What does my dental plan mean by “usual, customary and reasonable?
You may receive a notification from your Dental Plan Provider stating that dental fees are higher than usual, customary and reasonable. Dental Plan Providers never reveal how they determine usual, customary, & reasonable” (UCR) fees. A survey done in the state of Washington found at least eight different UCR fees scheduled for one zip code in the Seattle area. They are, at least, determined by taking some percentage of an average fee for a particular procedure in a geographic area. An average has been defined as the worst of the best or the best of the worst. We do not provide average dentistry nor do we charge below average fees.
Related Questions
- Plans say they pay for usual, customary, and reasonable (UCR) or reasonable and customary (R&C) charges. What does UCR and R&C mean and how is it determined?
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- What does my dental plan mean by "usual, customary and reasonable?
