CDA Puts a Stop To Setting Fees For Dental Services That Aren’t Covered

Hands walking up wooden staricase blocksColorado Governor, John Hickenlooper recently signed SB 190 into law. SB 190 is a bill that will require dental insurance plans to stop setting fees for dental services that they do not cover.

This issue has been an ongoing concern for dentists for many years. This is because it can cause confusion for patients when they are attempting to choose from dental services, which can, in turn, put a strain on the relationship between patients and providers. SB 190 will offer more flexible options for dental care to member dentists and the patients they treat.

What To Know About SB 190

SB 190 will prevent dental plans from dictating fees for services that aren’t covered by a patient’s specific dental plan. However, SB 190 does not change fee obligations for services that are covered. For these covered services, please not that negotiated rates will continue to apply.

Beginning on August 9th, 2017, if you as a dentist provided a noncovered dental service to one of your patients, you are allowed to bill the patient for the service in the amount that is equal to or less than your UCR for patients who are uninsured. Your patients will need to consent to the fee and we here at CTC Associates encourage you to obtain documentation of this consent and file them in your financial records.

If you have questions regarding SB 190 or to speak with a dental consultant, please contact CTC Associates today.

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