Question 1

When using the ADA code on Dental Procedures and Nomenclature to complete an insurance claim form, each code starts with a D and is followed by:

Accepted Answer

A)  the dentist's initials. 
B)  the fee for the service. 
C)  four numerals. 
A)  the dentist's initials. 
B)  the fee for the service. 
C)  four numerals. C

Question 2

Dental claim forms that are submitted electronically must follow guidelines set by:

Accepted Answer

A)  the CDC. 
B)  HIPAA. 
C)  the ADA. 
D)  DANB. 
A)  the CDC. 
B)  HIPAA. 
C)  the ADA. 
D)  DANB. B

Question 3

Federal guidelines require that all Medicaid patients have a right to treatment in all dental offices.

Accepted Answer

A) True 
 B)False  False

Question 4

The term subscriber used in insurance management refers to the:

Accepted Answer

A)  dentist. 
B)  employer. 
C)  male spouse. 
D)  employee who represents the family unit in relation to the prepayment plan. 
A)  dentist. 
B)  employer. 
C)  male spouse. 
D)  employee who represents the family unit in relation to the prepayment plan.

Question 5

A dependant on an insurance claim form refers to the:

Accepted Answer

A)  spouse. 
B)  children. 
C)  employee/subscriber. 
D)  a and b. 
E)  a, b, and c. 
A)  spouse. 
B)  children. 
C)  employee/subscriber. 
D)  a and b. 
E)  a, b, and c.

Question 6

An indemnity is a fee-for-service plan and provides payment on a service-by-service basis.

Accepted Answer

A) True 
 B)False

Question 7

Dental claims are only submitted on paper.

Accepted Answer

A) True 
 B)False

Question 8

What codes and terms are published under the jurisdiction of the American Dental Association and are used for dental insurance?

Accepted Answer

A)  COD 
B)  CDT 
C)  USPS 
D)  OSHA 
A)  COD 
B)  CDT 
C)  USPS 
D)  OSHA

Question 9

Most dental offices require the patient to submit his or her own dental claims to their insurance companies for payment.

Accepted Answer

A) True 
 B)False

Question 10

Which of the following terms is used to identify the compensation made for damage, loss, or injury?

Accepted Answer

A)  Indemnity 
B)  Insurance 
C)  Introductory 
D)  Incomplete 
A)  Indemnity 
B)  Insurance 
C)  Introductory 
D)  Incomplete

Question 11

Medicaid is a federally mandated dental care program for children and older adults.

Accepted Answer

A) True 
 B)False

Question 12

In the ADA Code on Dental Procedures and Nomenclature, there is no distinction between the codes for full cast high noble crown and a porcelain-fused-to-high noble crown.

Accepted Answer

A) True 
 B)False

Question 13

A patient is to have treatment in the amount of $1238. The patient has a $500 deductible. This means that the:

Accepted Answer

A)  subscriber must have $500 of the treatment done before the plan's benefits begin. 
B)  subscriber must pay $500 before the plan's benefits begin. 
C)  dentist must deduct $500 from the fee. 
D)  dentist must charge the carrier for the first $500 before services can be completed. 
A)  subscriber must have $500 of the treatment done before the plan's benefits begin. 
B)  subscriber must pay $500 before the plan's benefits begin. 
C)  dentist must deduct $500 from the fee. 
D)  dentist must charge the carrier for the first $500 before services can be completed.

Question 14

What are the consequences of sending unnecessary information when filing an insurance claim form?

Accepted Answer

A)  No payment will ever be made. 
B)  Processing of the form will be delayed. 
C)  There are no consequences. 
A)  No payment will ever be made. 
B)  Processing of the form will be delayed. 
C)  There are no consequences.

Question 15

A denture and a crown are categorized as the same type of treatment in the ADA Code on Dental Procedures and Nomenclature.

Accepted Answer

A) True 
 B)False

Question 16

Which of the following is not required on an insurance claim form?

Accepted Answer

A)  Subscriber's social security number 
B)  Subscriber's date of birth 
C)  Subscriber's group name 
D)  Patient's nickname 
A)  Subscriber's social security number 
B)  Subscriber's date of birth 
C)  Subscriber's group name 
D)  Patient's nickname

Question 17

A(n) ___ plan pays the provider on a monthly basis for providing dental care to patients.

Accepted Answer

A)  HIS 
B)  HMO 
C)  Capitation 
D)  Closed panel 
A)  HIS 
B)  HMO 
C)  Capitation 
D)  Closed panel

Question 18

In a coordination of benefits situation for dental insurance coverage, the primary carrier is always the carrier that provides benefits first.

Accepted Answer

A) True 
 B)False

When using the ADA code on Dental Procedures and Nomenclature to complete an insurance claim form, each code starts with a D and is followed by:

Dental claim forms that are submitted electronically must follow guidelines set by:

Federal guidelines require that all Medicaid patients have a right to treatment in all dental offices.

The term subscriber used in insurance management refers to the:

A dependant on an insurance claim form refers to the:

An indemnity is a fee-for-service plan and provides payment on a service-by-service basis.

Dental claims are only submitted on paper.

What codes and terms are published under the jurisdiction of the American Dental Association and are used for dental insurance?

Most dental offices require the patient to submit his or her own dental claims to their insurance companies for payment.

Which of the following terms is used to identify the compensation made for damage, loss, or injury?

Medicaid is a federally mandated dental care program for children and older adults.

In the ADA Code on Dental Procedures and Nomenclature, there is no distinction between the codes for full cast high noble crown and a porcelain-fused-to-high noble crown.

A patient is to have treatment in the amount of $1238. The patient has a $500 deductible. This means that the:

What are the consequences of sending unnecessary information when filing an insurance claim form?

A denture and a crown are categorized as the same type of treatment in the ADA Code on Dental Procedures and Nomenclature.

Which of the following is not required on an insurance claim form?

A(n) ___ plan pays the provider on a monthly basis for providing dental care to patients.

In a coordination of benefits situation for dental insurance coverage, the primary carrier is always the carrier that provides benefits first.

The Business of Dentistry

Dental Team Management

Patient Management

Legal and Ethical Issues in the Dental Business Office

Technology in the Business Office

Office Design and Equipment Placement

Working With Dental Office Documents

Storage of Business Records

Written Communications

Telecommunications

Appointment Management Systems

Recall Systems

Inventory Systems and Supply Ordering

Financial Systems: Accounts Receivable

Other Financial Systems

Infection Control Systems

Planning and Managing Your Career Path

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Exam 14: Dental Insurance

When using the ADA code on Dental Procedures and Nomenclature to complete an insurance claim form, each code starts with a D and is followed by:

Dental claim forms that are submitted electronically must follow guidelines set by:

Federal guidelines require that all Medicaid patients have a right to treatment in all dental offices.

The term subscriber used in insurance management refers to the:

A dependant on an insurance claim form refers to the:

An indemnity is a fee-for-service plan and provides payment on a service-by-service basis.

Dental claims are only submitted on paper.

What codes and terms are published under the jurisdiction of the American Dental Association and are used for dental insurance?

Most dental offices require the patient to submit his or her own dental claims to their insurance companies for payment.

Which of the following terms is used to identify the compensation made for damage, loss, or injury?

Medicaid is a federally mandated dental care program for children and older adults.

In the ADA Code on Dental Procedures and Nomenclature, there is no distinction between the codes for full cast high noble crown and a porcelain-fused-to-high noble crown.

A patient is to have treatment in the amount of $1238. The patient has a $500 deductible. This means that the:

What are the consequences of sending unnecessary information when filing an insurance claim form?

A denture and a crown are categorized as the same type of treatment in the ADA Code on Dental Procedures and Nomenclature.

Which of the following is not required on an insurance claim form?

A(n) ___ plan pays the provider on a monthly basis for providing dental care to patients.

In a coordination of benefits situation for dental insurance coverage, the primary carrier is always the carrier that provides benefits first.

The Business of Dentistry

Dental Team Management

Patient Management

Legal and Ethical Issues in the Dental Business Office

Technology in the Business Office

Office Design and Equipment Placement

Working With Dental Office Documents

Storage of Business Records

Written Communications

Telecommunications

Appointment Management Systems

Recall Systems

Inventory Systems and Supply Ordering

Financial Systems: Accounts Receivable

Other Financial Systems

Infection Control Systems

Planning and Managing Your Career Path

Filters