Has a dentist ever lied about being in network with your insurance provider?

Why didn't the dentist tell me that they were out of network before providing treatment?

The dentist may not have informed you about being out of network before treatment due to oversight, miscommunication, or lack of clarity in their communication process. It's important to clarify network status with your healthcare provider before receiving treatment to avoid unexpected costs.

What jobs have insurance?

Federal and state government jobs usually offer health insurance.

What is an advantage of being a dentist?

You get paid, and maybe free dental insurance, and you have clean teeth.

What if a clinic says they're in network and they're not... They mis-represented themselves to me and are now trying to bill me for out of network expenses?

Unless you made some agreement with the clinic about charges being limited, you'll be responsible for the charges. It is the responsibility of the insured, not the provider, to confirm coverage with the insurance provider. Response: I understand that. They had me sign a form stating they were in network and showing my benefits with a reference # from my insurance company. I asked the question. They gave me incorrect information. I really have no recourse?

How can a licensed acupuncturist become a licensed provider for insurance?

You can take an exam to sell insurance for various companies. Being a licensed acupuncturist has nothing to do with being an insurance salesperson.

Can a provider bill the patient though he is contracted with local blue cross if patient has an out of state plan?

Providers who are not "in network" for the particular version of Blue Cross cannot be sure of being reimbursed for treatment they provide. Thus, they must bill the patient, who then takes on the responsibility of dealing with the insurance. Most providers will assist with this, if asked. This is an issue with the insurance company, not with the provider.

What is the career satisfaction of being a dentist?

being a dentist.

Is insurance cheaper if you buy home insurance life insurance and auto insurance from the same company?

In most cases, your insurance rates will be cheaper if you use the same provider for both homeowners and auto insurance. By proving to your provider that you value their service and are committed to them, they will reward you for being a devoted customer. You should talk to your agent if you are interested in doing this.

Occupations similar to being a dentist?

Being a dentist is an occupation.

Dental Insurance: A Must Have for Health ?

Teeth are one of those things that if they are not cared for then they can become damaged to the point that it causes tons of pain for the person who has the problem. That is why going to the dentist at least once every six months is what people should be doing. However, most people do not take this advice and the reason being is that they do not have dental insurance. Other people think that dental insurance is not something that they need. However, dental insurance can ensure that you are getting to see the dentist on a routine basis with a little copay on your behalf, and for those instances in which you need a lot of work done, dental insurance can reduce the bill by around fifty percent or more, depending upon the procedure that you have done. So how does dental insurance work? This is a common question, however, for those that have health insurance, insurance for dental needs works in the same way. The only big difference is that the insurance usually pays for one dentist visit every year or every six months in which the dentist performs routine maintenance, such as cleaning the teeth. There is a copay that person must pay, however this is usually a low amount of twenty five or fifty dollars, depending upon the dental insurance provider. As with health insurance, there are many dental plans that are available. In order to get the best for you, you will have to consider the payments that you make on a monthly basis to the provider, as well as what the deductible limits are. Despite what people think, dental insurance is affordable, just as much as health insurance and is usually offered as part of their employment benefits package. If for some odd reason, the place of employment does not offer this type of insurance. Then the person has the option of going to an independent provider in order to get the insurance. People should seriously consider having this insurance since the teeth and mouth depend upon the kind of care that only a dentist can provide.

What are some advantages and disadvantages of being a dentist?

What are some advantages and disadvantages of being a dentist

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.