Understanding your insurance
coverage can be quite challenging. Our goal is to assist
you in maximizing your benefits. We care for patients from
many different companies. Each company pays an insurance
premium for specific coverage that fits the company budget.
Each plan is slightly different in its covered services.
We encourage you to become familiar with your policy exclusions,
deductibles and required co-payments.
Our courtesy service to you includes:
1. Filing your insurance within 48 hours of your visit.
2. Electronically filing your insurance (when available) for short turnaround.
3. Researching your dental insurance plan to advise you of benefits available
to you.
4. Re-filing your insurance a second time when necessary.
5. Following the American Dental Association guidelines for coding procedures
and filing insurance.
Our expectations of you as the owner of the policy:
1. Payment of fees not covered by your insurance plan expected when the service
is delivered unless prior financial arrangements have been made.
2. Understanding that the insurance policy belongs to you and we have no
leverage to obtain payment from your insurance carrier.
3. Realizing that dental insurance policies restrict some services, use restricted
fee schedules (called Usual and Customary Rates-UCR) and exclude some procedures
based on prior conditions or length of time on the plan. All restrictions
are based on the premium paid for insurance, not our fees or recommended
treatment.
4. Taking responsibility for payment if the insurance company does not pay
our office within 75 days.
5. Keeping our office informed of any changes in your insurance coverage
or employment.
Thank you for your cooperation with your dental insurance coverage.
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