dental insurance plans for individuals
perform the other part of identifying your top most productive or most dental insurance plans for individuals profitable codes is that you also want to identify the alternative benefit procedures have you ever submitted a claim to an insurance company and you got the EOB back that said no we’re not going to pay you on the posterior composites instead we’re going to .
downgrade those two amalgams so you dental insurance perform the white fillings or the composites and you actually got paid on the amalgam and that for some dental practices is a thirty to sixty percent reduction in income what you want to do here if you want to make sure that you also negotiate the alternative benefit procedures the main.
alternative benefit procedures that come to mind are the amalgam codes and D which is the base metal crown code whenever you submit any crown to an insurance company that’s not a basement of crown more than likely that insurance company will downgrade that crown to base metal crown in order to help that in this
company save on costs and that applies only to in-network doctors because when you become in the network you give the insurance company the right to play that downloading game now here’s an example of a fee schedule that was received where the amalgam codes were ignored you see here that the one surface bucks and then
the one surface on the posterior here eighty six bucks not that bad of a difference but the point here folks is that you want to make sure that you can pair these fees to make sure that it’s not a steep discount if the insurance company decides to downgrade on you now here’s another example here are the crown codes
what’s missing from this fee schedule this was an actual fee schedule dental insurance plans for individuals offered by an insurance company now this porcelain crown code here actually started at five hundred and thirty dollars Lee was able to increase this eight hundred and ten dollar but what’s missing from this fee schedule if you look closely don’t even appear here so it’s