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March 20, 2007

Dental Insurance : The Dental Insurance Claims Process

Do you know how to get money for your treatment when using dental insurance. You will need to fill claims forms and send it either to your dentist who will then forward it to the dental insurance company or directly to the company itself.

Depending on the treatment, the various clauses in your dental insurance policy documents, the exclusions and other limitations detailed in your policy document you will be paid out a certain percentage of your treatment costs. Some types of treatment may not be eligible for any re-imbursement others may be fully re-imbursible. As I said it all depends on your dental insurance policy.

Usually there is a period of time that you need to wait before you receive your payment. Sometimes, the company pays directly to the dentist. Other times you are required to pay the dentist first and the dental insurance company re-imburses you later. Most of the time you will not receive the full cost of your treatment but only a percentage of it. The paperwork can sometimes be quite a pain in the neck unless you have all your papers in order. If you lose your receipts or forms get their duplicates from the dental office. Sending incomplete paperwork only prolongs the claims process.

Speak to somebody in the enquiries or claims department if you have doubts. Check out the faq's and terms and conditions to see that you are doing everything right.

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