FAQ
Getting Started
What is Dental Bill Fighter?
Dental Bill Fighter is a company that helps you lower your out-of-pocket dental costs. We know that in today’s world, everything is more expensive, but your dental bills don’t always need to be. Navigating medical bills and insurance can often be difficult and time-consuming, and that is where our experts come to help
Why was Dental Bill Fighter started?
In recent years, out-of-pocket dental costs have skyrocketed at an alarming pace, even for patients with private insurance. Insurance companies have reduced their payouts (while raising premiums) and dental offices are constantly looking for ways to add often unnecessary costs to patients. Many dental offices are not privately owned and are instead corporately owned by DSO’s (Dental Service Organizations) that sometimes put profits over patients. Patients are not equipped to deal with the complexities and nuances of clinical dentistry, dental coding, and insurance practices, which puts the patient at a disadvantage when reviewing and paying bills. In some cases offices leverage information asymmetry to overwhelm patients with information to make the bill not understandable by a lay person.
What methods are used by Dental Bill Fighter to lower costs?
Dental Bill Fighter uses a variety of methods to lower your dental bills. We list below several general examples of many that we have seen:
We can find inaccuracies and inconsistencies in your dental bill’s coding that your office may have overlooked or that sometimes has been purposefully coded to inflate your bill. We know how to talk and what to say to dental offices in these situations to help you.
Many patients are confused by offices saying that they take your insurance, but end up with a large surprise bill for an out of network provider. We can help you navigate difficulties when it comes to office network status (“in or out of network”) which is sometimes purposefully shrouded to milk your insurance benefits at your expense.
Some offices will unbundle different parts of a procedure to add costs to the final bill, when those services should be part of the core procedure. This is generally not allowed when a doctor takes your insurance and we can help you communicate with your office about these practices.
Balance billing by an office that takes your insurance is also generally not allowed as per the insurance contract the office signed. If an office is billing you for services beyond what your insurance EOB states that you owe, you may have a case against your provider.
Does it matter what insurance I have?
There are many different insurance plans that all have different rules and regulations regarding billing practices that in-network doctors must adhere to. Tell us what insurance you have so we can help assess your case and find ways to lower your bill.
Is there any guarantee that my bill will be lowered?
We will do everything in our power to help you win your case. Unfortunately, we cannot guarantee that an office will adjust your bill, even if we know (and they often know too) that they are in the wrong. We will advise on the next steps for you if this is the case. Other agencies such as dental boards, small claims courts, and regulatory bodies, can indeed force an office to adjust a bill if necessary.
Fight Process
What documents do I need to upload?
Please upload any relevant documents to your case including office treatment plans, insurance EOB’s, office receipts, and screenshots of an office “in network” status on your insurance website.
You can also upload photos and/or radiographs of the dental work you had done if the outcome of your case is relevant to your case.
If I am not happy with my dental work can I get a refund?
This is a more delicate topic and will differ greatly from case to case. In some cases, you are absolutely entitled to a refund if you are not satisfied with the result of your dental work. For example, if you were guaranteed veneers of a certain shade or shape based on a mock up or photos that your dentist showed you, and you did not receive the agreed upon product, the dentist should agree to re-do your case or refund your money.
Additionally, if the dental work does not meet clinically acceptable results, the office may have to refund you if you do not agree to have the work redone in that office.
However, there are many cases in which the dentist is not necessarily at fault for the result and you may have to accept the result or pay a different office to re-do the work.
How long does the process take?
We will reach out to you with a custom plan within a few days to help start your case.
Every case is different, and sometimes contacting offices and insurance companies can take longer than expected.
On average a case can be resolved within a few weeks time.
How much can I expect to save?
Your personal savings will always depend on your specific circumstances. We’ll create a custom plan specific to your situation to maximize your savings.
Are there any cases that we cannot win?
Generally speaking, if you visited a dentist outside of your insurance network (and that dentist or office is not listed anywhere on your insurance website) the office has more power to charge you in any way they want.
You may still have a case if you are questioning the results of the treatment you received, or if you are not sure if you indeed received said treatments.