Orthodontist over billing insurance company WWPD?

I would double check with your orthodontist's office. While it doesn't seem right, maybe there is something they do to collect that you are unaware of. Billing can be crazy.

I'd check with the orthodontist's office, and I'd also contact your insurance company that's been overbilled and get them to investigate.

I'd be very concerned then about what they are up to.  Have they given you a price for phase 2 and although odd are trying to bill for that? 

I'd definitely be having a conversation with them on Monday.  I do not understand why they'd over bill like that and i'd be concerned if they were billing for a treatment that isn't happening for a couple years.

Sounds like they accidentally billed the 2nd insurance for 2 years of ortho treatment instead of 12 months. Still needs to be fixed even though they will only pay for it once (ortho usually has a lifetime max).

My mom wrote a letter to her insurance company when she suspected her doctor was committing insurance fraud. The insurance company did read it and responded to her letter. One part she just didn't understand and the other issue is still being investigated.

I would sit down with the ortho's office and have them walk you through their accounting documents line-by-line and show you what they are doing. We had a very similar situation.

We have two dental insurance policies - one for $2000 ortho coverage and the other for $1000 ortho coverage. Our ortho does treatment in two phases - Phase I during elementary school then Phase II during middle school after all permanent teeth come in.

My youngest was going through her Phase I treatment which cost $1800. I told the ortho too use ONLY the $1000 plan for Phase I and I would pay the rest out of pocket. I wanted to use the other plan for the more expensive and involved Phase II.

I received an insurance statement from the $2K plan showing where the ortho had been billing them for the last nine months. I was also receiving monthly statements from the $1K plan showing were payments were being made to the ortho. I was also making auto-draft payments each month on my credit card. When I totaled all the payments from all three sources I saw where Phase I had been overpaid by around $1800.

I put all my payments in an XLS spreadsheet with date, source and totals. I then put a comparison column to show what their statement was saying. I took all of it to the ortho's billing person and went through it line-by-line. She saw how big her mistake was with my account. That mistake prompted an audit of the entire office. When it was all said and done there was a new billing clerk about a month later.

It was a cluster but we got it taken care of with a lot of legwork on my part. I now watch payments to them like a hawk. They mail a monthly statement showing what was paid, from whom, and the remaining balance in a running order - very similar to what I did in my XLS.