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Dental Coverages and Filing Claims Forms

Sunday, Mar. 13th 2011 10:04 AM

Dental Coverages and Filing Claims Forms.When you have a dental insurance plan where you are dealing with the filing of claims forms,  it is important to understand the claims process.  You need to know how your dental insurance company handles claims and how the dental office files out the claims forms.

Problems arises when you do not have a clear understanding of your dental insurance and how claims are paid. As well as when you do not know how the dental office is going to make you pay and how they file claims.

Many PPO plans or free choice of dentist insurance  plans state they pay out a certain percentage for preventive, basic and majors services. However that percentage is still normally up to what the UCR or MAC rates are for dental company.

Knowing that is important and it is a good idea to submit dental services to the claims department as a quote only before any dental work is started. That way you always know your true cost for the dental services before committing to it.

It is equally important to know how the dental office is going to file out your claim. Do not assume that the dentist will not charge you the full amount for the dental services.

Making you wait for your refund back from the dental insurance company. This is a mistake often made and normally it is after the fact. Causing many people to be upset. Ask the dentist what they expect you to pay and how before work is started.  Knowing all this ahead of time will keep you from any unexpected billings and from getting upset with the dental claim process

Posted by Kris | in Dental Claims | No Comments »

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