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Yet these frivolous lawsuits are allowed to continue....
This is why I collect payment in advance. It's funny how dentures seem to fit better when they are paid for. Think about it.
Next time ask your dentist's office manager to talk to you how much everything could cost. Our office is wonderful about getting pre approval and laying out exactly what will be owed so there are no surprises. Then of course you sign it.
Misinformation here - what you are a getting from the insurance company is a Pre-DETERMINATION, not APPROVAL. The form you get back looks like a claim, but it says (usually in big letters) "This is not a guarantee of payment" or something like that. Which means no matter what it says on the paper you are holding in front of you, the insurance company reserves the right to change their minds once the work is done and the actual claim is submitted. This is a common misconception I see among patients. Always, ALWAYS, get a treatment plan which shows the following 3 things:
1) TOTAL treatment cost
2) Estimated insurance portion
3) Estimated patient portion.
Always, ALWAYS be prepared to pay #1, even if the bill comes months later. If you are not ok with that, then don't do the treatment.
Misinformation here - what you are a getting from the insurance company is a Pre-DETERMINATION, not APPROVAL. The form you get back looks like a claim, but it says (usually in big letters) "This is not a guarantee of payment" or something like that. Which means no matter what it says on the paper you are holding in front of you, the insurance company reserves the right to change their minds once the work is done and the actual claim is submitted. This is a common misconception I see among patients. Always, ALWAYS, get a treatment plan which shows the following 3 things:
1) TOTAL treatment cost
2) Estimated insurance portion
3) Estimated patient portion.
Always, ALWAYS be prepared to pay #1, even if the bill comes months later. If you are not ok with that, then don't do the treatment.
This is very true. Patient's are amazed to learn that insurance companies change their minds all the time and decide not to pay. Remember, the insurance company is not in the business of paying claims...they are in the business of NOT paying claims.
This is very true. Patient's are amazed to learn that insurance companies change their minds all the time and decide not to pay. Remember, the insurance company is not in the business of paying claims...they are in the business of NOT paying claims.
Most patients think the insurance company is fighting on their behalf against the greedy dentist. Since there is no way their wonderful insurance company would want to deny their claim, the fault must be with that bastard dentist who tricked them into doing "medically unnecessary" work.
they should have sat you down and explained all this before treatment was done..usually in your paperwork it would say that you have to pay the portion that the insurance wont pay..?
Our dental office tells us up front what our cost and insurance coverage will be before any work is started. If the dentist notices that there may be future problems they tell us the costs right then and there. Then it's our decision what to do and when to do it.
Most patients think the insurance company is fighting on their behalf against the greedy dentist. Since there is no way their wonderful insurance company would want to deny their claim, the fault must be with that bastard dentist who tricked them into doing "medically unnecessary" work.
I disagree 100%.
I think most patients feel the doctor is fighting against the evil insurance carrier.
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