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Nebraska dentists file complaint against state insurance department

The Nebraska Dental Association has filed a lawsuit against the state's department of insurance,asking a judge to prevent insurance companies from determining the price of dental services they don't cover, according to the Lincoln Journal Star.  

In an 11-page complaint, the dentists claim a 2014 department of insurance notice and a July 2019 bulletin that interprets state laws have created billing issues for Nebraska dentists. The state laws, passed in 2010 and 2012, are meant to hinder insurance providers from pricing services they don't cover, but the laws don't define "covered service."

The department of insurance's current interpretation of the laws defines covered service as either when an insurer covers any part of the dental provider's bill, or simply when the services are covered by a plan.

Nathan Clark, an attorney representing the Nebraska Dental Association, said the dentists are asking a judge to rule that non-covered services include services specifically identified as excluded in a plan, along with those the insurance company doesn't reimburse due to a contract limitation.

The state's department of insurance has not filed a response yet.

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