Financial and Insurance Policy
For your convenience, we accept check, cash, debit cards, MasterCard, Visa, Discover, American Express, and Care Credit. We deliver the finest care at the most reasonable cost to our patients, therefore payment in full is due at the time service is rendered.
Patients With Insurance
As a courtesy to our patients we do accept assignment of benefits and will bill your insurance carrier provided proper paperwork is provided. Patients without proper insurance identification will be considered private pay and will be responsible for their balance on the day of service.
It is the patient’s responsibility to provide us with correct billing information. Incorrect information may cause delays in payment of your account. We will expect you to begin making “good faith” payments in the event your insurance processing goes over 90 days due to incorrect billing information given on the day of service. It is our policy to collect a 20% co-pay on the day of service in addition to any deductible that has not been met. We do our best to determine what your insurance will pay, but this is not always possible. You may owe an additional balance or we may owe you a refund.
Our office accepts most major insurances including Tennessee’s TennCare Dental plan for patients under 21 years old.
Some benefit plans require pre-authorization and a specialist referral form from the primary care physician. It is your responsibility to know your insurance requirements. It will be helpful for you to call your insurance company prior to you appointment day to determine if you need any prior authorization.
It is your responsibility to know if your dental plan has a maximum payout per year and to know how much of this you have used for the year. (Some plans have a $1000.00 maximum, and some may have $1500-$2000 maximum per year).
If you have insurance, you may download and print the Financial and Insurance Policy Form. You can complete it and bring it to your appointment to save time and expedite your insurance reimbursement.