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Our office will do everything possible to help you understand and receive the benefits to which you are entitled, however the insurance company has the final ”say” about what they will pay on your behalf. We will assist you in filing and submitting the proper forms so that you may receive appropriate coverage. It is in the interest of the insurance company to deny, delay or “request more information” so as to prolong the processing of your payment. If necessary, we may need to ask for your assistance in the timely processing of your claim.
Many insurance companies try to control the amount and type of dental care you receive by “requiring” authorization for certain procedures in advance. We can provide necessary records and treatment reasons to your dental insurance provider if a prior authorization is requested or required. Your plan's contract limitations determines authorized insurance payments for dental services. Optimizing your dental health is unrelated to your plan's decision to pay for services. In most cases, we can begin your care prior to receiving an authorization from the insurance company. In the unlikely event that the insurance company refused to pay for treatment, you will be responsible for the entire fee. Naturally, we will provide you with the full fees in advance so you may know the cost of treatment.