Insurance downcoding

Discussion created by bryandental on Mar 3, 2017
Latest reply on Jun 20, 2017 by mdunham

We cannot seem to get the estimates for our posterior composites correct due to down coding by the insurance companies.  So say we charge $100 for the procedure and the fee schedule is $90 so we write off $10 but then the insurance pays on $80 because of down coding.  Our patients are always confused as to why they are receiving an additional bill if they paid our estimate when they were here.