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Dental question for those who really understand Dental Insurance
Posted by: FFRes24 ()
Date: August 14, 2017 10:44AM

For those who really understand Dental plans and the insurance game.
Received a claim back from the the insurance company that denied a dental procedure, basically a filling redone.

So who are the bigger of the ripoff artists, the dentist or the insurance companies? Opinions welcome from those with experience.

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Re: Dental question for those who really understand Dental Insurance
Posted by: de jesus no habla ()
Date: August 14, 2017 11:14AM

no habla english.....

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Re: Dental question for those who really understand Dental Insurance
Posted by: FFRes24 ()
Date: August 14, 2017 11:20AM

Please don't waste my time with your response.
Looking for a credited response.

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Re: Dental question for those who really understand Dental Insurance
Posted by: Credited Responder ()
Date: August 14, 2017 11:35AM

FFRes24 Wrote:
-------------------------------------------------------
> Please don't waste my time with your response.
> Looking for a credited response.


You have come to the right place for one of those "Credited Responses"

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Re: Dental question for those who really understand Dental Insurance
Posted by: Been there.... ()
Date: August 14, 2017 04:18PM

They might not have coded it correctly or sent the X-rays.
The dental office can try resubmitting.

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Re: Dental question for those who really understand Dental Insurance
Posted by: Greybeard ()
Date: August 14, 2017 08:42PM

Been there.... Wrote:
-------------------------------------------------------
> They might not have coded it correctly or sent the
> X-rays.
> The dental office can try resubmitting.

This. At least talk to them and find out WTF happened. If it was required, then denying it makes no sense. Not paying due to deductible, UCR, etc. maybe, but denied? Nope.

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Re: Dental question for those who really understand Dental Insurance
Posted by: don't panic.. ()
Date: August 14, 2017 09:42PM

This happens all the time. Try calling the insurance and the office. And yes, was it a matter of not meeting deductible or maxing out for the year, etc.?

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