Insurance Quiz Review MGMT 1500

Which one of the following is an example of an insurance carrier?

• Blue Cross

• The Primary Insurance Holder

• The Spouse of an Insurance holder

• Durham College

What is the the amount of money that you pay before an insurance company will start to pay part of your dental bill called?

• Transfer of funds

• Assignment of Benefits

• Coordination of Benefits

• Deductible

Crowns, Bridges, Dentures and Implants are all considered by an insurance plan as basic coverage.

• True

• False

Some insurance carriers may allow the subscriber of the plan to allow payment to be made directly to the dentist. What is this known as?

• Shared risk

• Assignment of benefits

• Non assignment

• Dual insurance coverage

When dependents or children are covered under 2 insurance plans, the insurance claim will be submitted to which parent first?

• The parent with the birthday in January

• The parent with the birthday in December

• It doesn't matter. They are covered under both plans

Your client works for GM and has a policy with Sunlife Insurance. They also have insurance through their partner’s insurance company Great West Life. Which one is the primary coverage?

• Sunlife

• Great West Life

• Both

Dental claims can be sent through EDI which stands for Easy Dental Insurance

• True

• False

Who publishes the fee guide that Ontario Dentists use?

• CDA

• ODAA

• ODHA

• ODA

A Pre-determination should be sent each time a restoration is treatment planned.

• True

• False

What type of treatment is a predetermination usually sent for?