Dental Insurance Billing?

Question: I am wondering... If I have dental insurance and health insurance, are there requests I can make, or in anyway be proactive to reduce my out-of-pocket expenses related to schedulaed oarl surgery. I need 2 partially impacted wisdom teeth extracted under general anesthesia. I was referred out to an oral surgeon. Those with dental billing experience may know, but insurance customers may have tips, as well. Any suggestions?

Answers:
HM is right. Most general offices do not deal with medical claims. Most oral surgeons are well-versed (not to be confused with "Versed..." pun intended) with medical claims. In fact, the OS I usually refer to will submit extraction of impacted wisdom teeth to the medical carrier FIRST and then submit it to the dental carrier.

Other Answers:
We dont bill medical insurance in my office, but I know that with dental insurance the anesthesia is usually only covered in very specific, limited cases. Make sure the oral surgeons staff has delt with medical insurance before, and contact your insurance company and find out their usual customary fees(very important) and any limitations and provisions that your plan has in connection with this type of service. Get the ADA codes that the dentist plans to file under. you get this from his staff.

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Insurance tries to control your level of care. "no we wont cover that" "you have to wait 6 month..." "we'll cover this but not that" Theres not much you can do, its all in their hands. If consumer driven healthcare is what you are looking for, check this out. There is a plan that lets you get what you need and want done without saying, "nope, sorry. youre on your own" There is a very in-expensive but high-quality dental plan that can help you with that. It doesnt pay 100%, but can save you signifcant money, and most dentists are good about taking payments if you at least have a plan of some sort. Another good thing is, unlike tradional insurance, everyone in the US qualifies for it (except alaska and montana) Read on:

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