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.

Posted on Oct 20, 2017
Image Credit: File ID 62187645 | © Gajus | Dreamstime.com

Share:

Archive

Nov 22, 2021, 2:11 PM
If you are a dentist who owns and runs their own dental practice, it may be easy to believe that having a good education and…
Nov 9, 2021, 5:55 PM
However, the employees at your dental office may not be as thrilled about the whole thing as you are. The uncertainty that…
Oct 26, 2021, 5:53 PM
Medical marketing is quite talked about nowadays, especially with individuals taking more responsibility for their wellbeing…
Oct 11, 2021, 7:45 PM
Numerous dental specialists own and work their own private practices. This makes you not just a specialist in dental health,…
Sep 27, 2021, 8:17 AM
There are times when you just don’t agree with your co-worker, and that’s all right. Having different opinions and thoughts…