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Bill would bar insurers from contract clauses that block dentists from charging patients for denied services
Summary
Senate Bill 2,377 (heard as related item) would prevent preferred-provider arrangements from contractually prohibiting dentists from collecting payment from patients for services insurers deny; proponents said the change protects the doctor-patient relationship and patient choice when carriers use frequency, material or coverage limits.
Senate Bill 2,377 would prohibit preferred-provider arrangements from restricting a covered personthe patientfrom receiving additional dental care services that are denied under the planand would prevent carriers from using contract clauses that stop a dentist from collecting payment the patient wishes to make.
William Sherwin of the North Dakota Dental Association told the committee that carriers have inserted "disallow clauses" into contracts that deny certain services (for example, additional cleanings beyond a plans frequency limit, an upgraded filling material, or a root canal the carrier deems noncovered) and then prohibit the…
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