To promote understanding regarding this office’s financial policies, please review the following information.
What is an in-network provider?
An in-network provider is a Dental Provider who is contracted with your dental insurance company. This means that any fees that we file for services rendered are fees that our office has agreed to file based on our contract with your insurance company. Your eligible benefits depend upon the dental group that you are in via a private insurance policy or coverage through your employer.
What is an out-of-network provider?
An out-of-network provider is a provider who is not in-network with your insurance company and thus is not contracted with your insurance company, but do not be discouraged. As a courtesy to you we will always file claims to your insurance carrier just as we do with in-network claims. Since we are not contracted with your insurance company, we will file claims on services rendered at our standard office fees. Depending on your coverage and your benefit plan, your insurance will send us payment accordingly.
Please be aware that some insurance companies will not pay for you to see a provider of your choice. If we are not in-network with your insurance company and we are your preferred Dental Provider, you can always contact your insurance company and ask if they will disburse payment to an out-of-network provider.
Our office is committed to helping you maximize your insurance policy. For a list of insurance plans that Kilgore Dental Care is in-network with, please contact the office to speak with an administrator. We will happily file on all other insurance plans as an out-of-network provider. We do this often and the process is the same as filing claims for in-network insurance plans.
As insurance policies vary greatly, we can only estimate your insurance plan coverage and cannot guarantee coverage due to the complexities of insurance contracts. Your estimated portion must be paid at the time service is rendered. If your insurance company pays less than the estimated coverage, or if for any reason denies payment on the claim filed, you are responsible for the remaining balance. We do not file with secondary dental insurance, but we are happy to direct you in doing so.
We will contact you one or two days before your appointment to confirm. Please assist us by informing us as soon as possible of a contact phone number change. If we are unable to speak with you and we leave you a message, we ask that you call us back to confirm your appointment by 3 pm on the business day immediately preceding your scheduled appointment. A reserved appointment time is valuable to you and to us. It is very important that all patients honor their appointment times. If we do not hear from you, your appointment may be forfeited to accommodate another patient.
A $30 rebilling fee may be assessed to your account should payment not be arranged after the first billing cycle. If payment is not arranged after the second billing cycle, the account will be turned over to our collections attorney. In addition to the amount owed, you will also be responsible for any expenses and/or legal fees associated with collecting the balance due.
Returned Check Fee
A $50 returned check fee will be assessed to all returned check accounts, and no future checks can be received as payment.