My dentist billed me for a procedure that they said was verified by my insurance. How can I fight this bill?
The dentist's office informed my husband that he needed a dental procedure. We asked if it was covered under our insurance. The nurse called and verified and said yes it would be covered. The surgery was performed. Months later, we received a bill from the dentist stating the insurance provider denied our claim. I called the provider and asked why. They advised me that when the dental office called to verify the procedure the dentist's office was informed that it was not covered. However, they still performed the surgery and are billing us. We would not have done the work if we knew it was not covered.
If the dentist's office lied to you in order to get you to agree to the dental procedure--and therefore give them a procedure they could bill for--that might be fraud. It is against the law to make material misrepresentations (lie about important things, such as about the availability of insurance coverage) in order to enrich yourself by getting someone to else to pay or become obligated for a charge or expense. If you believe that you have evidence that the dentist's office lied, you could fight the bill on that basis. You should first try to get something in writing, if possible, from the insurnace provider about the fact that they had informed the dentist's office that coverage was not available. Good luck.