Dental insurance billing codes

Common Questions and Answers about Dental insurance billing codes

insurance

Avatar f tn The codes are for insurance company purposes. If you're paying for this yourself without insurance the codes don't mean anything anyway -- the charge is the charge for the service rendered. Generally, psychiatrists charge a set fee in non-insurance situations depending on the length of the visit.
Avatar f tn I would most certainly get the billing or hckpck codes for the iui procedure, then i would call your blue cross provider and inquire into the circumstances etc. If its not a covered benefit you can ask the associate if there is anything your dr can do like a letter of recomendation for the procedure etc.. i wish u all the luck in the world. i paid cash for my ivf and for my tubal reversal, but now blue cross should pick up anything else..
Avatar f tn I have been to a psychiatrist and I can not understand how he is billing me. The codes he gives in the invoice are 99214 and 90838. I looked them up and the second codes says 60 mins of psychotherapy. However I never see him for that long. He is always late and today I saw him for probably 30 mins. Has anyone else had this problem? And how can he charge me for more time?
19413498 tn?1477669741 Yes. Insurance companies determine how much they pay and what they pay by codes that include diagnosis. This information is required by law to be kept private, so unless you tell someone they shouldn't know.
Avatar n tn can some one tell me the code for billing static emg scanner?
Avatar m tn I am planning on getting them removed soon due to recurrent infections and I was wondering if it is more cost effective to get a dental insurance plan or pay out of pocket. What are the typical cost to remove something like this? Will there be surgery required? How much will a good insurance plan cover or is it more cost effective to just pay out of pocket? Thank you.
Avatar f tn Wrong information is being given to the physicians. It is their responsibility to submit "all" with the correct CPT codes/ items to insurance and then collect from the patients if something isn't covered. If the physician is a contract provider then the health ins. company may require him to mark off excess charges. My experience is that the physician selectivly submitted only some charges in order to avoid having to mark off these IOL charges.
378497 tn?1232143585 Yup, small wry kick, small dry chuckle, shake of head. At least we've learned to request our own results, pretty much understand them, and can help the uninitiated jump through the hoops! I wonder if the largest radiological association in town hired some people that padded their resume and didn't actually KNOW coding? Or if Blue Cross changed some billing codes and the coders didn't use the new information?
719902 tn?1334165183 Of course I call my insurance company before any costly procedures and work with the billing dept to ensure they use the right billing codes. Clerical errors can be costly. They were not going to pay for my laproscopy but once they found the scarring was endometriosis they paid up. I kept telling them that's what I had but no one believes you when you self diagnose. I lived with it for years and they didn't look for it until I had trouble conceiving.
Avatar n tn The other issue is, if you have been covered by your parents insurance, there will be billing codes they will receive that will reflect treatments and visits.
Avatar f tn Are these codes correct? Past surgical history Cholecystectomy( SHX55) Foot Surg(SHX648) 2015 Knee Arthrosscopy(SUR90) 2011 Are these procedure codes?Icd9? ICD10? I cannot find a thing online and need help please.
620923 tn?1452915648 I told the billing office, they did nothing except accept the money paid by the ins. co and bill me. So I called the insurance comp. and the called the hospital billing office and told them who and when I spoke to ins. comp. they were really backing up to see how fast they could refund the ins. company. Always document every thing.And remember, the staff at the Doctors offices are barely high school grads. who have gone to a Bryman School for maybe a year to becomed Med. assistants.
Avatar f tn The billing office told me that my insurance paid only 86.00. The rest was written off through a credit. I don't know if my doctor had to suck it up or what. I was also advised by the lab to call my physician immediately since the only positive test was for the klonopin he prescribes. I would had gladly agreed to these screenings had he said I was a new patient to him and he really did not feel comfortable treating me without some chemical history. I really feel violated.
Avatar f tn thank you for your input.. I am going to re-visit the doctor.
Avatar f tn As far as my insurance goes, I went through a separate billing organization that codes everything for insurance to pay. If I called my insurance and said i was having a homebirth or midwife they'd most likely flag my account. It's what they do. They get more money from hospital births bc of the interventions and medications. So, I was advised to let the billing company handle insurance. I'm in Texas and this is my first baby but my midwife experience has been soooo relaxed.
7882296 tn?1405391067 From my understanding, you should still be able to receive care for your pregnancy regardless of insurance. Try calling the billing office of the hospital to find out but I'm almost positive that there's a law about that, which provides medical care for pregnancies without insurance. I'm sorry I don't have more info but I remember reading about it or hearing about it before.
Avatar n tn My daughter had a procedure done in Boise, Idaho, I have excellent health insurance and the doctor booked the out patient facility for the surgery. The hospital is now billing me for the operating room twice. I contacted my insurance company and they have requested the medical reports for this second charge and have never been sent any. My letters from my insurance company state this is a duplicate charge and tell me to ignore it.
Avatar f tn The Surgeon I contacted told me the initial appointment would cost $300-$400 and then could not even give me a ball park figure on how much the actual procedure would cost. I do not have health insurance. If I knew approx. how much this may cost I would know whether or not I should travel back to Australia where I can have it done for free there. I have a complex nodule on my Thyroid gland measuring up to 2.6cm. Any input into the cost of these procedures would be greatly appreciated.
Avatar n tn if im on my parents insurance, can i provide my dr with a different address to be billed at?
5509293 tn?1428531475 Thanks, all. So while waiting for nurse to call back, I got curious and set up access to my online info. Same information about a dx there too. I am totally confused right now. I do not think it is possible to be dx'd without knowing. And yet, there it is clear as day. I hope she calls soon. I hope it's all to do with automation and insurance codes. Maybe things are generated automatically for record when a certain billing code is used?
Avatar n tn Dear Jerry1997, You might have figured out that the fact that both plans consider themselves your primary doesn’t work in your favor; it just means that they will not coordinate benefits. In cases where a person is lucky enough to have 2 types of coverage, the best thing to do is to find out which plan covers a particular service at a higher level & use the insurance with higher coverage.
Avatar f tn I should probably stop here as I tend to carry on talking about insurance codes and the though of dental health being secondary to overall health.
Avatar m tn Is it legal for a medical insurance company to change the types of procedures a providers does and submits when they pay the claim? In other words can an insurance company legally change 7 lab tests to 7 unspecified medical visits when paying the provider. By doing this they paid the provider more than would have been paid under the actual work done, resulting in higher copays.
228686 tn?1211554707 Dear Savas, The hospital where you had your treatment should have your Anesthesiologist’s name & contact information. If they can just provide you with his full name, you can use a search engine like Google & find his contact information.
7750527 tn?1397990512 I'm 12 weeks and haven't seen any Dr yet because I'm waiting on the market place to approve insurance I'm so frustrated I've had a miscarriage before so I'm extra nervous. Has anybody els felt with insurance problems with the marketplace?
Avatar f tn I have 3 active abscesses in my "upper teeth or face" not sure. A CT found a cyst in my face/sinus cavity. The abscess's had my entire left side face swollen out like the elephant man. The pain was excruciating. The ENT said I needed to have sinus surgery to remove cyst. I chose to have that done immediately in office instead of waiting til morning to have done in hospital w/medications (Dr said procedure takes 10-15 min only) so I did it...2.5 HOURS later....