Question 1

Match between columns
                        Premises: Confirmation by a dental benefits plan that a pretreatment plan is authorized for payment
A method of changing a reported benefits code to reflect a lower cost for the procedure
Legal organization of dental practitioners who enter into contracts with dental benefits plans
Billing dental benefits plans for higher-paying procedures than services actually performed
Allowable services outlined by the third party dental benefits plan
Time period when a dental benefits member can select his/her provider and type of coverage
Providing dental care under a common name with regional or national advertising
The maximum amount paid for each procedure
Guaranteed dental coverage for 18 months after the loss of group benefit coverage
Dual coverage patients cannot receive payment for more than 100% of the covered benefit

Accepted Answer

The Answer of Allowable Charges and Overcoding and Nonduplication of is...

Question 2

A patient is being seen after a work-related accident in which several of his teeth were broken.How will his treatment be billed?

Accepted Answer

A) To his primary insurance 
B) Workers' compensation 
C) Government assistance 
D) Secondary coverage 
A) To his primary insurance 
B) Workers' compensation 
C) Government assistance 
D) Secondary coverage

Question 3

The first step in processing a dental claim form is to discuss the insurance coverage with the patient,and determine the patient's portion.

Accepted Answer

A) True 
 B)False

Question 4

A dental clinic provided by a large corporation for employees and their families is an example of what type of dental program?

Accepted Answer

A) Capitation program 
B) Preferred provider organization 
C) Franchise dentistry 
D) Closed panel programs 
A) Capitation program 
B) Preferred provider organization 
C) Franchise dentistry 
D) Closed panel programs

Question 5

Of the following dental plans,which limits patients to a predetermined list of dentists?

Accepted Answer

A) Managed Care Plan 
B) EPO Plan 
C) HMO Plan 
D) All of the above 
A) Managed Care Plan 
B) EPO Plan 
C) HMO Plan 
D) All of the above

A patient is being seen after a work-related accident in which several of his teeth were broken.How will his treatment be billed?

The first step in processing a dental claim form is to discuss the insurance coverage with the patient,and determine the patient's portion.

A dental clinic provided by a large corporation for employees and their families is an example of what type of dental program?

Of the following dental plans,which limits patients to a predetermined list of dentists?

Orientation to the Dental Profession

Dental Basics

Communication Skills and Telephone Techniques

Written Correspondence

Patient Relations

Dental Healthcare Team Communications

Computerized Dental Practice

Patient Clinical Records

Information Management

Dental Patient Scheduling

Recall Systems

Inventory Management

Dental Office Equipment

Financial Arrangements and Collection Procedures

Bookkeeping Procedures: Accounts Payable

Bookkeeping Procedures: Accounts Receivable

Employment Strategies

Filters

Exam 15: Dental Insurance Processing

A patient is being seen after a work-related accident in which several of his teeth were broken.How will his treatment be billed?

The first step in processing a dental claim form is to discuss the insurance coverage with the patient,and determine the patient's portion.

A dental clinic provided by a large corporation for employees and their families is an example of what type of dental program?

Of the following dental plans,which limits patients to a predetermined list of dentists?

Orientation to the Dental Profession

Dental Basics

Communication Skills and Telephone Techniques

Written Correspondence

Patient Relations

Dental Healthcare Team Communications

Computerized Dental Practice

Patient Clinical Records

Information Management

Dental Patient Scheduling

Recall Systems

Inventory Management

Dental Office Equipment

Financial Arrangements and Collection Procedures

Bookkeeping Procedures: Accounts Payable

Bookkeeping Procedures: Accounts Receivable

Employment Strategies

Filters