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

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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