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insurance games - Review by citysearch c | Lynnwood Dental Excellence

Lynnwood Dental Excellence

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insurance games 10/15/2009

I and my family have been a patient of Dr Adams office for 12 years, always getting good care. I'm not too thrilled with Dr. Adams, (personality not professional) however the other dentists on staff over the years have been great. I usually see Dr. Chavez who is a hoot as well as being a very good dentist. Recently, however, it has become obvious something is going on with the practice. Sort of a revolving door with dentists. The big issue I have is some funny business with insurance. My version of coverage seems to differ from their version. Basically, I know I have coverage for crowns, however, the office staff indicates my ins. will only cover ""build-ups"". Not true, according to my insurer, however, the claim from the dentist has to indicate a crown is required. Apparently, a crown is rarely ""required"" and can be considered elective otherwise. Why would the office submit it this way ? Money is one possibility. I paid the office over 800.00 for the crown. I doubt they would have been reimbursed that much from my managed care insurance plan. I don't want to believe this but the above are the facts. Take away from the above.. Know your coverage beforehand , and, ask what the diagnosis code is they are submitting to insurance. Make sure it matches the diagnosis/treatment you believe you are getting. Pros: good staff, good care Cons: insurance games more
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