Rank: New Member
Joined: 3/15/2013(UTC) Posts: 2
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We are going to start billing our multiple implant/implant retained prosthetic cases to medical insurance and I would like to know if there is an ideal method/order to do so. Is it best to submit to dental or medical first...or does it matter?
Many thanks! Erin H. Practice Manager Dental Arts
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Rank: Administration
Joined: 11/21/2012(UTC) Posts: 1,611
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Hi Erin!
In most cases you will want to file the treatment to the patient's medical insurance first (as long as the treatment that is being provided has a medical diagnosis and is considered medically necessary).
Once you receive the EOB from the primary claim from the medical insurer, you can send along the secondary claim with a copy of the original EOB to the dental insurance.
Hope this helps! Let us know if you have any further questions.
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Rank: New Member
Joined: 3/15/2013(UTC) Posts: 2
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Thank you so much for the info! Is there a particular reason why it should go to medical insurance first?
Erin
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Rank: Administration
Joined: 11/21/2012(UTC) Posts: 1,611
Thanks: 39 times Was thanked: 51 time(s) in 51 post(s)
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Great question Erin!
Many times, dental insurance plans hold "yearly maximums" that most medical plans do not hold, so this can help your patient's overall out of pocket expense.
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