Dental Benefit Terminology - Terms and Facts Related to Benefit Packages on

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Dental Benefit Terminology

Allowable Charges
Beneficiary
Benefit
Benefit Booklet
Capitation
Certificate Holder
Closed Panel
Contract Dentist
Contract Fee Schedule Plan
Coverage
Covered Person
Covered Services
Dental Benefits Organization
Dental Benefit Plan
Dental Benefit Program
Dental Insurance
Dental Prepayment
Dependents
Eligibility Date
Enrollee
Exclusions
Expiration Date
Fee-for-Service
Fee Schedule
Health Maintenance Organization (HMO)
Indemnity Plan
Insurer
Insured
Liability
Limitations
Managed Care
Maximum Allowance
Maximum Benefit
Maximum Fee Schedule
Member
Necessary Treatment
Noncontributory Program
Nonduplication of Benefits
Nonparticipating Dentist
Open Enrollment
Participating Dentist
Point of Service
Preauthorization
Precertification
Predetermination
Pre-existing Conditions
Preferred Provider Organization (PPO)
Premium
Prepaid Dental Plan
Prevailing Fee
Preventive Dentistry
Purchaser
Quality Assessment
Quality Assurance
Reasonable and Customary (R&C) Plan
Reasonable Fees
Reimbursement
Schedule of Allowances
Schedule of Benefits
Subscriber
Surcharge
Table of Allowances
Termination Date
Third Party
Third-Party Administrator (TPA)
Third-Party Payer
Usual, Customary and Reasonable (UCR) Plan
Usual Fee
Utilization

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