Insurance

Dental treatment is an excellent investment in your medical and psychological well-being. We are happy to work hand-in-hand with you to maximize your insurance benefits for covered procedures. If you have questions, please ask our billing/insurance staff by calling Altoona Office Phone Number 715-834-8414.

In order to bill your insurance plans, we will need complete insurance information. We recommend you attach a copy of your insurance cards to your online patient registration, or bring your cards with you to your appointment. 

Complete insurance information includes: 

  • Name of insurance company
  • Address where the claim needs to be sent to
  • Name of Subscriber (whose name is the policy under?)
  • Subscriber’s Member ID# (some policies use social security number as the ID). 
  • Subscriber’s DOB
  • Group #

Prior to any procedures you will need to contact your insurance company(ies) to verify your benefits and in-network coverage. We are not a party to the agreement between you and your insurance carrier; therefore, we are not responsible for how much or when they pay the claim. Patients will receive statements for any open insurance balances over 90 days from the time of treatment.   

If you are unsure of  your insurance coverage or have questions, we recommend a consultation prior to surgery so we can assist you with a pre-treatment estimate from your insurance company.  Benefits given over the phone by your insurance or through a pre-treatment estimate are not a guarantee of payment. Actual benefits will be determined when the services are complete and submitted to your insurance for payment.

If we do not have your insurance information by the time of your appointment, you will be responsible to pay for half of the day’s charges the day of service. Your account is expected to be paid in full within 45 days. See our financial policy for more information.  

Key Questions to Ask Your Insurance when Calling about your Benefits:

  1. Yearly policy maximum and deductibles
  2. Benefits already used in your calendar or plan year
  3. Plan year dates
  4. Usual and customary fees for the procedures you are having done
  5. Is general anesthesia a covered benefit for the procedures you are having done?
  6. Percentages of coverage
  7. Verify class code of procedures you are having done, we can give you the codes if you request them. 
  8. If you have two insurances, does your plan have a non-duplication of benefits clause?
  9. Age limit for dependent children
  10. Student verification requirement

If you have any questions, please call our insurance and billing department at 715-834-8414.  All billing disputes must be received within 45 days of the first statement.