Doc is in network with Met Ins, they have the PPO contracted amount of 600.00 per veneer . Can you charge a variable additional charge for the wax workup?
Question 2, If the doc has a documented standard lab partner, and the patient elects to utliize another lab for whatever reason can the office pass the expense of the difference between standard and patient preferred lab fees, as long as it is communicated to the insurance company (how would we communicate this if the answer is yes?) and the doc made absolutely no more money then is that o.k.?
Question 1: No you may not charge an additional charge for the wax work-up it is considered inclusive of the initial procedure.
Question 2: No you may not pass the expense onto the patient. The lab fees may not be charged in addition to the initial procedure.
American Dental Coders Association
3120 W Carefree Hwy. Suite 1
Phoenix, AZ. 85086