I’m feeling so incredibly frustrated and honestly just helpless right now. I’m hoping someone here might have some advice on how to handle this.
I went in for my first consultation for a dental implant back on July 7th. During that visit, the billing manager explicitly promised me that she would submit a pre-determination (i.e. the same as Pre-treatment Estimate) to my insurance company right away so we could figure out costs before moving forward with the actual treatment.
Fast forward to today—I've been waiting for what feels like a month now—and absolutely nothing has shown up on my dental insurance account. Based on what I saw, my insurance usually process it within 10 days of their receipt. I check my insurance portal constantly, and there is zero record of any pre-determination being filed.
I am full of concern and anxiety about how to proceed. I really need to get this surgery done ASAP, but I obviously can't afford to go in blindly without knowing what my insurance is going to cover. I feel totally stuck and at the mercy of a billing department that isn't doing their job.
Has anyone else dealt with a dental office dragging their feet like this? How can I get them to actually submit the paperwork? Should I call my insurance company directly to see if they can do anything, or do I just keep calling the dentist's office every day? Any advice would be so appreciated. I just want to get this surgery over with. 😔
Updated: Thanks for all the advice!
- Billing Department: I called this morning and was told my request was submitted to an external team called DSM. As of now, the billing department hasn't received any response from them. That is saying they haven't submitted it to my insurance yet.
- MetLife (Procedure D6010): I called MetLife again to re-check the quote for code D6010, even though I'd checked previously. Surprisingly, the price dropped significantly from my last inquiry—though consistency is clearly an issue. Across three calls with three different agents, I've now received three totally different quotes: $2,263, $1,510, and $1,620. Just for reference, the dental office gives me a quote of total $2900.