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Alphabetical Glossary and Descriptions of commonly used terms.
A-D E-N M-S |
- Allowable Charge: the maximum dollar amount on which benefit payment is based for each dental procedure.
- Claim Form: the form used to file for benefits under a dental benefit program; includes sections for the patient and the dentist to complete.
- Copayment: Beneficiary's share of the dentist's fee after the benefit plan has paid.
- Coverage: Benefits available to an individual covered under a dental benefit plan.
- Deductible: a specific amount of money that the insured must reimburse the dentist for services rendered. Usually, insurance carriers deduct this amount from the payment to the dentist and therefore, it is mandatory that this amount is collected from the patient.
- Dental Insurance: A plan that financially assists in the expense of treatment and care of dental disease and accidents to teeth.
- Dependents: Generally the spose and children of a covered individual, as defined by the terms fo the dental benefit contract.
- Downcoding: A practice of third-party payers in which the benefit code has been changed to a less complex and/or lower cost procedure than was reported. More>
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