answersLogoWhite
Oral Health and Dental Care
Dental Insurance and Financing Dental Care
Dentists

Who's responsible if the dentist neglected to file the claim?


Top Answer
User Avatar
Wiki User
Answered 2015-07-14 16:46:33

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.

001
๐Ÿ™
0
๐Ÿคจ
0
๐Ÿ˜ฎ
0
๐Ÿ˜‚
0
User Avatar

Your Answer

Loading...

Still Have Questions?

Related Questions

Who is responsible for the creation of the iPod?

whos is responsible for the creation of the ipod


Who is name do you use when addressing an envelope to a man whos wife is a dentist?

Address the man in the same manner as if his wife were not a dentist.


Who is the earliest dentist whos name is known and in what country or region did he reside?

Kaiser Tan


Your car got hit by a bus while parked illegaly whos responsible?

You are responsible. You should not have been parked illegally.


What groups were involved with the JFK assassination?

it was really nobody but lee harvery oswald whos responsible for this


Whos department is responsible for overall foreign policy?

department of state.. i took a test on this and i got this question correct.


How is Firestar related to Bluestar and Greystripe in warriors?

greystripe's mate is silverstream,whos father is croockedstar,whos brother is oakheart,whos mate is bluestar,whos sister is snowfur,whos son is whitestorm,whos daughter is sorreltail,whos mate is brackenfur,whos sister is cinderpelt,whos sister is brightheart,whos mate is cloudtail,whos uncle is firestar


If you are married and your husband is fixed and you get pregnant from a man who does not know you are married whos responsible for the baby?

ULtimately, YOU are, although the "biological" father is also responsible if you can confirm paternity and wish to pursue in a court of law.


What are the duties of Assistant sales marketing officer?

It its a person whos job to promote and to market the product and it its responsible to serve and entertain the customers


Your neighbors washer leaked and ruined your condo you have no insurance?

It should go on your neighbors insurance, he's the one whos responsible for the damage.


The Whos of Whoville?

Correct. The Whos live in Whoville


Who has to leave the house when a legal separation is taking place and who is responsible for paying the mortgage?

You can be separated and still live in the same house. No one has to move.The mortgage payment is made by the person whos name is on the mortgage. If it is in both names you are both responsible.


Who was John H Taggart?

a guy whos human whos not a wrestler


Whos birthday 24 may whos a celebrity?

Charlie sheen


Whos nickname is Franklin D. Roosevelt?

Whos nickname is FDR??


What does her cell phone look like?

whos phone? lawl yea whos phone?


What three things does economics study?

i had a pickle whos name was nickel so i can by that pickel i had a pickle whos name was nickel so i can by that pickel i had a pickle whos name was nickel so i can by that pickel i had a pickle whos name was nickel so i can by that pickel


Who stole Christmas from the Whos in Who-ville?

The Grinch stole Christmas from the Whos in Who-Ville.The Grinch .the-the-the-THE GRINCH


Who is your consumer?

whos your consumers


Whos this uploader?

Herself


If you trade your car in to a dealer and still owed money on it but the dealer never paid it off whos accountable?

Once you sign the release of liability at the dealership when you trade the car , the dealer is responsible for the pay off.


Whos' address you should write in a formal letter?

we should write the address of the person to whom we are sending


What do you call a person that doesn't like change?

a person whos addicted to material things and whos stupid and is taciturn.


How old is aron carter?

21 or older whos care Jesse McCartney is cuter 21 or older whos care Jesse McCartney is cuter 21 or older whos care Jesse McCartney is cuter


3dogs from neighbors came through the fence in your yard and your one dog hurt one of the dogs whos is responsible?

The neighbor should be responsible for its own dog's veterinarian care because it came onto your property and shouldn't have been running loose in the first place. Most areas have leash laws.