Owners have to take their pets to the veterinarian when something is wrong with their health. However, veterinarian procedures could have high costs (Davies). Pet insurance can assist owners in managing their expenses “in the event of an insured animal falling ill or being injured...
Dental insurance companies generally do not cover cosmetic procedures, which “[improves] the appearance of the teeth and mouth,” because they “prefer focusing on oral health and preventive services rather than elective procedures” (Susan 2011; “Cosmetic Dental Insurance”). For example, patients undergo teeth whitening/bleaching in order...
Sometimes, insurance companies would ask for refunds from dentists (“Top 10 Claim Concerns: ADA, NADP Share Views on Dentists’ Concerns” 2008). Unfortunately, for insurance companies, “events and state laws often conspire to further delay when the carrier can legally request the refund – a circumstance...
A survey by Anthem “show that a lack of transparency about the cost may be what’s holding Americans back from getting preventive dental treatments, with seven in 10 people feeling that the bill at the end of the dentist appointment is more painful than the...
Dental insurance covers many procedures for patients. It benefits dentists since they could attract patients in their insurance networks. Though, patients and dentists must be aware of premiums, deductibles, copayments, and coinsurance. Patients must pay premiums and deductibles to utilize their benefits. Premium “is the...
The Usual Customary and Reasonable (UCR) charge determines “the amount both [the patient] and [his or her] plan will contribute” within an out-of-network clinic (Ellis 2017). Dental insurance companies can determine the UCR within an area by “[recording] the fee numbers submitted by the practitioners...
Some patients cannot afford certain dental treatments and services. Others do not visit the dentist at all. Even with dental insurance, patients still have to pay out-of-pocket for some treatments. Dental offices could offer discounts for these patients, but they should still raise their fees...
When people choose their dentists, they consider a variety of factors. Dental insurance affects their choice greatly since they receive more coverage from dentists that are in-network for their insurance plans. Based on Futuredontics’ November 2016 research, “What Dental Patients Want,” the infographic from 1-800-DENTIST,...
While the dental clinics’ staff must use CDT codes correctly on their claim forms, the staff may also have to include narratives to these forms so that the patients receive coverage for their treatments and services (Tekavec 2000). These narratives provide more information about the...
Every one of your patients has an individual insurance plan, even if they are part of group insurance. Their plan can vary depending on the type of insurance coverage offered. There are two primary types of dental insurance coverage: primary and secondary. Both types of...
Like their patients, clinics can choose to be in network with insurance companies. In an insurance network, clinics receive “‘free advertising’ on the insurance plan’s provider directory,” potentially attracting new patients with insurance plans (Ellis 2017). However, participating in more insurance networks does not cause...
Dental and medical insurance require different codes for their claims. Unlike dental insurance, which requires CDT codes for claims, medical insurance requires Current Procedural Terminology (CPT) codes for medical procedures and treatments and International Classification of Diseases (ICD) codes for medical diagnoses and diseases (Lupoli...
