Talk with the Provider
Inform the dentist as to how the child will continue receiving health benefits . Provide the dentist with a copy of the court order to keep on file . Discuss payment options during each visit so that there is agreement on whether the custodial parent or the dentist will receive payment directly from the noncustodial parent ’ s insurance . Providers may ask both the custodial and the non-custodial parent to sign financial responsibility forms .
Notify the Insurance Company
Custodial parents should work with the dentist when submitting claims to the insurance company . Provide the insurer with a copy of the court order and send a simply consent form to speed up the process of obtaining payment .
A sample form should include the following information :
( Name of custodial parent ) is the designated custodial parent for the purpose of this order and shall be provided with information as may be necessary to obtain benefits , including copies of benefit booklets , insurance contracts and claim information . ( Name of custodial parent ) shall submit claims for covered services and direct the payment of these services to be sent to ( Name and address of dentist ) without the approval of ( Name of non-custodial parent ).
What Should Patients do if Benefits are Denied ?
First , attempt to discuss with the non-custodial parent their legal obligation to give payment for health care services to the appropriate individual ( s ). If that is not effective , contact your attorney or county legal aid service . If the custodial parent or the provider continually experiences difficulty obtaining payment from the non-custodial parent ’ s insurer , consult with an attorney about Title 23 under the Pennsylvania Domestic Relations Code .
The purpose of this document is informational in nature and should not be construed as offering legal advice . For legal advice , please consult with your attorney or a local legal aid service .
2021