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raleighdentalarts
#1 Posted : Friday, March 15, 2013 7:43:54 AM(UTC)
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raleighdentalarts

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We are going to start billing our multiple implant/implant retained prosthetic cases to medical insurance and I would like to know if there is an ideal method/order to do so. Is it best to submit to dental or medical first...or does it matter?

Many thanks!
Erin H.
Practice Manager
Dental Arts
courtneydsnow
#2 Posted : Monday, March 18, 2013 9:44:06 AM(UTC)
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courtneydsnow

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Hi Erin!

In most cases you will want to file the treatment to the patient's medical insurance first (as long as the treatment that is being provided has a medical diagnosis and is considered medically necessary).

Once you receive the EOB from the primary claim from the medical insurer, you can send along the secondary claim with a copy of the original EOB to the dental insurance.

Hope this helps! Let us know if you have any further questions.
raleighdentalarts
#3 Posted : Monday, March 18, 2013 10:07:53 AM(UTC)
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raleighdentalarts

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Thank you so much for the info! Is there a particular reason why it should go to medical insurance first?

Erin
courtneydsnow
#4 Posted : Monday, March 18, 2013 1:28:58 PM(UTC)
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courtneydsnow

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Great question Erin!

Many times, dental insurance plans hold "yearly maximums" that most medical plans do not hold, so this can help your patient's overall out of pocket expense.
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#5 Posted : Friday, April 18, 2014 2:26:26 PM(UTC)
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