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#1 Posted : Thursday, October 5, 2023 10:46:09 AM(UTC)
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We received EOB's from Dental and Medical. We are in network with the dental side, but not medical. Medical deductible applied per the EOB is $776.80 (again, out of network) with a patient responsibility of $1867. Based on the Dental EOB, patient portion is only $480.20 (again, in network).

In my mind, we need to go by the in network contract which states we only bill the patient $480.20. However, medical is stating the patient is to apply $776.80 to the deductible for their oon medical plan.

What should be done in this scenario? I've been in dental billing for 5 years, but this is my first experience in oral surgery where medical processes claims as well.
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