Friday, January 28, 2011

my wisdom teeth claim was rejected by my health insurance company my dental surgeons office appealed it not me?

why did the office appeal it and why would it be in the best instersts of the dental surgerys office to appeal
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It benefits the dental office to appeal a rejected claim because they have already done the work. If your insurance company verified that you had coverage for extractions, and then did not pay the claim, the dentist office has to resubmit all of the information with a narrative as to why the extractions needed to be done. Generally, if your insurance company still rejects payment for the claim, you will be liable for all of the charges incurred for that visit. It is wise to also contact your insurance company and inquire why the claim was denied so that you are clear on your benefits. You can also ask them to send you a copy of their fee schedule along with a break down of your benefits, That way you can also calculate what you will have to pay per visit, per procedure.
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