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Answers To Frequently Asked Questions
What are the usual and customary charges?
Usual and Customary Charges (UCR) are those fees normally charged by the
dentist for a given service or treatment.
How much of the dental charges will the plan cover?
Payment schedules vary from plan to plan. Please check your Schedule of
Benefits for more details.
How does my bill get paid?
Billing is dentist specific. The dentist may agree to file your insurance
claim for you. However, if he/she does not, you may be required to pay the
entire bill at the time services are rendered and will, therefore, need to
submit a claim to CompBenefits for reimbursement. Again, all financial
arrangements concerning payment for services rendered are strictly between
you and your dentist and should be determined prior to the start of
treatment.
Where should I send my claims?
Claims forms can be obtained from your Group Benefits Administrator or
CompBenefits Member Services and should be sent to:
CompBenefits Claims
PO Box 4605
Chicago, IL 60680-4605
What is a predetermination?
The purpose of submitting a predetermination is to help you understand how
your benefits will apply to your particular case.
When is a predetermination needed?
If a planned treatment is going to cost over $300, you should ask the
dentist to file for predetermination of benefits before services begin.
Predetermination is not necessary for emergency treatment.
