My daughter needs to have 4 baby teeth extracted asap so she can get braces. The dental office says they don't "work with" our insurance but will file it for us. What exactly does that mean? Does it just mean that they don't already have an arrangement with our company to set prices for certain services, so for example, if they charge $300 for the work, but our insurance company only approves $250 then we'd just pay the additional $50? What is the best way to find out upfront how much it will cost us out of pocket and would it be better just to go to a dentist that accepts the insurance directly? This isn't our normal dentist, but it is a pediatric dentist right next door to the orthodontist, so we thought it would be easier to go here for this one procedure.
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It means one of two things. Either they are not a network provider for your dental insurance, meaning you will have higher out of pocket expenses, or their computer system isn't set up for direct billing, but they will manually file it for you. You should have asked for clarification. You can probably access a list of approved providers for your dental plan on your plan's website. Another hint..if your insurance is like ours, you might get a better reimbursement to have the teeth extracted by an oral surgeon and claim it on medical rather than dental. That's an option you may wish to discuss with your medical insurance provider.
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