Re: [ACEsthetics] Insurance puzzle - your guidance and experiences..on biling combination or large cases to dental insurance

Get Mac Lee in there.

 

bill domb

 

From: ARUN NAYYAR

Sent: Sunday, July 28, 2013 7:40 PM

To: Ace

Subject: [ACEsthetics] Insurance puzzle - your guidance and experiences..on biling combination or large cases to dental insurance

 

Hello All

 

I am mentoring a young Prosthodontist and he is hitting a wall with his fees.

 

He says he is signed with Delta Dental and another Dental Ins co.

 

His dilemma is that he is doing large combination cases or FMX

 

Several or most of you see this routinely and have a lot of wise counsel.

 

I am totally failing on this issue since I have no experience.

 

SO how does a fee for service practice survive until it builds a referral pool??

 

For example he has a patient with a $900 per crown fee and a 3000 limit??

But his fee for 22 units is 44K   this includes removing crs, buildups interim restorations, post op and finally restorations.  A 6 month plan

________________________

 

What will the ins co say to him if he charges $900 + 300 per unit for lab fee

 

How do YOU handle such a complex multiple appointment tx.

 

Doe sthe ins co control ALL charges once you are under contract

 

Do they have special fees for a Prosthodontist.

 

Anyone know of and use insurancesolutions.com

 

If you wish to email me privately with actual examles,  I will greatly appreciate this

 

Thank you

 

Arun

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