Hi tcfd1vldg!

Correct, there are many medicare insurers/plans that you can successfully bill as an out of network provider. Basically, if the patient has out of network benefits available on their medical policy, then you're good to go! If the patient does not have out of network benefits available (i.e. many HMO plans only have in-network benefits available because they are cheaper plans), then you can attempt to request a gap exception to have the insurer honor the patient's in-network benefits to you as an out of network provider. That doesn't work 100% of the time, but we see great success with it in most areas still (mainly for sleep apnea appliances.....not so much for TMD & oral surgery services). Of course, all this information is information you find out during the benefit verification on the front end.
Are you a DentalWriter software client? If so, we have some great recorded study group sessions that teach out all about billing medical insurance as an out of network provider for medically necessary procedures performed in the dental practice setting found in the DentalWriter help center.

As for the bridge - I would bill 1 unit of 41899 with the full fee if it were me :)

Hope this helps!

Hi tcfd1vldg!

Of course no problem :)

Here is a link to some information to read and short video about the DentalWriter software: https://niermanpm.com/dental-sleep-billing-software

If you would like to schedule a live demo, you can do that here: https://niermanpm.com/demo
(or you can always call us at 800-879-6468 option 1)

Pricing does vary depending on whether you are looking at the server based software or cloud based software (as well as things like whether you want to do electronic medical billing or use our medical billing service), but one of our team members would be happy to review any of that during a demo or via phone if you'd like.

Hope this helps!