We want to help each patient to maximize their insurance benifits! We will help by supplying claim forms with the correct coding and any supporting documentation that is appropriate including narritive reports, copies of x-rays and photos.
While we understand that getting your money back from the insurance company is important, we never loose site of our first priority, your dental health. So we do not allow insurance companies to dictate care to us. Patients decide with the doctor what is best and then proceed with care. For this reason, we do NOT participate as a preferred (contracted) employee of any insurance company.
Please understand that dental insurance will never cover all of your dental needs. Insurance is available to help with costs, up to some predetermined limit. Also understand that insurance companies do NOT have your dental health as their priority, they are in business to make a profit. They do this by collecting more then they pay out to you. They are very good at making money.
What does UCR mean. Great question! It is an artifical number that insurance companies created to minimize what they pay out. If you ask your insurance company for supporting documentation of their UCR fees, you most likely won't get an answer.
What is LEAT. It is an insurance company term for Least Expensive Alternate Treatment. It is another tool insurance companies use to avoid payment for certain procedures. It may be written in your contract. You may be a victim of LEAT. An example would be: Denial for a fixed bridge or implant, and instead being reimbursed as though a removable partial denture was placed. Those are far from being the same procedures. The insurance company executive would not settle for LEAT.
