Dentist Information
The American Dental Association supports fee-for-service and freedom of choice dental plans. The FDA has promoted Direct Assignment and Direct Reimbursement for many years because these dental benefit plans feature freedom-of-choice of dentist, fee-for-service and eliminate third party intervention with the doctor-patient relationship. It's this simple when it comes to Direct Assignment:
- Dentists may provide optimal and well-timed dental treatment based on plan designs. Dentists and their patients determine the best course of treatment - with no outside interference or unnecessary restrictions.
- Dentists can agree to receive payment from the plan administrator and balance bill the portion for any portion of the fees not covered under the plan.
- Reduces paperwork and red tape in the office
- No more calling for pre-authorization of treatment, pre-determination of benefits or submission of radiographs.
Dentists, who choose not to accept payment from the plan administrator, will receive payment from the patient and the Direct Assignment plan will revert to Direct Reimbursement -Here's how:
- Patient pays for services
- Patient remits standard ADA claim form directly to the plan administrator for processing
- Benefits are paid directly to patient, less any office visit co-payments that may applicable to the plan.
Dental offices have served as one of the best distribution points for educating the public about the advantages of DA/DR. If you would like to join us in the education of employers and patients please, contact us for more information or fill out a referral form.