Q: Hi! This is a dental billing issue. I am thinking to go to small claims court re it, but not sure it's worth it
I have received a quote from a dental company for implant, abutment and crown for 4 535$. This is with the consideration that my dental insurance will cover 50% of the first and second part of all work and my out of pocket will be 2212$. I thought that this quote means this info is checked with my insurance company and is guaranteed. I asked verbally and received a "yes" but didn't think i'll need a written proof as it is my first time doing an implant and i haven't had billing issues with dental companies before. FYI, i immigrated to US about 4 years ago and currently a green card holder. After the first part of work was done and I paid 1239$ I received an extra bill of approx 600$ where it was mentioned insurance declined coverage for "missing tooth clause". Researching now, I do see that 90% of all dental insurances have this clause, it is very common yet I had no idea when I received their quote I have to know about "missing tooth clause" as my tooth was missing, I told my medical
A:
A Colorado attorney could advise best, but your post remains open for three weeks. In terms of reimbursement efforts, they could depend on whether that how the clause was worded and the dental company's agreement. One option could be to consult with a Colorado attorney who handles medical/dental billing claims to review the clause and the agreement more closely to determine whether there might be any options that could enable coverage. Good luck
Tim Akpinar
Justia Ask a Lawyer is a forum for consumers to get answers to basic legal questions. Any information sent through Justia Ask a Lawyer is not secure and is done so on a non-confidential basis only.
The use of this website to ask questions or receive answers does not create an attorney–client relationship between you and Justia, or between you and any attorney who receives your information or responds to your questions, nor is it intended to create such a relationship. Additionally, no responses on this forum constitute legal advice, which must be tailored to the specific circumstances of each case. You should not act upon information provided in Justia Ask a Lawyer without seeking professional counsel from an attorney admitted or authorized to practice in your jurisdiction. Justia assumes no responsibility to any person who relies on information contained on or received through this site and disclaims all liability in respect to such information.
Justia cannot guarantee that the information on this website (including any legal information provided by an attorney through this service) is accurate, complete, or up-to-date. While we intend to make every attempt to keep the information on this site current, the owners of and contributors to this site make no claims, promises or guarantees about the accuracy, completeness or adequacy of the information contained in or linked to from this site.
