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Dental Insurance Corner: Assignment of benefits and forced acceptance of insurance company maximum fee determinations

12/9/2011
ODA Today

Christopher A. Moore, MA ODA Director of Dental Services The Ohio Dental Association is again receiving phone calls from member dentists concerning how a large, out-of-state insurance carrier explains its subscribers' financial liability for care provided by non-contracting Ohio dentists. The insurance company lists on the explanation of benefits it sends to the dentist the dentist's actual charge, the benefit amount, the amount the member (subscriber/patient) is responsible to pay and a member savings amount.…

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