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Dental Insurance Coverages, Filling out a dental claim form

I have a dental PPO insurance plan and in the plan terms and conditions I am required to notify them before any dental treatment that is over $300.00.  I really do not have a issue with this because I know that is there to make sure I do not go over UCR rate without knowing it a head of time.

My problem is how do I go about doing notifying them?  Will my dentist give me a treatment plan without me consenting to the work being done?  So that I can send that to the insurance company as required?    If I do not have the work done with the dentist charge me for the treatment plan?  Not sure how to go about this advise please.

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Posted on Wednesday, Jun. 23rd 2010 4:11 PM | by Dental | in Dental Claims, Dental help, Dental Insurance, Dentists | 1 Comment »

One Comment on “Dental Insurance Coverages, Filling out a dental claim form”

  1. Stacy Says:
    Thursday, Jun. 24th 2010 3:49 PM at 3:49 pm

    Well normally your dentist should give you a treatment plan showing all costs. You do have to pay for having that done. That is more or less the dental check up. I am guessing X-rays were done and what knot so that is what you would be paying for.

    Any additional dental work that is needed is what they will write out a treatment plan for. That you should not have to pay for. Now a dentist should give that to you with no commitment on your part.

    That is what you would be submitted to your insurance company. Sometimes the dental office will do all this work for you if you tell them that is required by your dental insurance plan.

    Just call your dental office to confirm their process.

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