Category: Dental Insurance & Medicaid

Christopher A. Moore, MA - ODA Director of Dental Services      Two more third party administrators (TPAs) have begun using a controversial payment method as a means of reimbursing dentists who have provided care to patients covered by self-funded/self-insured benefit plans that utilize the TPAs’ administrative ... [continue reading]

For over a decade Ohio has had a law that provides protections for consumers whose health insurance claims have been denied or reduced in coverage. The law, the Patient Protection Act of 1999, grants consumers the right to request an appeal of their insurer’s decision and provides them with “the opportunity to request an independent, external ... [continue reading]

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 ... [continue reading]