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Tag: explanation of benefits

2 Posts Here

What’s next after a visit to the dentist?

August 5, 2022.Individuals.#claims processing

After your trip to the dentist, you might wonder what comes next. For some, this waiting period after the appointment can be stressful, with questions about what was covered and possible bills and co-pays. TruAssure is here to help interpret the documents you may receive and explain what you need to know after visiting the dentist. Depending on your coverage, you might have a co-pay due at the time of the visit. However, others may receive a bill or receipt after your claim has been submitted and processed. Submitting a claim. A claim is a form requesting payment sent to your benefits carrier after a visit or procedure. This is done by either you or your dentist based on your dental plan. In-network dental offices typically submit claims for you. However, some members might have to send the form themselves if they seek care from an out-of-network dentist. Keep it simple […]

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Know Your Coverage Part 1: 10 Common Dental Insurance Terms Explained

October 16, 2018.Individuals.#claim

You might have heard these words and phrases before, but if you aren’t sure what they mean, you could be misunderstanding what your dental benefits plan covers. Brush up on your dental insurance knowledge to ensure you’re ready to make informed decisions next time you come across these terms 1. Claim: A form requesting payment that is sent to your benefits carrier by you or your dentist after a procedure based on your benefits plan. In-network dental offices usually submit them for you, but you might have to send the form yourself if you seek care from an out-of-network dentist.1 2. Claim appeal: If your benefits carrier rejects a claim, you have the opportunity to state your case as to why the procedure should be covered. This takes the form of a “claim appeal” that your dentist will send to the benefits carrier.2 3. Co-insurance: The percentage of the cost […]

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