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Can wife dentist bill husband's insurance for services performed on him?
Wiki User
∙ 7y ago
Medical and Dental policies pay for expenses that would normally be charges to the person in the regular course of business. A Doctor Who is treated by a Partner in the practice for a regular treatment that he has never been charged for in the past, would not be paid for by the insurer. This does not mean a doctor would not get any benefits from their claims. I would say that normal minor items would not be paid by the Dentist spouse. I would also state that a spouse should not treat each other as it would be a conflict of interest most of the time.
Wiki User
∙ 7y ago
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If your insurance company requests a refund from your dentist because your insurance cancelled is the dentist required to send the refund?
The only time the dentist is required to refund the insurance company, is after the specific company has already made payment to the dental office and inadvertently was an overpayment for services renderred. In the event that the dentist is a participating provider with the insurance company and has other patients with the same plan, the insurance company reserves the right to deduct the overpayment from any future payments owed to the dental office whether it is for the same patient or not.
If my 2007 dental benefits have been expired can work be performed in 2007 then hold the insurance claim until 2008 to submit?
IF you mean can your dentist hold the calim until the new year the answer is no. A dentist can lose his/her license by doing that because it is considered insurance fraud!
Routine Dental Services Performed?
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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?=_
Is it legal to keep insurance checks sent directly to you for dental work?
Sure. I mean as long as you don't owe the Dentist for the cost of services he provided to you. Assuming that you already paid the dentist in full, the insurance company would reimburse you for the costs that they would owe under your policy. If you still owe the dentist, of course you can't keep the check. This is called fraud, theft of services, and makes you subject to both civil and criminal courts, where you will loose. Pay what you owe...
Can a dentist refuse your insurance?
Sure he can if his practice does not take that particular insurance.
Who's responsible if the dentist neglected to file the claim?
Sorry if this is not what you want to hear, but you, as the patient, are still responsible for the charges. Most (but not all) insurance company will process the claim if it is made within one year of services. Get a copy of the charges from the dentist, and make sure they include the current ADA codes. Call your insurance company and ask about the claim. It is YOU the insurance has to to, since you are the covered party. (And who pays the premiums, either yourself or through an employer). The dental office only files insurance claims as a courtesy. Too many times the insurance company will tell you that a claim was never received, when in actuality it is on somebody's desk or garbage can. Regardless of that, it is still your responsibility to make sure your services were paid for. If you have a claim that has not been filed by the dentist you first check with your insurance carrier to see if it has been received. I work with insurance companies and they are not allowed to trash or leave any claims lying around or they will be fined. There is a certain law called HIPPA that could get them in a lot of trouble. If they say that it has not been received, yes you can get the information from your dentist to file the claim. If the dentist is in your network under your insurance plan 9 chances out of 10 they have a contract with the insurance carrier to file the enrolee's claim. The reason for that contract is that when payment is made that payment will go to that contracted dentist regardless if you paid in full or not. Also, being that the insurance carrier has a contract with this dentist, have the insurance carrier contact the dentist office to see what has happen. I do it everyday. : As the previous two s clearly stated - the responsibility falls on the insured to follow up on claims for work they had performed. Even if the office failed or neglected to file a timely claim - balance is still your responsibility. As a person who deals with insurance on a daily basis i can appreciate the patients that care about their claims and give me a hand in getting them processed. We file insurance as a courtesy to our patients not because we are mandated or required in any way by the insurance company.
How can I find out which dentists in Washington, DC will accept my insurance?
Your insurance provider should provide a list of dentist. Otherwise you can call and ask your dentist office.
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.
Is a Dentist in New York State required to have malpractice insurance?
There is no legal requirement in Oregon that says that dentists must have insurance but, as my source at the Oregon Board of Dentistry says, "it would be pretty unwise to not." I'm told that the Oregon Insurance Commission may help you find out whether or not a dentist is covered, and by which insurance company. Meanwhile, sometimes the dentist will tell you whether or not they're covered by malpractice insurance. If they don't, and there's a dispute, "then that's when you might have to get an attorney involved," says the source - or file in small claims court.
What happens if primary insurance is PPO and secondary insurance is HMO?
When a DPPO is primary coverage, the charges paid by the patient are based on the agreed DPPO discounted fees--not the DHMO schedule of charges. The dentist would bill the DPPO for the procedures performed. If the dentist is in the DHMO network, he or she would also get his or her regular capitation payment for that patient.
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.
