Dental insurance mix-up costs woman $11K: 5 things to know

A filing mix-up between a Chicago woman’s dental practice and her insurance company cost her $11,000, CBS Chicago reported Dec. 5. 

Advertisement

Five things to know: 

1. Sheila Tucker paid her dental practice, Chicago Dental Dream Team, $11,000 up front for dental work she received in August 2021. 

2. The practice sent an insurance claim on her behalf for reimbursement.

3. After not receiving a reimbursement check after six months, Ms. Tucker found out the dental practice sent the claim to the wrong insurance provider and with incorrect information, including the wrong birth year and address.

4. A new claim was then sent to the correct insurer, Ameritas, but was denied because the claim was not submitted within 90 days of service.

5. An appeal filed by the dental practice on Ms. Tucker’s behalf was also denied, but Ameritas eventually waived its time limit requirement and promised Ms. Tucker a $1,500 check.

At the Becker's 5th Annual Future of Dentistry Roundtable, taking place September 14-15 in Chicago, dental leaders and executives will gain insights into emerging technologies, practice growth strategies and the evolving landscape of dental care delivery, with a focus on innovation, patient experience and operational excellence. Apply for complimentary registration now.

Advertisement

Next Up in Revenue Cycle Management

Advertisement

Comments are closed.