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And the fraud there is that they claim it's the dentist whom does it. Why don't insurance companies crack down on fraud like that?
by crankylinuxuser 7y ago
And the fraud there is that they claim it's the dentist whom does it.
Why don't insurance companies crack down on fraud like that?
- ghaff 7y agoI'm pretty sure that my insurance company has a standard rate that they will pay out for procedures. And I'm also pretty sure they wouldn't pay for a $750 cleaning.
- FireBeyond 7y agoThere needs to be a report, a lot of times. I used to work for a company that did claims benefits management. For all their (many) faults, insurance companies are often very interested in hearing about provider fraud. Oftentimes, there may be no direct action from _your_ report, but it might help establish a pattern, versus "oops, we mis-coded the procedure/who provided it".