i received an insurance claim for a dental procedure and having trouble figuring out how much i have to pay. amount claimed $1,021 amount allowed $ 400 deduct applied $ 50 patient resp $ 120 amount paid $ 120 can someone please explain what each line means? thank you
--------------------
It's not a ponzi scheme. And to the dentist who hates insurance companies: yeah, if people didn't have dental insurance, they wouldn't even go to the dentist to begin with: 60% of all dental patients have insurance. This more than likely looks like the dentist belongs to a network and the CLAIMED fee isn't what the dental insurance company is going to pay him. Looks like you had a major procedure( I'm guessing crown) and normally the dentist charges 1021, but he agreed to a lower fee to belong to the insurance company's network. Amount allowed is, I'M GUESSING around 50% of the actual amount the insurance company allows the dentist to charge, since most companies pay out major procedures at 50%... but your insurance plan may be different. Check your certificate of insurance to make sure. After you paid your deductible at the office, the dental office probably sent off the claim to the insurance company, and the insurance company came back with that payment. It is now the dental company's responsibility to send you the bill for the balance, if there is any at all. Call the insurance company's customer service line. Hope you don't have METLIFE... they suck.
Source
No comments:
Post a Comment