Dental Insurance

What is dental insurance?

• A plan that pays the entire cost of dental care

• A plan that assists the patient financially with the cost of dental care

• A plan that pays the patient when they receive dental care

• A plan that discounts dental treatment for patients

Dental insurance is most often obtained......

• through a bank

• as an individual purchase

• through an employer as a benefit through a group plan

• through a spouse

The portion of the fee that the patient is responsible for (that is NOT covered by their insurance) is known as the:

• Co-payment

• Primary split

• Insurance split

• deductible

The policy holder/ certificate holder/ insured, is also known as the:

• carrier

• group

• provider

• subscriber

The dentist who renders treatment is also known as the:

• Subscriber

• Provider

• Dependent

• Carrier

The insurance company that pays the claims and collects the premiums is known as the:

• Subscriber

• Provider

• Dependent

• Carrier

The contract of the insurance is between the _____________ and the carrier

A report of dental services to a patient's dental plan is:

• An EOB

• A preauthorization

• A Claim

• The services rendered

An explanation or description of benefits provided based on the claim amount received/ the insurance carriers response to a claim, is called:

• An EOB

• A Preauthorization

• A claim

• The services rendered

An administrative procedure requiring the DDS to submit a proposed treatment plan to determine benefit coverage is known as:

• An EOB

• A preauthorization

• A Claim

• The services rendered