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    Dental Insurance Terminated with no notification and now dentist wants full payment
    avatar
    jsmith1299 posted:
    Hi All,

    My mother was under a Humana plan and was terminated without us ever receiving any notice. She went in for a procedure for two cavity removals (I believe it was two) and now have received a bill for $575.00.

    Isn't the dentist supposed to run a pre-check to ensure that payment will be made? At this point can anyone assist on what I should do? Should I as for a discounted price from the dentist? Is there anything I can do with regards to Humana?

    I would appreciate any comments/suggestions.

    Thanks
    Reply
     
    avatar
    Zev Kaufman, DDS responded:
    Dear jsmith1299:
    It is unfortunate that our mother had a misunderstanding with the dentist. However, it is ultimately the patient who is responsible for payment of the dentist's bill. Yes, you are correct, generally, if a dentist accepts payment from insurance, they should usually check for eligibility. Even if the dentist does not accept payment from insurance, it is common courtesy for the dentist's staff to check and make sure that the insurance is submitted correctly for the patient, and thus having the insurance reimbursement sent to the patient promptly.
    The only advice that I can tell you is to talk to the dentist and explain what you have explained here. Maybe the dentist can do something for you, but he does not have to.
    I am sorry that this is all that I can give you .
    Best of .luck,
    Dr. Zev Kaufman


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