Glossary

Sunday, April 30, 2017
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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
TopicInformation
Calendar Year

A period of one year beginning with January 1 and ending December 31.

Capitation

A dental delivery system in which a dentist receives a predetermined fixed amount in exchange for providing...

Captain Supertooth

Captain Supertooth is a live characterization of a healthy tooth who uses a giant toothbrush and other fun ...

Carryover Max

This valuable benefit feature allows you to carry over a portion of your unused standard annual maximum ben...

Claim Form

ADA-approved form the dentist files for reimbursement for services rendered.

Clearinghouse

Receives electronic claims from providers and sends electronic claims to payers formatted to meet payer spe...

Client Specific

A Delta Dental PPO plan designed specifically for your group.

COB

Coordination of Benefits. A method of integrating benefits payable under more than one plan. For traditiona...

COBRA

Consolidated Omnibus Budget Reconciliation Act. A law that requires certain employers to offer continued he...

Completion Date

The date a procedure is completed. It is the insertion date for dentures and partial dentures. It is the ce...

Composite

White resin material used to fill cavities which have less durability, thus it is placed on non-stress bear...

Consultation

A discussion between the patient and the dentist where the dentist offers professional advice for the propo...

Contract Year

A period of one year beginning with the effective date of the group contract.

Coordination of Benefits

A method of integrating benefits payable under more than one plan. For traditional processing, benefits fro...

Coverage Eff Date

Coverage Eff Date – Coverage ‘Effective’ Date - Date new coverage type starts.

Covered Family Members

You and your spouse and dependent children who are covered under this program.

Credentialing

Administrative process to obtain information and documentation to determine whether the dentist satisfies a...

Custom Basic Service

A maximum dollar benefit used for treatment of a basic service. The specific service cannot be displayed. ...

Custom Implants

A maximum dollar benefit used for implantology services.

Custom TMJ

The maximum dollar benefit used for treating temporal mandibular joint disease.

  • Benefits of Registration

     

    Members: You can also print a copy of your ID card.

    Dentists: You can also submit claims for free.

    Employers: You can submit enrollments and terminations; make changes, transfers, and reinstatements; view members' profiles, and order reports. Please call 800-452-9310 for a username and password. For more information, view our demo.

  • Account Types

     

    Members: Individual subscribers should select this option.

    Dental Businesses: You can submit claims, inquire on claims and view EOBs for all patients for all locations and for all treating dentists for your business. You can also create online accounts for each service location for your business.

    Dentists: You can submit claims, inquire on claims and view EOBs for all patients treated by you across businesses and across locations.

  • System Availability

  • Find a Dentist

  • Dental Plans

  • Forms