Being familiar with insurance terminology helps you better understand your dental benefits.
The annual period in which employees can select from a choice of benefits programs.
Services rendered by dentists other than those who have contracted to provide care through a network option (PPO, DHMO).
Any amount that the member is responsible for paying, such as deductibles, co-payments and costs exceeding the maximum.
An annual limit on how much money a member must pay before insurance begins to cover 100% of their dental care expenses.
Nondisclosure of waiver of patient co-payment.
Reporting a more complex and/or higher cost procedure than was actually performed.