I recently had my wisdom teeth removed and contacted my insurance company beforehand to verify if my dentist was in-network. The representative assured me that the dentist was in-network, so I went ahead with the procedure. However, when I checked the claim today, I found that the dentist was listed as out-of-network. Has anyone else encountered a similar situation?
Insurance company told me a dentist was in-network then denied claim
I’m sorry to hear about the trouble with your dental claim! It can be really frustrating when you rely on information from the insurance company and then find out it’s not accurate. You’re not alone—many people have run into similar issues with in-network versus out-of-network designations, sometimes due to clerical errors or outdated information.
It might be worth reaching out to your insurance provider again to discuss your situation, especially since you have proof that you were told the dentist was in-network. Make sure to mention the specific date and time of your call, as well as the agent’s name if you have it. Additionally, you can ask if there’s a formal appeals process to dispute the claim.
If you don’t get a satisfactory resolution, consider escalating the issue or speaking with a supervisor. Some folks have found success by contacting their state’s insurance commissioner or seeking assistance from advocacy groups. Good luck!