Direct Insurance Billing & Fee Guide in Brampton, ON

What Does Insurance Billing Help With?

With this service, we work directly with the insurance provider to handle billing and claims on behalf of the patient. This eliminates the need for patients to pay the full treatment cost upfront and then seek reimbursement from their insurance company.

We Follow the ODA Fee Guide

The ODA fee guide in Ontario is a comprehensive list of recommended fees for dental procedures established by the Ontario Dental Association (ODA). It serves as a reference point for dental practitioners to determine fair and standardized pricing for various treatments.

With us at Dentistry on Hurontario adhering to the ODA fee guide, it benefits patients by ensuring transparency in pricing and promoting competitive and consistent costs for dental services. This commitment helps patients understand the costs associated with their treatment options and fosters trust in our practice’s pricing integrity.

Process of Direct Insurance Billing Near You

1. We verify the patient’s insurance coverage, including benefits, limitations, and deductibles.
2. We will create a treatment plan detailing the procedures and associated costs. In some cases, we may seek pre-authorization from the insurance company for certain treatments to confirm coverage.
3. Once the treatment is completed, we bill the insurance company directly for the covered procedures.
4. The patient is responsible for any deductible, co-pay, or non-covered portions. They may pay this amount directly to us.
5. We will submit the insurance claim, including relevant documentation and treatment codes.
6. The insurance company processes the claim, and any applicable reimbursement is sent directly to us.