Dental Terms

3. Any representation of information that permits the identity of an individual to whom the information applies to be reasonably inferred by either direct or indirect means.
4. Protected Health Informatio
6. A dollar amount that each member must pay toward covered services before Delta Dental’s benefits are paid. This is often referred to as the member’s out-of-pocket costs.
8. A dental treatment for which payment is provided under the terms of a member’s dental plan.
9. new borrowers take out insurance against unemployment or sickness"
10. 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.
11. Form 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.

1. A process designed to ensure a dentist is properly trained and licensed to treat members before becoming a part of a Delta Dental network. This includes the review of documentation pertaining to a dentist, including verification of licenses, specialty certification, malpractice insurance, infection control procedures, and OSHA requirements
2. The Health Insurance Portability and Accountability Act of 1996 is a United States Act of Congress e
5. a practice or arrangement by which a company or government agency provides a guarantee of compensation for specified loss, damage, illness, or death in return for payment of a premium.
7. of Coverage A booklet received from Delta Dental that explains a member’s benefits coverage in detail.