ABOUT OUR PRACTICE
Insurance
If you have an insurance or union contract that offers to reimburse you for all or part of your orthodontic fees, we will be happy to assist you in claiming your benefits.
With the increased number of dental insurance and prepayment programs, we are finding it difficult to have a complete and accurate knowledge of all of the available programs.
We have, therefore, adopted the following policies:
Know Your Coverage
The first step is to contact your personnel manager or benefits manager where you are currently employed. This person will be able to assist you in acquiring the appropriate information concerning your individual coverage, as well as provide you with the dental forms.
Eligibility
If you are eligible for orthodontic benefits, you will need to provide us with the correct dental claim form from your employer. You will need to completely fill in and sign the patient information portion of the form. We will complete the dental portion of the claim form and submit it directly to your insurance company for payment.
Pre-authorization
Many insurance companies request a pre-treatment authorization for orthodontic services, but very few make it mandatory. We will be happy to assist you in determining the specific needs of your company. If pre-authorization is required, the same guidelines for "Eligibility" apply here.
Payments to Our Office
All responsible parties whether they have insurance or not will be required to sign a Financial Agreement. This agreement is with you and not your insurance company, so you, therefore, have the responsibility for payment of services rendered. The payment schedule as per this financial agreement does not reflect money that you insurance company may provide you. Any insurance payment that you may receive will be sent directly to you.
Continuation of Orthodontic Care
Insurance companies will often want proof that the patient is continuing their orthodontic care. This can be achieved in one of the following ways:
- Cancelled checks
- Copy of the patients financial ledger showing payments made, and
- Certificates of continuing treatment.
When you receive the verification form, present it to our office with your signature for verification. Please leave it undated since some companies require a "wait" date before they can be submitted to the insurance company. If you change companies during treatment, please notify us immediately so we may take the appropriate actions. If you have any questions or problems, please contact our office for assistance.
Traditionally, the finest orthodontic service has been based on a friendly mutual understanding between the doctor and his patient, and we wish to maintain this professional relationship in our office.
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