Carriers may utilize the services of outside vendors to negotiate discounted fees for claims paid to non-network dentists, according to the ADA Center for Professional Success. Here’s how it works:
You receive a letter which states that if you accept an expedited amount as payment in full (less deductible, co-insurance or co-payment amounts in addition to non-covered items) your payment will be released within 20 business days from the date of receipt of your faxed signature.
Keep in mind, you do not have to accept this discounted fee! Many times, this may not be made clear on the correspondence you receive.
Dentists have reported discounts of approximately 50 percent and your state may have a prompt payment law which may help you get paid in a similar time frame.
For information on dental plans and non-contracted dentists, click here.