PATIENT INFORMATION

Insurance Information

At Mansfield Dental Associates, PA we make every effort to provide you with the finest care and the most convenient financial options. To accomplish this we work hand-in-hand with you to maximize your insurance reimbursement for covered procedures. As a courtesy to you, we will file your primary insurance claims and assist you in every way we can. Should you have a secondary insurance, we will be happy to provide you with the information you need to file this yourself.

Please present your insurance card at EACH VISIT. Specifically bring to our attention any changes (new card, new group #, etc) since your last visit. This protects you from paying a bill because we had the wrong insurance company. Failure to do so could mean the claim may be denied.

Sometimes your insurance company will refuse payment of a claim for some of the following reasons:

     1. This is a condition that they do not cover.
     2. You have not met your full calendar year deductible.
     3. The type of dental service required is not covered.
     4. The insurance was not in effect at the time of service.
     5. You have exceeded your maximum dollar/visit amount.

If your insurance company denies your claim for any of the above reasons or for any other reason, our office cannot be responsible for this bill. It is your responsibility to pay the denied amounts in full.

Most insurance pays within 30 days, but please remember, you are fully responsible for all fees charged by this office, regardless of your insurance coverage. If your insurance has not paid us within 60 days, the balance is due and payable by you.

Please call us with your insurance information or submit it with your on line registration form so we can expedite your first visit.

Please bring your insurance card with you, along with a photo ID at your initial visit.

If you have any questions about your insurance coverage or our office procedures, please ask our insurance coordinator - Melissa. She can be reached by email at: melissadk@charterinternet.com or by phone at: (817) 473-6227.