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@broggyb unfortunately the insurance paid the provider within days of the bill's submission. Benefits were maxed out already on the 3rd EOB. Not expecting a miracle to happen on the 4th one. It is what it is. TY.

@broggyb Hey there, You nailed my situation. This is exactly what happened. Insurance has been involved, I have requested that the unbilled procedures be billed so I can see in the EOB that the procedures were going to be my responsibility because of the maxed out benefits. But also because if...

@kittin Hello What I meant by "services needed exceed my plan limits", was that the treatment plan was split in 4 visits (with the last one going to be in new year, so that the benefits would not be maxed out in 2023. However, I don't know if it was the doctor or the office manager, they...

@logicweb040 the fact that the dental office did not bill the insurance was new to me until yesterday, when I created a spreadsheet and tied the dentist office's charges to the explanation of benefits. She (office manager) did not mention that to me, I found out by myself and she confirmed it...

@logicweb040 She did not commit any fraud. She just did her job, and only put 4 procedures on their private billing statement. But did not bill the insurance. When I asked her why, she said she already knew that the insurance would not pay for it. Which is not true, because one of the 4, she had...

@logicweb040 correct.

@elizabethc Sorry, but this is not my case.

@logicweb040 It was NOT my expectations, it was the office manager telling me that they were going to do so, to avoid maxing out my annual benefits. Rest assured that dental insurance is identical to health insurance. Only the dentist charges you in advance to avoid that patients refuse to pay...

So, here is the story: This is the second dental practice that maxes out my dental benefits and makes me pay for the full charge. I changed practice because the first one overcharged the insurance for reimbursable benefits by about $400. I was so upset that for 2 years I avoid going to see any...