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When it comes to double coverage, and we submit a claim to the primary insurance first, does this always mean medical coverage? I remember hearing that Primary means medical? How does this come into play in the dental field? We see pt’s in our private practice as well as in hospital out-pt OR setting when necessary.Thank you for any clarification.

February 4, 2013 by Admin

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  • When it comes to double coverage, and we submit a claim to the primary insurance first, does this always mean medical coverage? I remember hearing that Primary means medical? How does this come into play in the dental field? We see pt's in our private practice as well as in hospital out-pt OR setting when necessary.Thank you for any clarification.

When it comes to double coverage, and we submit a claim to the primary insurance first, does this always mean medical coverage? I remember hearing that Primary means medical? How does this come into play in the dental field? We see pt’s in our private practice as well as in hospital out-pt OR setting when necessary.Thank you for any clarification.

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Posted by Admin
Asked on February 4, 2013 10:27 am
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If a patient (child) has dual insurace meaning they have two dental plans the primary insurance will depend on several factors.
1. Who's birthday falls first mother or father
2. Who's plan has been in effect the longest
3. Is there a court order determining custody and insurance
In order to find the answer you must first figure out the three questions listed above and read about the "birthday rule" to determine order of benefits coverage.

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Answered on February 5, 2013 10:27 am
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