Accepted Insurance Providers
At Earl Douglas Childs, DMD we make every effort to provide you with the finest care and the most convenient financial options. To accomplish this we work hand-in-hand with you to maximize your insurance reimbursement for covered procedures. If you have any problems or questions, please ask our staff. They are well informed and up-to-date. They can be reached by phone at Pittsburgh Office Phone Number 412-261-6333.
Please call if you have any questions or concerns regarding your initial visit.
Your insurance coverage may or may not include benefits for services provided in this office. The benefits you may receive are established by the terms of the contract that has been purchased by your employer or you. The formula your insurance carrier uses, if benefits are covered, may be less than the fee we have established as necessary for your care.
Please bring your insurance information with you to the consultation so that we can expedite reimbursement.
There are several ways benefit amounts are determined:
- Some plans pay a set dollar amount for service.
- It is common for a plan to pay a percentage of what the insurance industry calls the usual, customary or prevailing fee. Each insurance carrier establishes their own usual, customary and prevailing fees by use of a complicated formula, which is confidential and not made public. In our view, usual and customary is an insurance term that means, “average care”. The care we provide is designed to be excellent rather than average.
- Many policies require that an annual deductible be paid. Amounts range from $25 to on up.
- Most plans set an annual or lifetime limit on benefits.
Very few insurance companies require a pretreatment estimate. We will prepare one if it is important for you to understand what your financial obligation will be. The insurance company will notify you or us as to what benefits they will pay. Please review your insurance booklet thoroughly and be sure to ask questions of your company’s representative so that you do not have “surprises” when you are asked to meet your financial obligations. We are prepared to assist you as much as possible. At times we are unable to help due to contractual limitations or interpretations by the insurance carrier.
Filing insurance claims is a courtesy that we extend to our patients. All charges are your responsibility from the date the services are rendered. If a temporary financial problem will effect timely payment of your account, we encourage you to contact us promptly for assistance in the management of your account.