ForensisGroup dental plan expert witnesses are specialists in the area of dental insurance. A dental plan is a contract for dental care, either on a prepaid basis or paid afterward. It can be either group or individual.
Our experts have many years of experience in the dental field with expertise in dentistry procedure coding, insurance, and risk management. Others specialize in the placement of individual and small business dental insurance plans and employee benefits. This includes all aspects of HMOs (Health Maintenance Organizations), PPOs (Preferred Provider Organizations), group benefits, and dental insurance. Dental PPO plans have networks where PPO dentists participate in the network and agree to accept negotiated set fees as payment instead of their usual fees for patients. Dental Health Maintenance Organization (DHMO) plans or “Pre-Paid Plans,” require a patient to select one dentist or dental office to coordinate all of his or her dental care. An appointment with a dental specialist, such as an oral surgeon, typically requires a referral from the primary care dentist and may require preauthorization.
Our dental plan experts consult with insurance companies and attorneys on issues of plan coverage, standards of care, plan access, costs, and reimbursement.
ForensisGroup is a full-service company that specializes in expert witness referral. Our experts, who have years of industry experience, can play a critical role in the outcome of your case. Contact our knowledgeable staff and let us help you retain a credible dental plan expert witness who is ideal for the specifics of your case.