Can I bill full fees after a patient hits their insurance maximum? In a lot of states, yes, and you may not know it. Roughly 32 states have passed laws saying that once a patient blows through their annual maximum, every service after that can be billed at your routine full fee instead of the contracted rate. Insurance companies fight this hard with workaround language, and for very large self funded employers the federal ERISA picture muddies things, but for smaller plans the state rulings often hold. The catch is nobody hands you this answer. I've seen dentists ask their own [...]