What fees do you use when filing dental insurance claims?

There is a tendency, especially if an office has PMS (practice management software) and participates in various dental insurance plans, to use those fee schedule allowances as the charge when filing a claims.

You might be doing both you and your colleques a disservice.

Why?

A number of dental insurance companies use the charge data from their dental population to determine fees. If you submit lower fees, that could drive down their maximum allowance and give an unrealistic impression of what practitioners are using as their normal fees.

Always submit your regular fees. The insurance company will make the adjustment.

If you would like to post a subject and start a discussion, EMAIL US BY CLICKING HERE

Visit us at The Huskin Group about our dental insurance and practice management services.

If you would like to subscribe to the RSS feed and be notified whenever this Blog is updated, click on the XML icon below for more information.