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.
Address the man in the same manner as if his wife were not a dentist. Read More
whos is responsible for the creation of the ipod Read More
Kaiser Tan Read More
You are responsible. You should not have been parked illegally. Read More
it was really nobody but lee harvery oswald whos responsible for this Read More
department of state.. i took a test on this and i got this question correct. Read More
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. Read More
It its a person whos job to promote and to market the product and it its responsible to serve and entertain the customers Read More
It should go on your neighbors insurance, he's the one whos responsible for the damage. Read More
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. Read More
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. Read More
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. Read More
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 Read More
Could a non related ex-foster parent take coustody of a child whos already been adopted by someone else?
No, unless the child is adopted in some sort of fraudulent manner. Even then you have no claim on that child. Read More
we should write the address of the person to whom we are sending Read More
a person whos addicted to material things and whos stupid and is taciturn. Read More
5th ward boyz Read More
of course, because he had to save the whos' planet that was living on the clover plant! The whos' mayor was talking to him. Read More
If you are, do you think his wife deserve to be hurt by you. If for some odd reason that you told your best friend your true feelings towards him and the two of you becomes lover, you will be responsible for wrecking his life and his wife. Have you heard the old saying " if you love someone, you love them enough to let them go?" Think about it, set your world to a… Read More
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 Read More
A contractor and his subcontractor are working the same job and the sub damages the contractors equipment whos insurance pays?
The contractor should make a claim upon the sub-contractors insurance and/or bond. If the sub-contractor defrauded the contractor on having insurance and/or bonding in place then he should report the contractor to the State licensing board, file claim on their insurance, and civil lawsuit (if the insurance company does not directly file or pay). Read More
The Grinch stole Christmas from the Whos in Who-Ville. The Grinch . the-the-the-THE GRINCH Read More
Who tried to steal Christmas from the Whos of Whoville in the 1966 cartoon based on the Dr Seuss Story?
The Grinch tied to steal Christmas from the Whos. Read More
IMHO I don't believe so, based on the following. In "How the Grinch Stole Christmas" the Whos are a little larger than Max, the Grinches dog. Assuming that Max is a normal dog, and not a Seuss creature kind of dog, then they are obviously larger than a speck on a flower, which was the whole world for the Whos of "Horton Hears a Who!" Read More