental needs?=_ What services are you looking for?=_
What dentist in killeen tx accepts physicians mutual dental ins?
Either the insurance company has a list or you will have to call each dentist.
How much is the co-pay for an Aetna dental insurance plan?
"For a low cost dental insurance plan, expect to pay $0-$15. For the Dental PPO or PDN, or for the Dental Indemenity, you will not pay a co-pay when you visit the dentist."
Do you have to carry dental insurance card?
If you have dental insurance and expect to use it at a dentist, you need to present the card so that they can get the information off of it to bill your insurance company. If you cannot present the card, they are unable to get the information they need.
Is a dental office legally required to verify insurance with carrier?
No, your dentists office is not legally required to verify your dental insurance. Your insurance company has a contract between you and them, it's not a contract including your dental provider. This is assuming we are not speaking of HMO insurance or PPO insurances. If you are given a list of dentists that you can go to based on a fee schedule then that dentist has agreed to accept a certain discounted price or not to exceed a certain cost, if this is the case then they are obligated to verify when your insurance is effective and when and if it has been cancelled. As a matter of fact, Your dental provider is only doing their patients a favor of submitting a claim for patients within the practice but they do not even legally have to do that. ( once again when referring to NON HMO insurance )
