Insurance Provider Delisting: What Dentists Need to Know

In recent years, insurance companies have taken measures to delist dentists from benefits claims processing and reimbursement due to false or fraudulent billings for services not rendered. Insurance companies are increasingly concerned with dentists issuing false claims and taking advantage of benefits available under group plans. Delisting is becoming more common in many healthcare settings and involves healthcare professionals including, but not limited to, dentists, chiropodists, podiatrists, massage therapists, physiotherapists, naturopaths, psychotherapists and psychologists.

As a dentist, becoming delisted with a major insurance company may have significant adverse effects on your practice. Delisting may also be accompanied by a complaint to the Royal College of Dental Surgeons of Ontario.

We routinely assist dentists with delisting issues at insurance companies.