For Patients with Insurance


For Patients with Insurance | Clarksville TN

About Your Insurance

  • The most common misconception concerning insurance is that your policy will cover the total cost of surgical fees charged. Insurance is designed to reduce your out-of-pocket cost but usually will not eliminate it entirely. Your portion is due at the time of service.
  • Your surgical treatment is not dictated on what your insurance will cover. Together, your doctor and you create your treatment plan based on what your current medical and dental needs are. We cannot limit your care to just what is covered by your insurance plan. Every plan is different and each insurance company determines what is covered. Just because a particular service is not covered does NOT mean you do not need it.
  • Insurance will only be filed for plans that we are provided with at the time of service. We will not “back file/retro-file” any claims. You must provide all insurance information at the time of service. You are responsible for filing any claims with insurance plans we were not made aware of.
  • If your insurance policy requires a referral, that must be obtained prior to the appointment. We will not obtain “retro” authorizations for services not authorized in advance by the insurance company. It is the patient’s responsibility to know if their insurance plan requires a referral from their primary care doctor.
  • Due to increases in postage and mail supplies, Cumberland Surgical Arts and Associates, PLLC will only send out ONE (1) billing statement per date of service. It is your responsibility to keep your account current and to update us with address changes as they occur. All account balances must be paid within THIRTY (30) days from the date on the statement.
  • Insurance coverage will be verified at the time of service. You must provide this office with an insurance card or proof of coverage. If coverage is unable to be verified, you are responsible for all charges incurred.
  • Upon verification of insurance benefits, we will attempt to estimate your portion of fees due. You are responsible for any co-insurance amounts prior to surgery.
  • Responsible parties with insurance coverage can either:
  • File insurance yourself and pay us in full directly the day services are rendered. We will assist you with your paperwork.
    Have us file your insurance. We will only file with 2 insurance plans. Filing any additional plans will be your responsibility. You must have on the day of your appointment:
  • Insurance card with Subscriber’s information
  • Photo ID (We do not file ANY insurance without a photo ID – driver’s license, Military ID)
  • The co-payment and deductible (as applicable) the day services are rendered. Co-payment can vary with insurance plans.

We file most insurance plans as a courtesy to our patients. These include, but are not limited to:

  • Delta Dental
  • Blue Cross Blue Shield 
  • Cigna
  • United Concordia (including military dependents) 
  • Dental Health Alliance
  • MetLife
  • DentaQuest Dental for TennCare participants under age 21
  • Connection Dental network participating plans
  • Dentemax network participating plans
  • Please call the office at Rudolphtown Office Phone Number 931-552-3292 to inquire we if we are a participating provider for your plan.
  • We have learned that many plans (that we are not a participating provider with) provide coverage using Out-of-Network benefits just as well as with an in-network provider PLUS allow more freedom between you and your surgeon in determining the best treatment course for YOUR condition.

About Estimates for Surgery

  • We are not privileged to all insurance plans limitations and exclusions. You, as the beneficiary of the insurance policy, are responsible for knowing all policy limitations and exclusions. The contract for benefits is between you and your insurance company; our only relationship is with you, the patient.
  • We will prepare an estimate of insurance payment and your responsibility. This is prepared using the information provided by your insurance plan’s representative. We only use the information they provide us with, so if the information is not current, inaccurate, or lacking in detail, that will affect the treatment plan estimate we provide you with. Neither we nor the insurance company can guarantee the estimated payment amounts. Please understand that the estimate generated is provided as a courtesy.
  • We will assist you in understanding your benefits but are not responsible for your benefits or what is ultimately paid by your insurance plan. Any discrepancies should be addressed with your insurance company as they make the final determination of benefits provided, not us.
  • You are responsible for verifying that all waiting periods have been satisfied prior to surgery.
  • We cannot be held to the estimate of insurance benefits, as it is only an estimate based on information provided on the day it is generated. Annual maximums, deductibles, and percentages of coverage may be different on the day of surgery based on care received by other practitioners and the medical necessity of the procedure as determined by your insurance company.
  • Our doctors do not determine medical necessity for your insurance company but will assist in providing justification for surgery to your insurance company to assist in the determination of benefits. You, as the patient, are ultimately responsible for the full amount of the surgical cost.

* Remember insurance is filed solely as a courtesy to our patients. Please help us to keep this service available to all patients. *



Exceptionally high standards of dentistry

"This dentist office should receive more than five stars. I went in yesterday for a consultation and was actually able to actually get my tooth pulled that has been bothering me for two months and I only went for a consultation.Dr Griffith and his nurse autumn P stayed over after hours to make sure I was OK. Got this tooth out. May God continue to bless both of them. I highly recommend."

"They were great! It was quick and easy! I was scared of the IV and one of the nurses even held my hand! Super, super sweet!! Dr. Lee, Jenn, Emily, and Auttle were all great!"

"Dr.Lee and staff has worked me in twice. And I appreciate it very much. Andrea,Salena, Auttie,Jessie were great."

"The staff was extremely friendly and helpful! Deedee and Courtney were great! Dr. Griffith was extremely thorough and broke things down in a way that really educated me on the health of my teeth!"

"Andrea was very helpful and informative."

"Excellent experience. Dr. Lilly and his staff make you feel at home, talk you through everything, and are patient with all questions and concerns."

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"This office was friendly and professional. I had a failed root canal tooth extraction and it was done with no pain. Dr Griffith and his staff were very nice and knowledgeable in their fields. Thank you Dr Griffith, Autumn P., Andrea and Selena. This was a 5⭐️ experience. I highly recommend them."

"I’m still in awe of the incredible experience I had with Dr. Griffith! One week ago, he removed three wisdom teeth, and I'm thrilled to say it was one of the best experiences I've ever had. I had been informed about potential swelling and pain, I didn't experience any of that. My follow-up appointment revealed perfect healing, and I'm overwhelmed with gratitude. Dr. Griffith truly has miracle hands. He is by far an amazing surgeon but he is also kind and friendly which made me feel peace during the entire experience. The entire staff, from check-in to check-out, were extremely efficient and made the process seamless. I highly recommend Dr. Griffith and his team to anyone needing dental care. Thank you, Dr. Griffith, for a wonderful experience!"

"Thank you so much to this amazing staff! They made my wisdom teeth removal as simple and painless as possible. Such a great experience and would use them again for any future oral surgery needs!"

"Andrea and Salena were great for check in and out, as well as Dr Lee; I’ve been there before for my wisdom teeth removal and now extractions and they have always been so great at what they do. Even with low staff today, and being the last patient of the day, they still were good about explaining and answering my questions."

"Very good place an they are willing to help an they are very nice people"

"Pleasant staff, lovely office and amazing doctors! Very glad to have went and would highly recommend. 5 days post-op and feeling pretty great! Thank you to the wonderful doctors that did my procedure!"

"Dr. Griffith and his staff couldn’t possibly be any better. They did a wonderful job this morning, made me feel comfortable the minute I got there. He’s the BEST at what he does! Thank You"

Locations

2285 Rudolphtown Rd Suite 200, Clarksville, TN 37043

Phone: (931) 552-3292

Email: cumberlandsurgicalarts@gmail.com

  • MON - FRI8:00 am - 4:30 pm
  • SAT - SUNClosed
Contact Us

1275 Parkway Pl, Clarksville, TN 37042

Phone: (931) 552-3292

Email: cumberlandsurgicalarts@gmail.com

  • MON - TUE8:00 am - 4:30 pm
  • WEDClosed
  • THU8:00 am - 4:30 pm
  • FRI - SUNClosed
Contact Us

2524 TN-49E, Pleasant View, TN 37146

Phone: (931) 552-3292

Email: cumberlandsurgicalarts@gmail.com

  • MON - TUEClosed
  • WED8:00 am - 2:00 pm
  • THU - SUNClosed
Contact Us