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How to Make Dental Insurance Claims

By Edited Nov 13, 2013 0 0

Getting a new insurance cover for the dental insurance is often the easiest part of an insurance policy. The most difficult part generally is that of settling the dental insurance claims. For some people, it virtually becomes a nightmare when time comes to submitting the papers and making a claim from the insurance company.

Although processing the dental insurance claims is the responsibility of the insurance company, it is left to the claimant to file the paperwork in a correct manner. It is therefore important that you are aware how dental insurance claims are made.

Processing Of Dental Insurance Claims

First and foremost, while making the policy you must ensure that you take a policy from the company, which has a number of dentists, and dental care centers listed as their affiliates. This would ensure that the arrangement of making the dental insurance claims as well as processing it rests between the company and its affiliates. It is therefore important that the treatment is taken from one of the affiliates of the insurance company.

In case this is not possible, and you are forced to take treatment from somewhere else, it would be ideal that a pre-claim advice be sought from the company. This can be done by contacting the customer care centers and by consulting the dentist under whose care the treatment has been provided. By resorting to such an action, you would ensure that all the requisite paperwork needed by the insurance company is done correctly without missing out any required details.

The dental insurance claims should be prepared on the standard form, which is readily available at the dentists' office or can also be downloaded from the Internet. If there are any doubts, they could be clarified from the customer support.

The type of information that the insurance company requires is generally about the treatment as well as the detail of the dental Centre where it has been done. Besides this, the company would also require details of the dentist, the type of treatment done, dates, and the type of service provided along with the procedures performed.

In addition, the insurance company would also require a proof of services. This would naturally be provided by the dentist but you would have to ensure its correctness when you submit the paperwork.

A lot of care needs to be taken when the various papers are being submitted because the insurance company would simply return the dental insurance claims in case any of the important data is missing. Therefore, it is not a bad idea to ask the insurance company for a checklist so that none of the items of paperwork are omitted while submitting the claims.

As brought out earlier, many such problems can be avoided if you care is taken and treatment done at one of the authorized affiliated dentists of the insurance company. These days, the procedures for dental insurance claims are further simplified by resorting to the electronic option of submitting the claims, which reduces the processing time drastically.


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