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.
More articles on dental:
Signature Health awarded $300k to provide dental services
5 dentists making headlines
Patient threatens employees at Indiana dental practice over denied insurance
Patient threatens employees at Indiana dental practice over denied insurance
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.
