This Dentistry and the Law column addresses the question of disclosing fee schedules by dental plans. The author clarifies that dental plans often withhold fee schedule information, citing potential antitrust violations or illegality. However, the column asserts that this is an excuse rather than a legal constraint. The author explains that disclosing fee schedules does not violate antitrust laws; violations occur through agreements that unreasonably restrain competition. The reluctance of dental plans to disclose fee information is attributed to business objectives, not legal concerns. Dentists are encouraged to request fee schedules to make informed decisions about network participation, with a reminder to honor contractual confidentiality obligations.
Schulte, Daniel JD
"Dentistry and the Law: What Is Illegal About Disclosing Fee Schedules?,"
The Journal of the Michigan Dental Association: Vol. 104:
5, Article 4.
Available at: https://commons.ada.org/journalmichigandentalassociation/vol104/iss5/4
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