A capitation program is one in which a dentist or dentists contract with the programs' sponsor or administrator to provide all or most of the dental services covered under the program to subscribers i...
A product line offered at Generations Dental that includes different mouth rinses, toothpastes, and candies all aimed at preventing cavities in high risk patients.
The monitoring and coordination of treatment rendered to patients with specific diagnoses or requiring high cost or extensive services. May include complex treatment plans or discussion between multip...
The federal agency responsible for administering the Medicare, Medicaid, State . Children's Health Insurance Program (SCHIP), HIPAA, and the Clinical Laboratory Improvement Amendments (CLIA) programs....
A request for payment under a dental benefit plan; a statement listing services rendered, the dates of services, and itemization of costs. The completed request serves as the basis for payment of bene...
A form, paper or electronic, used to report dental procedures to a third-party payer in order to file for benefits under a dental benefit program. The paper claim form was developed by the American De...
Information a dentist submits to the dental plan to get paid for services performed for a member. A dentist is responsible for the accuracy of all information on a claim form.
The intentional manipulation or alteration of facts or procedure codes submitted by a treating dentist resulting in a lower payment to the beneficiary and/or the treating dentist than would have been ...
The intentional misrepresentation of material facts concerning treatment provided and/or charges made, in that this misrepresentation would cause a higher payment.
The percentage of the costs of services paid by the patient. For example, a benefit that is paid at 80% by the plan creates a 20% coinsurance obligation for a member.
10000+ Dental Terms for Dentist, Doctors & Students from a Dental dictionary. Our experts define difficult Dental language in easy-to-understand explanations of each and every Dental term.
Dental Terms online Dental dictionary provides quick & easy access to hard-to-spell and often misspelled Dental definitions through an extensive alphabetical A- Z listing.