I Went to the dentist last month for the first time in 2 years after just getting new insurance. New insurance is Anthem blue cross blue shield. Got a new patient exam which included X-rays, got a cleaning, and 2 composite fillings. I paid $125 out of pocket after the appointment was done. Received this EOB just now, and I see it says total patient owes is $966.25 and total plan payment is $200.75. I’m confused on what these numbers are, because I was under the impression that the $125 I paid covered me. I was told that it was my $75 deductible plus what I had to pay after insurance. Can someone clarify.
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Hi…You went to an out of network dentist
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You didn’t check to find out if the dentist was in network?
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It looks like it was processed as out-of-network, so the office isn’t required to stick to the insurance “allowed amounts” shown in the EoB. This means you could be billed for the full amount that insurance didn’t cover. The next step is to check if the office plans to bill you for the balance. For future visits, make sure they are in-network.
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Thanks so much for the clarification. I’m admittedly not super familiar with this kinda stuff. Will the dentist office contact me in the case that they want to get more money out of me?
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Yes, you should expect them to send a you a bill in the near future
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It’s likely they will, but if they have a website you may be able to check there for a balance as well.
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I am checking that out now. Thanks