Dental office has mistakenly submitted a wrong treatment code as well as the wrong price to my dental insurance company. I received a check recently in the mail for the (much larger) wrong amount. What is the best way to handle this?

I got a re-treatment after a previous root canal. The re-treatment was priced at half the rate of the root canal.

However when the dental office submitted the claim to my insurance, they coded it as a root canal – instead of a re-treatment, and set the price for the root canal – instead of the half-price.

I got a check in the mail now for the root canal and for the price of the root canal.

What do I do now? Should I call the insurance company?

Or should I tell the dental office to resubmit the claim?

Or both?

I just want to protect myself and not get accused of anything or have my coverage dropped on suspicion of anything by the insurance company.

Thank you for reading.

submitted by /u/maknchease
[link] [comments]
I got a re-treatment after a previous root canal. The re-treatment was priced at half the rate of the root canal. However when the dental office submitted the claim to my insurance, they coded it as a root canal – instead of a re-treatment, and set the price for the root canal – instead of the half-price. I got a check in the mail now for the root canal and for the price of the root canal. What do I do now? Should I call the insurance company? Or should I tell the dental office to resubmit the claim? Or both? I just want to protect myself and not get accused of anything or have my coverage dropped on suspicion of anything by the insurance company. Thank you for reading.
submitted by /u/maknchease [link] [comments]Read Morer/HealthInsurance

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