Contributing Writer

Contributing Writer AGD Dental ConsultingContributing Writer AGD Dentistry IQ Dental ConsultingContributing Writer DT Dental Consulting Contributing Writer Dr BiCuspid Dental Consulting

Dental Consultants Blog

Dental Consultants Articles

Insurance: Out of Network

Insurance: Out of Network

Here’s what I recommend on how to handle out of network financial arrangements:

Let’s say the patient needs a crown, and your UCR is $1000.00.

Verify the patient’s benefits to determine how much the insurance company is expected to pay. Let’s say for this example, it is $350.00.

Tell the patient you will bill insurance company for the $350.00.

Ensure the patient signs off on your financial policy, which should include that they are responsible for payment if the insurance company doesn't pay in a timely manner.

Collect the $650.00 balance at the time of service.

If the $350.00 is not received within at least 30 days, inform the patient so they have a chance to contact the insurance company to handle it.

If you still get no joy from the insurance company by the 45th day, collect the $350.00 directly from the patient.

DMOs: Be very precise in telling the patient their DMO has no value outside the office they are assigned to.

Ten Stupid Things Patients Say
Patient Cancels and No Shows


Top Dental Office Manuals  

Today Only August 21st
Receive An Additional 20% Discount
Use Coupon Code "2019"


#1 Ranked Customizable Staff Training Manuals

Google Verified 30-Day Money Back Guarantee

Instant Download • 1000s of Satisfied Users 


For a limited time only your full package includes the complete Dental Office Manager Manual

Look Inside All Eight Manuals