Our doctors at the Oklahoma Center for Implants & Periodontics are network providers for the following insurance companies: Delta Dental, Blue Cross and Blue Shield Association (OK, IL, NM, TX, Dearborn National and Dental Network of America). We are not providers for BCBS of OK Federal. If you are enrolled in another insurance plan, we will gladly file the claim for you.
Our insurance coordinators deal with many different insurance companies. Companies offer many different dental and medical plans. This insurance alphabet soup changes policies and guidelines weekly. At times, it is almost impossible to accurately estimate our patients’ insurance co-payment. Many insurance companies will not give out fees until after the treatment is completed. Dealing with these companies can be difficult and time consuming. As a courtesy, we ask that you keep us informed of any change to your insurance. It is important that all information about you and your insurance is current.
The range of dental benefits depends solely on what the plan purchaser wishes to offer employees or members. Some plans may cover as little as 30% or as much as 100% of dental services, with most falling in the 50% to 80% range. Some plans exclude certain types of services, e.g., orthodontics, while other plans will cover a full range of dental services.
Some plans base the amount of benefit on a chart of schedule of fees arbitrarily developed by third-party payers. For this reason, you may receive a lower percentage of the reimbursement level indicated in your dental plan.
For example, if your plan states that it will pay 80% of the cost of dental treatment, it means 80% of the fee as determined by the insurance, and not the actual fee charged by us, this is what the insurance companies call usual and customary.
According to Oklahoma Law, in order to file a claim for a patient a current insurance card must be provided at the time of service. If an insurance card is not provided, the claim will be given to the patient to file.
To expedite processing, please make sure the insurance card has an I.D. #, mailing address and phone # for dental claims. We will also need to know the policyholder’s date of birth and relationship to the patient.