In recent years, there has been a growing trend towards integrating dental care with general healthcare. While dental insurance is often separate from health insurance, some medical payers provide coverage for certain dental procedures. As a dental provider, it is important to understand the process of billing medical insurance for dental procedures.
Today, we will be covering an overview of how you can bill medical insurance for dental procedures, including the types of procedures that may be covered, the forms needed for submitting claims, and the benefits for both dental providers and patients in today’s article.
Can Dental Work be Covered by Health Insurance?
While dental insurance is designed specifically for dental procedures, some medical insurance policies may provide coverage for certain dental procedures. This is particularly true for procedures that are deemed medically necessary. For example, if a patient requires a dental procedure to treat a medical condition such as obstructive sleep apnea, the procedure may be covered by medical insurance.
Panorex x-rays for services covered by medical insurance
Medical payers may reimburse for dental procedures that are deemed medically necessary. However, it is important to note that medical prayers often have different policies and requirements than dental insurance providers. Some medical payers may require pre-authorization for certain procedures or may only cover a portion of the cost.
Are Dental Implants covered by medical plans?
Yes, dental implants may be covered by medical insurance plans if they are deemed medically necessary. Like when a patient loses a tooth due to an accident, dental implants may be necessary to restore the patient’s ability to chew and speak properly.
What forms are needed in submitting claims to the payor? When submitting claims to a medical payor the CMS-1500 form is usually used to submit claims for medical procedures, including medically necessary dental procedures.
What are the benefits for dental providers and patients? Billing medical insurance for dental procedures can provide several benefits for both dental providers and patients. Dental providers can increase their revenue by billing medical insurance for medically necessary dental procedures. Patients can also benefit from reduced out-of-pocket expenses and increased access to necessary dental care.
With the Right System, You Can Help Your Patients Get the Most from Their Insurance Coverage
By becoming an advocate for maximizing your patients' insurance benefits, you can improve patient relationships. Revv Billing can help you standardize the systems that enable you to assist your patients with their insurance benefits. If you’re a dental provider searching for systems to standardize your billing processes and provide your patients with more options for payment, Revv Systems can help. Get a quote today!
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