At Integrative Endodontics, we strive to provide transparent and patient-centric services. Please be advised that our practice does not accept or directly bill insurance companies for our dental services. Instead, we support our patients with dental insurance in filing reimbursement claims with their insurance providers.
How We Can Help
While we do not handle insurance billing directly, we are committed to assisting you in the reimbursement process. Here is how we can help:
- We will provide you with detailed invoices, including procedure codes and descriptions, which are often required by insurance companies for reimbursement claims.
- We will provide you with general instructions for how to complete and submit an insurance claim form.
Follow the steps and watch the video below for easy-to-follow instructions on how to complete and submit your insurance claim.
Witin 3-5 business days of your appointment, an itemized statement will be uploaded to your patient portal. The itemized statement is a detailed invoice that includes the following information:
- Your name and address.
- Your treating dentist’s name, address, and National Provider Identifier (NPI) number.
- Date of service.
- Description of the service provided (e.g., root canal) and the associated procedure codes.
- Cost of each service.
You can download the statement from your patient portal.
For your convenience, we’ve pre-filled our practice information on the claim forms below. Click the button for your treating doctor to download the claim form.
Fill out the claim form completely and accurately. Make sure to include all required information.
IMPORTANT: To ensure your refund is mailed to you, leave BOX 37 blank.
Include the itemized statement or invoice from your patient portal with the claim form.
If you have any other relevant documents that your insurance provider requires, such as receipts or proof of payment, include those as well.
Before submitting the documents, make copies of everything for your records.
Submit the completed claim form and supporting documents to your insurance company. You can usually do this by mail, fax, email or online through the insurer’s website.
Pay attention to any specific instructions provided by your insurance company regarding the submission process to ensure your claim is processed smoothly.
After submitting the claim, monitor its status. Your insurance company may provide a way for you to check the progress online or by contacting their customer service.
Be prepared to provide additional information or clarification if requested by the insurance company.
Once the claim is processed and approved, the insurance company will send you a reimbursement check or direct deposit the funds into your bank account, depending on their procedures.
If your insurance claim is not approved, it’s important to understand why it was denied and what steps you can take to address the situation. Here are some common reasons for claim denials and suggestions on how to proceed
Incomplete or Inaccurate Information
Review your claim form and supporting documents to ensure all information is accurate and complete. Check for any missing details, such as correct procedure codes or necessary signatures.
Policy Limitations or Exclusions
Verify that the dental procedure you’re claiming is covered under your insurance policy. Some policies may have limitations or exclusions for certain treatments.
Some insurance plans require pre-authorization for certain procedures. Check if your treatment required pre-authorization.
Coordination of Benefits Issues
If you have multiple insurance plans (for example, dental and medical insurance), there may be coordination of benefits issues. Ensure that you’ve provided information about all relevant insurance policies.
Insurance companies often have deadlines for filing claims. Make sure you submitted your claim within the specified time frame.
Appealing the Decision
If your claim is denied, you have the right to appeal the decision. The denial letter from the insurance company should provide information on the appeals process.
Follow the instructions in the denial letter for filing an appeal. This may involve submitting additional documentation or providing a written explanation of why you believe the claim should be approved.
Contacting Customer Service
If you’re unclear about the reason for the denial or need assistance with the appeals process, contact your insurance company’s customer service. They can provide guidance and answer any questions you may have. You can find the phone number of your insurance provider on your insurance card. For your convenience, below is contact information several major insurance providers:
Email: [email protected]
Support Chat: https://www.anthem.com/ca/contact-us/
Phone: (800) 997-1654
Contact Information: https://www.deltadentalins.com/webforms/customerService-Form
Email: [email protected]
Contact Information: https://www.uhc.com/contact-us