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A dentist working for an insurance company plays a key role in ensuring quality dental care for policyholders by reviewing treatment plans, verifying the necessity of procedures, and promoting preventive care to maintain oral health.

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AnswerBot

5mo ago

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Related Questions

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.


For an estimate on dental work should you contact your dentist office or your insurance company?

Contact your dentist office, they will be able to give you an estimate on what you need doing, and then see if your insurance company will cover it. It is possible the dentist office may even be able to tell you if your insurance will cover it over the phone.


I am trying to find a dentist to get rid of a cavity and they won't take my insurance what should i do?

Call the insurance company and ask for the name of a dentist in your area. Alternatively, check the website of the company for a current list of providers.


What is the best company to use for dentist insurance?

The best company to use for dentist insurance is United Healthcare. You can read the list at business.highbeam.com/.../best-rating-notification-dentists-insurance-company - Blue Cross is the insurance company that I use for dental. They are very helpful and pay most of my dental bills as well as prescriptions and special procedures. They are a reputable company and easy to talk to and deal with.


What dentist in killeen tx accepts physicians mutual dental ins?

Either the insurance company has a list or you will have to call each dentist.


Is there an insurance company that covers just dental insurance?

To find a dental insurance you can contact a dentist office to find out what type of insurance they accept. Then contact those companies. If you have a specific dentist office you want to go to then it's especially important to find out what insurance they accept.


If An employee of a dentist has insurance and the employer files insurance and gives the employee all the money back from the insurance company Is this legal?

No. This would be not only be insurance fraud but would also endanger the license of the dentist involved. Plus if the insurance company ever found out about such a thing, the Dental Practice would have to close down, because no insurance company would contract with someone like that, ever again. If the State Licensing Division didn't revoke the Dentist's license, the insurance carriers no longer processing claims from this business would drive them out of business. The Dentist would have to start working at the 7-11 Store. Crooks are not Professionals.


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

It is possible for a dentist to falsely claim to be in-network with your insurance provider. It is important to verify their network status with your insurance company before receiving treatment to avoid unexpected costs.


Should the Dr's office bill the patient for the Provider Discount that the insurance company gets?

If the dentist is part of the insurance company's network, he or she is contracted NOT to balance bill the patient for the discount negotiated as part of the contract. The dentist can charge for the difference between the discounted rate and what the insurer pays. For example, if the usual charge for the procedure is $100 but the discounted amount is $60 and the insurer pays half; then the dentist can charge you $30. But the dentist should NOT be charging you the $30 PLUS the $40 discounted amount. If this happens you should contact your insurance company as the dentist may be in violation of his or her contract.


Where can you get insurance that covers invisalign?

You'll probably have to call the claims department of each company or check with your dentist.


What is the average cost to get tooth bonding done from the dentist?

It depends on the insurance company, how much they cover, and the company that is willing to fix it.


What do you do if a dentist charges you an 'insurance filing fee' but your dental insurance contract says they can't?

Show the dentist in your contract where it says they can't. If it solves it, great. If not, you need to call and talk to your insurance and see what they say for you to do. You may need to find another dentist if it becomes too much of a hassle or talk to a lawyer. Whichever you choose. Dont pay your dentist, tell him or her to take it up with the insurance companie. Bring your contract in to your dentist. It may be an honest mistake. With SO MANY different policies out there, no dental staff can know and remember them all. If your claim isn't paid in a timely manner, and your dentist does have to re-file with the insurance company, call your insurer and get on their case! The insurance company sure wants their premiums on time, so you should expect them to pay your dental claims on time. Unless the dentist is a preferred provider for your insurance company, they can charge a fee. It doesn't make any difference what your insurance contract says. If you have gone to a doctor out of network, you have no recourse. To use your dental insurance in your best interest, you must go to a preferred provider. A preferred provider is someone who has signed a contract with a specific insurance company indicating they will follow the "rules" of that company and accept the fee schedule. If your dentist has charged for a insurance filing fee, notify the insurance carrier. It is written in the dentist contract with the carrier that fees for filing claims should be not be charged. Get a rep from the insurance company to call and notify the doctor if they are participating in your plan. Alot of the time the office staff can not remember all of the policies. If there is a timely filing deadline on the plan and the insurance company has told you that it has not been received see if they can provide you with a fax number. If the timely filing deadline has expired and the dentist can provide proof that they have filed the claim several time the insurance carrier can accept that and will process the claim when received. If the provider can not show proof that the claim has been filed during the timley filing period normally the insurance carrier does not hold the patient responsible for the charge. Especially if the dentist is a participating provider. Please read you explaination of benefits. It states it there or contact you ins carrier.