Dental Insurances
Dental Insurance at Dillon Family Dentistry
We have patients that have all types of insurance.
Many of them get some reimbursement from their insurance company. We will submit all of the paperwork for you and work to maximize your reimbursement. Some companies offer no out of network coverage. Our patients with insurance prefer to come to Dillon Family Dentistry due to the unique care and awesome experience they have here. They are worthy of the best so they choose to come to our practice. We choose not to compromise our patients’ care and experience to accommodate the capitated reimbursement. Read our reviews, or better yet, come in and visit us and see if you feel you are worthy of a much better experience.
- filing insurance claims for you
- Following up on claim status and resubmitting to maximize your reimbursement
- accepting direct payment.
We are here to assist you!
We are not in-network with any insurance.
Although we are not in-network with any insurance companies, many of our patients successfully receive reimbursements by filing out-of-network claims.
How We Help You File an Out-of-Network Dental Insurance Claim?
1. Schedule an Appointment
Call us at 610-580-2708 to book your appointment. Our team is dedicated to offering exceptional, personalized dental care. We’ll provide detailed information on the treatment plan including recommended services, and associated costs, and address any questions you have.
2. Verification of Your Out-of-Network Benefits
We start by verifying your insurance plan’s out-of-network coverage. If you’re unsure about your benefits, we’ll contact your insurance provider on your behalf to understand what’s covered and how to maximize your reimbursement.
3. Submission of Paperwork
Unlike many out-of-network providers who require you to submit claims yourself, we take care of the submission process for you. Our experienced team ensures all required forms and documentation are completed accurately and sent to your insurance company promptly
4. Follow Up and Communication
We proactively follow up with your insurance company to check the status of your claim. If additional information or clarification is needed, we’ll communicate on your behalf to minimize delays.
5. Reimbursement and Billing Support
- Our team works diligently to ensure you receive the maximum reimbursement allowed under your plan. We’ll review your insurance company’s explanation of benefits (EOB) and provide clarity if there are any discrepancies or denials.
- Once your reimbursement is issued, we will ensure you understand the remaining balance. If your claim is denied or partially paid, we can assist you in exploring options for an appeal or adjustment.
Additional Tips for Filing Out-of-Network Claims
- Keep Copies: Retain copies of all documents submitted for your records.
- Ask for Assistance: If you experience difficulties with the claims process, contact our office. While we are not in-network, our team is happy to provide guidance and support to help you navigate the process.
By following these steps, you can effectively manage the process of filing an out-of-network claim with your dental insurance plan. At Dillon Family Dentistry, we strive to make your dental experience as seamless and stress-free as possible.
FAQs
1. What does it mean when a dentist is “out of network”?
Out-of-network means the dentist doesn’t have a direct contract with your insurance provider. However, many insurance plans still cover a portion of out-of-network services, and our team helps ensure you receive the benefits you’re entitled to.
2. How does Dillon Family Dentistry make the claims process easier?
We handle the entire claims process for you, from preparing the paperwork to submitting it directly to your insurance company and following up to maximize your reimbursement.
3. Will I receive the reimbursement, or does the office keep it?
Reimbursements for out-of-network claims are typically sent directly to the patient. We will provide you with a clear breakdown of costs and ensure you understand how the reimbursement applies to your treatment.
4. What happens if my claim is denied?
If your claim is denied, we will work with you to identify the issue, provide additional documentation if required, and help you appeal the decision if necessary.
5. Can you estimate my out-of-pocket costs?
Yes, we can provide a cost estimate based on your insurance plan’s out-of-network coverage. This will give you an idea of what to expect before treatment.
6. Do I have to do anything to file my claim?
No, we handle all the paperwork and submission for you. You’ll just need to ensure we have your up-to-date insurance information on file.
