05/27/2026
Kim, our Treatment Coordinator and billing expert, breaks down common financial questions such as: exactly what prior authorization actually means, how our out-of-network billing process works, and what you can expect when it comes to insurance coverage for jaw surgery.
This is Part 1 of your jaw surgery billing questions. More videos coming soon!
💡 Save this if you or someone you know is navigating insurance for jaw surgery.
📲 Have a question? Drop it in the comments or send us a DM.
❓ QUESTIONS COVERED BY KIM
1. What does prior authorization approval actually mean? (it confirms medical necessity, not how much your insurance will pay)
2. What should you do after getting prior auth approved? (Call your insurance with the CPT codes provided to confirm your actual coverage)
3. Does Seattle Jaw Surgery take insurance? (Yes! We're out-of-network with all medical insurance, but we still bill on your behalf for out-of-network benefits)
4. How does Seattle Jaw Surgery handle out-of-network billing? (We collect ~50% of the fee upfront, bill the full amount to insurance, then statement you for anything remaining)
5. What are out-of-network benefits? (Coverage your plan provides when you see a provider outside your network)
6. Does being out-of-network mean you won't be covered? (No, it means you may pay more than in-network, but you can still receive coverage)
