Updates

Consultants Corner: Oral Cancer Exam

July 26, 2022

April 2022 was designated Oral Cancer Awareness Month. As dentists, it is very important that we make sure we incorporate an oral cancer exam into our comprehensive and periodic exams.

Predeterminations:

July 26, 2022

A predetermination of benefits (or pre-treatment estimate) is a helpful tool that allows you and your patient to know estimated benefits, eligibility and financial responsibility in advance of completed treatment.

Claim Filing Tips:

July 26, 2022

When you submit your claims online, we can process your claims quicker than if submitted by mail, and when you are enrolled in direct deposit, Delta Dental will send claim payments electronically to your designated bank account.

Coordination of Benefits (COB)

July 26, 2022

When a patient has dual insurance coverage, the two insurance companies will, in most cases, “coordinate benefits” for the patient – this process is called Coordination of Benefits.

Treatment for Cosmetic Purposes, or Due to Attrition or Wear

May 19, 2022

Cosmetic services are services requested by your patient that do not meet criteria outlined in plan benefits for insurance reimbursement. Examples include anterior crowns or veneers used to “straighten”, whiten, close/minimize gaps, or to alter the shape a

What is Coordination of Benefits (COB)?

May 19, 2022

Coordination of Benefits occurs when a patient has dental coverage under two or more plans. The coverage from the plans are coordinated so that the patient receives the maximum allowable benefits under each plan.