Understanding and Assigning Your Dental Benefits

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At Briarcliff Smile Design, we strive to make your dental experience as smooth and convenient as possible. Our Assignment of Benefits process allows you to assign your dental insurance benefits directly to us, ensuring a hassle-free payment experience. Learn how this process works and how it can benefit you.

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What Is an Assignment of Benefits?

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An Assignment of Benefits is a legal arrangement that allows patients to authorize their dental insurance provider to pay benefits directly to the dental office. This means that Briarcliff Smile Design will handle the billing and claims process on your behalf, reducing your upfront costs and simplifying your dental care payments.

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Why Assign Your Dental Benefits to Briarcliff Smile Design?

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By assigning your dental benefits to Briarcliff Smile Design, you can enjoy several benefits:

• No upfront payment required for covered services, as we bill your insurance provider directly.

• Reduced paperwork and hassle-free billing process handled by our experienced staff.

• Clear understanding of your out-of-pocket expenses based on your insurance coverage.

• Focus on your dental health without worrying about payment logistics.

 

Steps to Complete the Dental Benefits Assignment Form

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Assigning your dental benefits to Briarcliff Smile Design is easy. Follow these steps to complete the process:

1. Download or request the Assignment of Benefits form from our office or website.

2. Fill out the form with your personal information and insurance details.

3. Sign and date the form to authorize the assignment of your benefits.

4. Submit the completed form to our office in person, by mail, or via email.

 

Our office will accept an assignment of benefits from your insurance company with the following provisions. It is important to understand, though, that the contract regarding your dental benefits is between you, your employer, and your insurance company. The obligation you have with our practice is to pay for treatment, regardless of the amount that may or may not be reimbursed by your insurance company. The following provisions identify our policies governing insurance claims.

 

1. Although we are willing to complete insurance information forms and submit a claim on your behalf, we do not accept responsibility for the outcome of the transaction. Completing insurance forms is a courtesy we extend to you to maximize your insurance reimbursement. By having our office process your insurance forms, it is important that you understand that this does not eliminate your financial obligation for your treatment.

2. We require you to sign this form and/or any other necessary assignment. Documents that may be required by your insurance company. This instructs your insurance company to make payment directly to our office. If the insurance company will not pay us directly (because doctor is not a contractual provider), then the patient will be expected to pay for services in full at the time of service.

3. The company requests to sort out any confusion or questions that arise and cooperate fully with the regulations and requests of the insurance company. It is ultimately your responsibility to resolve any disputes over payments or non-payments made by your insurance company.

4. Insurance payments ordinarily are received within of billing.If your insurance company not payment to within days,we will ask pay the balance that time. for seeking reimbursement from your company.

5. Our office does not guarantee that your insurance company will pay for treatment you receive from our practice. We perform routine insurance billing procedures upon verification of coverage. However, if your claim is denied you will be responsible for paying the full amount at that time.

6. Our office will not enter into a dispute your insurance company over claim, although we will provide necessary documentation your insurance. The company requests to sort out any confusion or questions that arise and cooperate fully with the regulations and requests of the insurance company. It is ultimately your responsibility to resolve any disputes over payments or non-payments made by your insurance company.

7. Returned checks and balance older than 60 days may be subject to collection fees and finance charges at a rate of 1.5% per month(18% annually). Additionally, our office will charge you for broken appointments and appointment cancelled without 48 hours advance notice.

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To go back to the patient forms page, click here.

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Frequently Asked Questions About Dental Benefits Assignment

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Here are some frequently asked questions about assigning your dental benefits to Briarcliff Smile Design:

• Q: What information do I need to provide on the form?

• A: You will need to provide your personal information, insurance provider’s details, and policy number.

• Q: Can I change my assignment of benefits later?

• A: Yes, you can update or revoke your assignment of benefits at any time by notifying our office.

• Q: What if my insurance provider denies the claim?

• A: If a claim is denied, our billing team will work with you and your provider to resolve the issue and ensure you understand your payment responsibilities.

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Ready to simplify your dental billing process? Complete our Assignment of Benefits form today and let Briarcliff Smile Design handle the rest.

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Contact Information

 

Briarcliff Smile Design, 541 North State Road, Briarcliff Manor, NY 10510.

Phone: 914-762-0222.

Email: frontdesk@briarcliffsmiledesign.com