Who do I call for an over charging dentist that lied about my insurance paying?
If you have a PPO or Indemnity Plan: Since these are plans where you can go outside of network or choose your own dentist the insurance company is out of the lope. Even though a dentist may call on coverages, it is up to you to make sure you are covered. You can do this by submitting a quote only to the claims department before the work is started or you can call. Many PPOs or Indemnity Plans pay based on % up to ACV/UCR so even though you may have coverage if your dentist is above the ACV/UCR you can get hit by a big bill. (that is why I advise to submit claims as quotes before the work is started. This helps you know what is your true cost for any procedure)
If you have an HMO: HMOs are different in that you have to go with their providers. Cost for procedures are normally fee based. Meaning that the dentist will charge based on the fees laid out to them under the plan. Therefore if you feel your dentist lied to you about your coverage I would start by calling the insurance company. Telling them what you had done (need ADA codes) and finding out your true cost. If they did a procedure that was not covered and told you it was then at least the insurance company will then be aware of this. They do not want their dentist doing such stuff to their Insured and to many complaints will have them removed from the program.
There is as you menshion the better business, but there is also the America Dentist Asso. ADA. Most states have there own ADA web site.
You can also find web sites that you can leave a blogs about the dentist you went to this will help others in not going to them. I sell dental insurance and dental plans so I have clients that tell me they google,yahoo, bing ect the dental office before choosing a dentist. I am just not sure how much effort you want to put into this.
Source: http://www.insurancecompany.com
Related posts:
- National Call To Action To Promote Oral Health The National Call To Action To Promote Oral Health is addressed to professional organizations and individuals concerned with the health of their fellow Americans. It is an invitation to expand plans, activities, and programs designed to promote oral health and prevent disease, especially to reduce the health disparities that affect members of racial and ethnic groups, poor people, many who are geographically isolated, and others who are vulnerable because of special oral health care needs. ...
- Does Dental Insurance Pay For Periodontal Disease At The Dentist Office? Does Dental Insurance Pay For Periodontal Disease At The Dentist Office?...
- Dental Insurance, Picking a good dentist. I have dental insurance were I am able to pick any dentist I want to go to. I just got this dental insurance plan about two months ago though my work. I thought I would start to use it since I am paying a little bit each paycheck for the dental insurance. My question is [...]...
- How Does Dental Insurance Work, Can I Use It For Fillings at the Dentist I have been told by my dentist that I need three small filling. I do not have an dental insurance right now since my job does not offer it to me. I never really had an issue since I would pay out of pocket for the cost of X-rays once a year and a cleaning. [...]...
- Dental insurance advise, I want to keep my dentist. I just lost my dental insurance that I had with my prior job. I loved the dentist I was going to but was told the only plan they are a provider of was the one I had with my job. I called the dental insurance company I was with to be told it was a [...]...