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MOD 140
Term | Definition |
---|---|
MATERIAL SAFETY DATA SHEET (MSDS) | Provides information on the hazards of chemicals used in the workplace. |
MAXIMUM COVERAGE | The total dollar amount an insurance company will pay during the year. |
HAZARDOUS COMMUNICATIONS PROGRAM | The dental practice's outlines established safety procedures, which must be followed by each employee. |
THE COLLECTION PROCESS | A series of reminders that payment is past due |
TRACKING SYSTEM | Is used to differentiate between products that need to be ordered, that have been ordered, or that are on back order. |
FRANCHISE DENTISTRY | Providing dental care under a common name with regional or national advertising. |
ALLOWABLE CHARGES | The maximum amount paid for each procedure. |
OPEN ENROLLEMENT | Time period when a dental benefits member can select his/her provider and type of coverage |
NONDUPLICATION OF BENEFITS | Dual coverage patients cannot receive payment for more than 100% of the covered benefit |
OVERCODING | Billing dental benefits plans for higher paying procedures than services actually performed |
COVERED CHARGES | Allowable services outlined by the third party dental benefits plan |
DOWNCODING | A method of changing a reported benefits code to reflect a lower cost for the procedure. |
INDIVIDUAL PRACTICE ASSOCIATION | Legal organization of dental practitioners who enter into contracts with the dental benefits plans |
CONSOLIDATED OMNIBUS BUDGET RECONCILIATION ACT (COBRA) | Guaranteed dental coverage for 18 months after the loss of group benefit coverage |
PREATHORIZATION | Confirmation by a dental benefits plan that a pretreatment plan is authorized for payment. |
MANUFACTURER | company that produces the product/goods |
VENDOR | Company that sells the products/goods |
CONSUMER | Company or person who uses the products/goods |
BRAND NAME | Manufactured supplies and products that are identified by a registered trademark |
GENERIC NAME | Name of the product that is based on its composition |
DENTAL SUPPLY HOUSE | Company that sells several different manufacturers' products/goods |
BIRTHDAY RULE | A method used to determine which parent is considered the primary provider of dental coverage |
COPAYMENT | The portion of the service fee that remains after payments is made by the dental benefits plan |
DEDUCTIBLE | The service fee that the patient is responsible for paying before the third party will consider payment of additional services |
CAPITATION | A contract with a dental benefits plan that stipulates that payment will be made to the dentist per patient. |