Direct Billing Edmonton

Bring your insurance card. We submit the claim electronically at the desk, your insurer responds in seconds, and you pay only what the plan does not cover.

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Direct Billing in Edmonton Made Simple

Direct billing Edmonton means we send your claim to your insurance company on your behalf and receive payment from them directly. You do not pay the full fee up front and wait weeks for a cheque. At Yours Dental Hygiene, direct billing is standard for every patient with a plan, and our front desk team handles the details.

We are set up with the electronic claims networks used by most Canadian insurers, so responses are usually instant.

How Direct Billing Works in Edmonton

Three Steps at the Front Desk

Before your appointment we check your coverage: what is covered, how many scaling units, when fluoride and X-rays were last claimed, and any yearly maximum remaining. After treatment we submit the claim. The response tells us what the plan pays, and you pay the difference, if any, before you leave.

If your plan does not allow assignment of benefits, we submit the claim and the insurer reimburses you directly, usually within a few days.

Plans We Direct Bill

We direct-bill most Canadian dental insurers, including Alberta Blue Cross, Sun Life, Manulife, Canada Life, Green Shield, Desjardins, GMS, Equitable Life, Empire Life, Co-operators, Industrial Alliance, RBC Insurance, Johnson and the Chambers of Commerce plan.

If you do not see your insurer, call us. Most plans on the TELUS Health eClaims or CDAnet networks can be billed directly.

We also bill:

Bring your program card or letter and we take care of the paperwork.

Understanding Your Dental Insurance Coverage in Edmonton

A few plan details affect what you pay:

Percentage covered, often 80% or 100% for preventive care

Frequency limits, such as one cleaning every 6 or 9 months

Scaling units allowed per year

Yearly maximum, which resets on a set date

Whether the plan pays the fee guide rate or a percentage of it

Because we bill at the Alberta fee guide with no markup, your plan covers the expected share and there are no surprise balances.

What to Bring for Your First Visit in Edmonton

To bill directly we need:

Your insurance card or the policy and member numbers
The primary cardholder's date of birth
Government photo ID
A second insurance card if you have dual coverage
Your CDCP or seniors program letter, if applicable

If you are unsure what your plan covers, call us with your card and we will check before you book.

What if I have two insurance plans?

We bill the primary plan first, then the secondary for any remaining balance. Bring both cards. Coordination of benefits often means you pay nothing.

What if my plan will not pay you directly?

Some plans reimburse the patient only. In that case you pay at the visit and we submit the claim so the insurer pays you back, usually within days.

Can you tell me what my plan covers?

Yes. With your card details we can check coverage percentages, frequency limits and remaining maximum before your appointment.

How Direct Billing Makes Dental Payments Easier in Edmonton

Yours Dental Hygiene in southeast Edmonton direct-bills at every visit, seven days a week, 9am to 9pm.

Have your card ready?

Book online or call (825) 402-6111 and we will verify your coverage.

Reviews

"My wife and I recently visited Yours Dental Hygiene and had a great experience! A special thank you to Eimee—she was exceptionally thorough, gentle, and professional throughout our appointments. The clinic itself is spotless, welcoming, and very well-run. Eimee took the time to explain everything clearly and made sure we were completely comfortable. Highly recommend this clinic."

"I visited this clinic based on a recommendation from a family friend. Booking an appointment was very easy, and I was able to find a time that fit perfectly with my work schedule. I initially went in for a basic dental cleaning and ended up getting a few sealants done as well. The results were a huge improvement, and I was far more satisfied than I had expected. The staff were friendly and highly professional, making the whole experience even better. I would confidently recommend this clinic to anyone."

"Clinic was great and staff was very kind and accomodating. Eimee,cleans very deely and it was amazing.She did a very good job same thing with the Dr. I love it! Me and my husband had a very wonderful experience with this clinic. We will truly bring our kids here soon.Best recomended dental clinic. "

Frequently Asked Questions

Do you direct bill Alberta Blue Cross?

Yes. Alberta Blue Cross is one of the most common plans we bill.

Do you direct bill Sun Life?

Yes, both private Sun Life plans and the Canadian Dental Care Plan, which Sun Life administers.

Is a hygienist visit covered by insurance?

Yes. Cleanings, scaling, polishing, fluoride, sealants, X-rays and exams are billed under the same codes whether performed at a dental office or a hygiene clinic.

Do I need a dentist for insurance to pay?

No. Registered dental hygienists in Alberta bill insurers directly for hygiene services. No referral or dentist visit is required.

What is a pre-determination?

A claim sent before treatment so the insurer confirms what it will pay. We send one for larger treatment such as full-mouth deep cleaning.

What if my yearly maximum is used up?

We tell you before treatment, and you can choose to proceed at our private fee or wait until the maximum resets.

Can I use my Health Spending Account?

Yes. We provide an itemized receipt with procedure codes that HSA and FSA administrators accept.

Do you bill the Canadian Dental Care Plan?

Yes. We are a CDCP provider and bill Sun Life directly for eligible members.

Does insurance cover whitening?

No. Whitening is cosmetic and paid privately. Sports and night guards are sometimes covered; we check your plan.

What if my claim is denied?

We look at the reason, correct any error and resubmit. Denials are usually frequency limits, which we try to catch beforehand.