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Dentists and insurance department discuss in‑network denials and billing language in proposed dental amendments
Summary
The North Dakota Dental Association urged changes to in‑network contract language to prevent insurers from both denying coverage and preventing providers from collecting payment; the Insurance Department asked for more time to study balance-billing risks and enforcement implications.
Representatives of the North Dakota Dental Association and the state Insurance Department discussed proposed amendments Oct. 12 to bills addressing insurer–provider contract language and a dentist’s ability to collect payment when an insurer denies payment.
William Sherwin of the North Dakota Dental Association told the Senate Human Services Committee that carriers have been denying coverage and also using contract provisions that prevent dentists from billing patients for services the carrier declines to cover. Sherwin urged language that would prevent an in‑network preferred…
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