Rank: New Member
Joined: 11/2/2012(UTC)
Posts: 6
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Can you please tell me what letter to use on a new pt who needs a pre auth for her ins? How do we get an amount from ins before we start treatment?
Thanks, Dr. Sterling
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Rank: Advanced Member
Joined: 9/12/2012(UTC)
Posts: 56
Was thanked: 3 time(s) in 3 post(s)
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Dr. Sterling: I would suggest that you call the insurance company to vertify the benefits. You can ask them if you need to send in a written pre auth or a medical claim form. Sometimes the insurance company will pre-auth over the phone and give you a number. If you need to send a letter, I would send the letter that you generated with the questionnaire and exam form. At the begining of the letter, you will state that you are sending it for pre-authorization of treatment.
Generally, the insurance won't tell you exactly what they are going to pay. They will tell you if it is a covered expense, deductible and what has been met and the split, i.e 80/20.
If you go into the nagivator in DentalWriter, there is a "copy the insurance card and vertify benefits" Quickletter that gives you a script.
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