I had a tooth extraction with a bone graft completed in Dec 23’. I paid my ‘responsibility’ of $950 or so per the office manager, procedure was carried out, and the dentist billed my insurance (Delta Dental) back in December 23’ – no outstanding bills per the Dentist office.
8 months later, I just now receieved an EOB from my Health Insurance (Blue Cross) that the dentist billed the same procedure AGAIN to them (not Delta Dental, my health insruance) and now I am on the hook for $4k per my EOB?
Please tell me this is fraud or a mistake. I’m speechless
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Is the dentist in network with either insurance? Their contract might require that they cannot balance bill above the network rate.
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I’m in-network with Delta Dental but not with my health insurance (Blue Cross).
I’m still confused about two things:
- How did they even get access to my medical insurance?
- Why did they bill my medical insurance 8 months later, after already billing Delta Dental, with the same charges but for different amounts?
It feels like they double-dipped.
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How did they get your medical insurance info?
I would call the office manager up and ask them what the hell they are doing with your medical insurance.
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I have no clue - I’m stunned.
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Some parts of the surgery might have been covered by medical insurance. Oral surgery can be billed to both medical and dental insurance for different components. As someone with over 20 years in billing and experience with oral surgery, this doesn’t seem unusual. Call them and ask for a line-by-line explanation of the billed procedures and which insurance covered each part.
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Is it normal for this to be billed to my medical insurance 8 months after the fact and for the exact same codes that were billed to my dental insurance?