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I am having an insurance dispute with my dentist...any advice?

My wife is enrolled with aetna dental...due to mistakes by apparently both my wife and my dental office, her root canal was not billed until 6 days after 1 year of the procedure, which aetna says they won't cover due to the claim being a year old. Now we have a bill for a root canal for 2500 dollars...how should we handle this. What would be a price to offer for the root canal to settle this. Thanks.

Public Comments

1. you could sew them.
2. An insurance plan is a contract between you and the insurance company. Only if a dentist is a participating dentist do they have to accept payment from an insurance company. As a courtesy, most dentists will collect only your expected portion and then bill the insurance company for the balance I work at a dental office and we submit claims within a day of the service being performed. If they had the correct information to bill the insurance company and they waited for more than a year to submit the claim, then they should bear some responsiblilty. If however, they did not have the correct information to bill to, then the only option they had was to bill you directly. If mistakes were made by both you and the dental office, then I would think the bill should be split. Try to offer paying 50%. Good Luck.