Insurance Management FAQs

Do insurance carriers get together to determine the level of payment they will make to dentists? Can dentists get together to arrive at an agreement as to what to charge for dental services?

If carriers or dentists were to get together to create a standard set of fees or allowances, it may be considered price fixing, which is an antitrust violation.

Answer is informational only and not intended as legal advice. Answer may contain excerpts from The ADA Practical Guide to Frequently Asked Legal Questions.