Are billing errors usual? Is this fishy?

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I got a night guard for my teeth recently- I checked with the insurance and dentist before making the appointment of how much this would cost me. dentist said night guard would cost 412 and the insurance would cover 80%- which the insurance confirmed.

I paid my out of pkt portion on the date of service and front desk lady said I was all set. Two months later the claim shows up from my insurance and a bill shows up from my dentist- Claim from insurance says the dentist billed them $599 for the night guard and a $26 charge for COVID PPE which they would not cover.

Dentist is telling me they billed $412 for the night guard and the $26 COVID PPE was never even billed

Seeing as they were telling me two different things,the insurance did a conference call- and confirmed they had different billing on file and insurance lady asked them if they used a third party biller which they confirmed they did. Idk much about this but it seems that somehow the third part biller mucked up the bills when they passed it to the insurance company..

Because of this mishap I was initially tricked into thinking I owed the dentist more out of pkt because my insurance had a different bill amount and so the 80% was not being properly calculated and paid out..

I am wondering is this is a standard error? I am already very anxious of going to the doctors for anything other then a preventive care because of something like this happening- hence why I did all I could to inform myself of what this procedure would cost me beforehand. I am very confused how the billing amount went from 412 to 599 and an extra charge showed up which they claimed to have never even billed??

submitted by /u/runeiitalk
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I got a night guard for my teeth recently- I checked with the insurance and dentist before making the appointment of how much this would cost me. dentist said night guard would cost 412 and the insurance would cover 80%- which the insurance confirmed. I paid my out of pkt portion on the date of service and front desk lady said I was all set. Two months later the claim shows up from my insurance and a bill shows up from my dentist- Claim from insurance says the dentist billed them $599 for the night guard and a $26 charge for COVID PPE which they would not cover. Dentist is telling me they billed $412 for the night guard and the $26 COVID PPE was never even billed Seeing as they were telling me two different things,the insurance did a conference call- and confirmed they had different billing on file and insurance lady asked them if they used a third party biller which they confirmed they did. Idk much about this but it seems that somehow the third part biller mucked up the bills when they passed it to the insurance company.. Because of this mishap I was initially tricked into thinking I owed the dentist more out of pkt because my insurance had a different bill amount and so the 80% was not being properly calculated and paid out.. I am wondering is this is a standard error? I am already very anxious of going to the doctors for anything other then a preventive care because of something like this happening- hence why I did all I could to inform myself of what this procedure would cost me beforehand. I am very confused how the billing amount went from 412 to 599 and an extra charge showed up which they claimed to have never even billed??
submitted by /u/runeiitalk [link] [comments]Read Morer/HealthInsurance

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