Dental benefit fraud is the act of providing incorrect or misleading information to the insurance provider to access plan benefits. Examples of dental fraudulence include claiming treatments or services that were not performed, or using insurance benefits for individuals that are not covered under your plan.
To avoid putting you and your dental team at risk, it is best to understand your dental coverage plan and service coverage. It is always a good idea to submit estimates and pre-authorizations beforehand to clearly understand the plan-covered expenses and out-of-pocket expenses for your treatment.
Please remember to communicate any coverage benefit changes to our office before coming to your appointment.
For more information, you can visit your dentist or speak to your insurance provider to further understand your plan benefits. More information on dental fraud can also be found on the following website: https://fraudisfraud.ca/what-is-benefits-fraud