Colleen- Dental Insurance Coach Huff
Forum Replies Created
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This depends on what type of plan the patient has. If it is a self insured dental plan then the credit could be due to the patient. I would investigate the type of plan so you know who is due the refund.
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Heather- I am not sure which insurance companies are rejecting this or what the reason is but that is the correct code.
Page 107 of the ADA Coding companion #13 addresses this specifically. So unfortunetly it may be something specific to that patients plan but I would try sending a copy of the ADA book with an appeal.
I hope this helps
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Yes you will need to bill both in whatever way they process. So if they pay 1 time/12 months then that is how you bill it. If they require monthly than that is what you do. It can get very confusing so I would have good notes on how to bill them
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So the first question is which state are you in? There are some states that allow you to use both but you would bill to the insurance company the discounted rate. The patient would pay the lowest Fee schedule. IF they sign an exempt form- the work that is done can NEVER be shared with anyone else. So all work regarding that/those teeth cannot leave the office or be given out with their history. This is a very difficult thing to track and could lead to a potential HIPAA breach at some point in the future. Also that patient can retract that release at any time and you would then be billing the insurance and could end up owing that patient money back.
I hope that makes sense or helps.
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OK so I need a bit more info- Are you saying the teeth surrounding the implant are also crowned? or it the implant on it’s own? What type of implant crown is it- implant supported or abutment supported?
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😃 Cannot wait to see everyone
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Cannot wait
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Thanks to all who attended. Looking forward to next month.